非药物干预的随机对照试验,以改善患者报告的结肠镜检查结果:一个范围审查
Colin Sue-Chue-Lam1,2, Matthew Castelo1,2, Amina Benmessaoud3
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
非药物干预措施,如二氧化碳注射和补充疗法,可以改善患者在结肠镜检查期间的体验. 然而,研究是多样化的,突出需要标准化研究设计,并专注于研究不足的干预措施.
科学领域:
- 胃肠病学和内镜检查
- 患者报告的研究结果研究结果
- 证据综合 证据综合
背景情况:
- 有限的研究描述了改善结肠镜检查患者报告结果的非药理干预措施.
- 对结肠镜检查的负面经验和看法需要有效的缓解策略.
研究的目的:
- 进行随机对照试验的范围审查,对结肠镜检查的非药物干预进行范围审查.
- 描述研究这些干预措施的研究范围和特征.
主要方法:
- 对成年人同行评审随机对照试验的范围审查.
- 在多个数据库中搜索关于非药物干预的研究.
- 按表格列出和总结研究特征,以叙事和图形的方式.
主要成果:
- 包括来自39个国家的245个出版物 (1992-2022).
- 常见的干预措施:CO2/水灌注 (33.9%),补充/替代医学 (20.0%),结肠镜技术 (21.6%).
- 疼痛是常见的结果 (82.0%);患者经验 (60.0%) 经常被追溯测量.
结论:
- 关于非药理学结肠镜干预的研究分布不均,研究设计和结果报告存在显著差异.
- 未来的研究应该专注于研究不足的干预措施,并制定研究设计的共识指南,特别是对结果的测量.
- 需要标准化的指导方针来评估在结肠镜检查期间如何以及何时体验和测量患者的结果.
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