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首页> 外文期刊>Journal of health communication >Family History Unawareness of Blood Clot Risk: Links to Misdiagnoses and Illness Uncertainties in Personal and Expert Realms
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Family History Unawareness of Blood Clot Risk: Links to Misdiagnoses and Illness Uncertainties in Personal and Expert Realms

机译：家族史对血栓风险的认识：与个人和专家领域的误诊和疾病不确定性相关

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The difficulty of diagnosing blood clots makes salient the question, "What role does family history awareness have for guiding lay and expert actions?" The authors examine the in-depth life reflection interviews of 20 women who experienced a first venous blood clot between the ages of 18 and 50 years, identifying causal attributions the women made for thrombosis after the event. Twelve participants described an understanding of the cascade of events linked to thrombosis, revealing that there is seldom a single cause. The other eight identified belief in a single determining cause for their thrombosis. The authors reflect on the symptoms the women experienced during the course of the clotting event, patterns of care that they executed to self-manage their blood clot, and their misdiagnoses associated with symptoms and care. The women recalled the patterns of care received through formal health care systems and the reported misdiagnoses linked to these interactions. The recollections reveal that the subtle nature of venous blood clot symptoms contributes to lay and expert misdiagnoses. Use of antibiotics and pain killers in the wake of misdiagnosis masks symptoms, contributing to costly delays in accurate diagnoses. Four women were aware of a family history of clotting when the event occurred, 13 had such a history but lacked awareness until the clotting event, and three had no known history. Among women with awareness of their family history, blood clot diagnosis occurred sooner, promoting survival and efficiencies in health care. Implications for communicating about family history of thrombosis are considered.
机译：诊断血液凝块的困难提出了一个突出的问题：“家族病史的认识在指导外行和专家行动方面起什么作用？”作者研究了对20位年龄在18至50岁之间的首次静脉血凝块的女性进行的深入的生活反思访谈，确定了该事件发生后女性对血栓形成的因果关系。十二名参与者描述了对与血栓形成相关的一系列事件的理解，表明很少有单一原因。其他八个确定了对血栓形成的单一确定原因的信念。作者对妇女在凝血事件过程中所经历的症状，她们为自我管理血凝块而进行的护理方式以及与症状和护理有关的误诊进行了反思。这些妇女回顾了通过正规卫生保健系统获得的护理方式，以及据报告与这些相互作用有关的误诊。回忆表明，静脉血块症状的微妙性质有助于外行和专家的误诊。在误诊后使用抗生素和止痛药可掩盖症状，从而导致昂贵的误诊时间。事件发生时，有四名妇女知道家庭凝血史，其中十三名有这样的病史，但直到发生凝血事件之前都没有认识，三名妇女没有已知病史。在了解其家族史的妇女中，血凝块诊断的发生较早，从而提高了生存率和医疗保健效率。考虑了有关血栓形成家族史的交流信息。

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