Video Experimental Relacionado
Updated: Jul 29, 2026
04:38
Assessment of Sexual Behavior of Male Mice
Published on: March 5, 2020
Autogestión guiada y seguimiento dirigido al paciente de la colitis ulcerosa: un ensayo aleatorizado
A Robinson1, D G Thompson, D Wilkin
1Section of Gastrointestinal Science, University of Manchester, Clinical Sciences Building, Hope Hospital, M6 8HD, Salford, UK. arobinson@fs1.ho.man.ac.uk
Lancet (London, England)
|October 5, 2001
Resumen
El entrenamiento de autogestión centrado en el paciente para pacientes con colitis ulcerosa (UC) acelera el tratamiento de la recaída y reduce las visitas al médico. Este enfoque mejora la eficiencia de la atención médica sin aumentar la morbilidad, ofreciendo una alternativa viable a la atención ambulatoria tradicional.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Servicios de salud Servicios de salud Investigación Investigación.
- Gestión de enfermedades crónicas Gestión de enfermedades crónicas.
Sus antecedentes:
- El manejo de la colitis ulcerosa (UC) se basa en revisiones de pacientes ambulatorios especializados.
- Los modelos actuales no mejoran la participación del paciente ni reducen la dependencia del médico.
- Se necesitan modelos alternativos de atención para optimizar la gestión de la UC.
Objetivo del estudio:
- Evaluar la capacitación de autogestión centrada en el paciente como una alternativa a la atención ambulatoria tradicional para la colitis ulcerosa.
- Evaluar el impacto de la autogestión en la puntualidad del tratamiento y la utilización de la atención médica.
- Para determinar el efecto en la calidad de vida del paciente y la morbilidad.
Principales métodos:
- Un ensayo controlado aleatorizado en el que participaron 203 pacientes con UC sometidos a seguimiento hospitalario.
- El grupo de intervención recibió capacitación en autogestión y seguimiento bajo demanda.
- El grupo de control recibió tratamiento y seguimiento estándar; se realizó un análisis de intención de tratar.
Principales resultados:
- Los pacientes autogestionados experimentaron un tratamiento de recaída más rápido (14.8h frente a 49.6h).
- Significativamente menos visitas al hospital (0,9 vs 2,9) y a la atención primaria (0,3 vs 0,9) en el grupo de intervención.
- La calidad de vida relacionada con la salud se mantuvo sin cambios entre los grupos.
Conclusiones:
- La autogestión centrada en el paciente acelera el tratamiento de la colitis ulcerosa y reduce las consultas de atención médica.
- Este enfoque es seguro, no aumenta la morbilidad y mejora la prestación de servicios de salud.
- Las estrategias de autogestión muestran potencial para el manejo de otras enfermedades crónicas, mejorando la eficiencia y reduciendo los costos.
Videos de Conceptos Relacionados
01:29Drugs for Treatment of Ulcerative Colitis in IBD
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide generation.
01:26Peptic Ulcer Disease IV: Management
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:20Inflammatory Bowel Disease II: Ulcerative Colitis
Ulcerative colitis is a chronic inflammatory disorder of the colon characterized by continuous mucosal inflammation that typically begins in the rectum and extends proximally in a uniform pattern. Its pathogenesis involves a complex interplay of genetic predisposition, immune dysregulation, and environmental influences. These factors converge to impair the colon’s epithelial defenses and promote an exaggerated inflammatory response against luminal contents.Breakdown of the Mucosal BarrierA...