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Updated: Feb 17, 2026

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異なるアプローチをするためのDaRE:トラウマ情報に基づくフレームワークを通じてデジタル腸検査を教える
Kera Kwan1, Amanda Labora2, Formosa Chen3
1is a PGY-4 Resident, Department of Surgery, David Geffen School of Medicine, and Fellow, National Clinician Scholars Program, University of California, Los Angeles (UCLA), Los Angeles, California, USA.
Journal of graduate medical education
|February 16, 2026
まとめ
トラウマインフォメーションケア (TIC) 教育的介入により,医療従事者の快適さや,デジタル門検査 (DREs) を行う自信が著しく向上しました. この短いトレーニングは,これらの重要な臨床処置を延期する頻度も減少させました.
科学分野:
- 医療教育 医療教育について
- クリニックスキルのトレーニング
- 患者のケア 患者のケア
背景:
- デジタル門検査 (DRE) は,提供者の不快感と信頼の欠如のために未充分に利用されています.
- トラウマインフォームドケア (TIC) フレームワークは,繊細な検査教育を改善することができますが,DREsでは十分に活用されていません.
研究 の 目的:
- TICに焦点を当てた教育的介入が,DREsに対するレジデント医師の快適さ,自信,および知識を高めるかどうかを評価する.
主な方法:
- TIC-DREの30分間のディダクティックセッションに参加した136人のレジデント (家庭医学,内科,外科) を対象とした前向きな研究.
- 信頼,快適さ,検査の延期率を測定するために,ベースライン,セッション後,および6週間で実施された調査.
主要な成果:
- 介入後6週間,住人はTIC (5.09から6.79) を使用し,DREs (4.63から6.36) を実行することに著しく高い信頼を示しました.
- 経 (4.07~6.00) と直腸病理 (3.65~5.47) を特定する自信も著しく改善した (P<.001).
- 臨床的に示されたDREsを延期する割合は,基線での68%から,以前に延期した人々の間で介入後の5%に減少しました.
結論:
- TICの原則を用いた短い,低リソースの教育セッションは,DREsに対する住民の信頼と快適さを効果的に改善します.
- この介入は,臨床的ツールとしてDREの利用を拡大する見通しを示しています.
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