为就诊做准备

因为去诊所的沙巴足球体育平台很短(大约15分钟), preparing can help you make the most of your time with your health care team. 俄亥俄州立大学的研究人员开发了 PACE指南 to give you an easy way to organize your feelings, questions and concerns before your visit. PACE代表:

• 提供你感觉如何的信息.
• 如果你没有足够的信息，就问问题.
• 澄清你所听到的.
• 表达你可能有的任何顾虑.

以下是如何使用PACE表:

• A day or two before your health care visit, answer the questions on the sheet. If you're not having problems or concerns, leave blank spaces on the form.
• Show the sheet to your health care professional at the start of the visit. During the visit, use the sheet to remember what you wanted to discuss.

经唐纳德·J·肯尼迪许可使用. Cegala, PhD, Emeritus Professor of Communication and Family Medicine at Ohio State University

PACE:了解更多

提供你感觉如何的信息.

写下你的症状、担忧或问题. If you've noticed changes in how you're feeling, make a note of when the change started.

用这些问题来帮助你描述你的症状和担忧:

你的感受

• 你有疼痛吗 胸部疼痛)? 如果有，在哪里??
• 疼痛是持续的，还是来了又走?
• Is it a sharp pain, a dull ache, tightness, pressure or a burning feeling?
• 你注意到它的沙巴足球体育平台和频率? 例如, 是在饭前还是饭后, 当你早上起床的时候, 当你休息的时候, 或者在体力活动之后?
• 持续多长沙巴足球体育平台——几秒钟还是几分钟?
• 运动时症状会加重吗? 如果是这样，哪些活动会让情况变得更糟?

你怎么治疗你的症状

• 你会吃药让自己感觉好点吗? 什么药物(如硝酸甘油治疗胸痛)? 何时服药，如何服药?
• 药物有帮助吗??
• 你用其他治疗方法来帮助你吗, 比如维生素, 草本植物, 膳食补充剂, 非处方药物, 物理治疗, 针灸或其他治疗方法?
• Does avoiding certain things, such as specific activities, foods or 药物, help this condition? 如果是这样，有什么帮助呢?
• 关于这种情况，你见过其他医疗保健专业人员吗? 如果有，你的病情是如何治疗的?

你的症状

• Do you think your symptoms might be affected by problems, worries or stress? (如果是这样，向你的医生解释一下.)
• Are you concerned that these symptoms could be a sign that your heart condition is getting worse?

你的医疗保健专业人员如何帮助你?

Think about what you hope your health care professional can do for you. 如果你有一个想法，你可以把它写在PACE表格上. 

如果你没有足够的信息，就问问题.

在你去看医生之前想好你的问题. Write your questions on your PACE sheet or a notecard so you don't forget them. 如果你有三个以上的问题, mark the most important ones with a star so you'll be sure to ask them first.

Use these sample questions to think about more information you'd like to know about your condition, 药物, 检查和其他治疗.

关于你的情况的样题

• 是什么 冠状动脉疾病或者CAD，我为什么要用它?
• 我的CAD有多糟? 我会康复吗?? 保持不变? 变得更糟?
• 这种疾病会影响我的正常活动吗? 如果有，如何?
• 这种病的治疗需要多长沙巴足球体育平台?
• 我怎么知道我的冠心病是否恶化了?
• Are there programs or support groups to help me take care of and cope with my condition? 

Sample questions about 测试 or procedures (such as electrocardiogram or angiogram)

• 这样做的目的是什么 测试或程序? 它能告诉我们我的情况吗?
• 做这个检查或手术有什么风险吗?
• 测试包括哪些内容? 例如:
  • 考试痛苦吗??
  • 要花多长沙巴足球体育平台?
  • 我是醒着还是睡着了?
  • 我需要带人一起去吗?
  • 这个测试有保险吗?

关于药物的例题

• 为什么我需要吃药? 它能做什么??
• What side effects should I watch for and report to my health care professional?
• 你们有样品让我试一下吗?
• 这种药有通用的形式吗?
• 我吃了这种药会感觉好些吗? 我要多久才能好起来?
• How should I take the medication, and what should I do if I miss a dose?
• 我需要吃多长沙巴足球体育平台的药?

Sample questions about other treatments (such as dietary changes and physical activity)

• 我需要做什么?
• 多长沙巴足球体育平台?
• 我需要多长沙巴足球体育平台的治疗?
• 我什么时候能看到结果?
• 这种治疗有风险吗?

澄清你所听到的.

When you talk to your health care team, you may hear things that are hard to understand. 或者你可能会混淆，因为你听到太多的东西. 即使你认为你知道医生, 护士, 药剂师或其他医疗专业人员告诉你, 把你听到的说清楚是个好主意.

当你澄清你听到的内容时，你:

• 请专业人士解释一下.
• 重复专业人士的指示.
• 回顾你听到的内容.

请专业医护人员解释一下

If you don't understand something, ask the health care professional to repeat what they. If you don't understand a word, ask them to use a simpler word that you will understand. 确保你知道他们想让你做什么，以及为什么你应该这样做.

试试这些短语:

• “我不明白. 你能用不同的或更简单的词再说一遍吗?"
• “你能澄清一下吗?”?"
• 你能重复一下最后一部分吗?"
• 这个词是什么意思?"
• 请帮我拼一下那个单词."

重复卫生保健专业人员的指示

医疗专业人员给出了很多指示, 比如什么时候吃药, 要注意什么以及如何照顾自己. 这些说明很重要. 确保你理解了说明, 重复一遍, 用你自己的话, 然后询问医疗保健专业人员你的理解是否正确.

试试这些短语:

• “我想你是在告诉我……”
• “你想让我……我说得对吗?”
• “在我下次拜访之前，我会……”
• “你要我打电话给你，如果……”

回顾你听到的内容

At the end of a phone call, telehealth visit or office visit, review what you've heard. Repeat the things on which you and your health care professional agreed. 如果你觉得你可能会忘记什么, write it down or ask them to write it down for you or email you the information.

下面是回顾你听到的内容的一个例子:

Patient: "I understand that my cholesterol is still high and that you want me to take this new medication. You think my exercise is helping and that I can increase my walking to 35 minutes a day. 最后，你认为我的头痛和我的心脏状况无关. 对吗??医护人员:“是的。, and we also agreed you would eat at least five servings of fruit and vegetables every day.病人:“对。. 你能帮我写下来吗? 我还错过什么了吗?"

试试这些短语:

• “我听到你告诉我这三件事……”
• “我们决定……”
• “你想让我试一种新药，因为……”
• “你认为我做得很好，除了……”
• “你能把你想让我记住的事情写下来吗??"

提示

Bring your cellphone or another recording device and ask your health care professional if it's OK to record your visit. If they would prefer not to record the whole visit, ask them to record any instructions for you.

Bring someone with you to help ask questions and write down important instructions and information for you.

Ask your health care professional to spell medical words or draw pictures to help you understand a procedure or instruction.

表达你可能有的任何顾虑.

你可能会担心自己的病情和治疗方法, 包括程序, 测试, 药物, 饮食改变和体育锻炼建议. It's important to speak up and talk to your health care professionals about your concerns. Make sure you understand why they are prescribing a certain treatment and how it will help your condition. You'll find it easier to follow a treatment plan when you know how important it is to your health.

You can make your condition worse if you don't follow your health care team's instructions. 如果你不能遵循你的治疗计划, 诚实地和你的健康护理专家谈谈. They may be able to recommend another treatment that will meet your needs better. 例如, if one of your 药物 has unpleasant side effects, don't just stop taking it. Tell your health care professional about the problem and ask if there's another medication that will help your condition without the side effect.

Use the PACE Sheet to note your questions or concerns to review with your health care professionals. 写下你想要改变什么以及为什么.

记住，你是你的医疗团队中最重要的一员. It's up to you to carry out the professionals' advice to make yourself healthier. 你需要有人回答你的担忧和问题, 这样你就能理解并遵循你的治疗计划.