新的客观评分系统以临床评估便失禁
Pankaj Garg1,2, Iwona Sudol-Szopinska3, Małgorzata Kolodziejczak4
1Colorectal Surgery, Garg Fistula Research Institute (GFRI), Panchkula 134113, Haryana, India.
World journal of gastroenterology
|August 25, 2023
概括
开发了一种新的便失禁 (FI) 评分系统,提供比现有方法更准确和更全面的评估. 这种以患者为中心的方法突出了外科医生和患者对FI严重程度的看法之间的差异.
科学领域:
- 胃肠病学和结肠直肠外科手术
- 患者报告的结果衡量结果.
- 健康评估工具 健康评估工具
背景情况:
- 现有的便失禁 (FI) 评分系统,如Wexner和Vaizey,在准确性和全面性方面存在局限性.
- 需要改进的方法来量化FI对患者生活的影响.
研究的目的:
- 开发一个新的便失禁 (FI) 评分系统,它是准确的,全面的,和用户友好的.
- 将患者和非专业人士的观点纳入量化与不同类型的FI相关的残疾.
主要方法:
- 开发了一个新的评分系统,使用患者和非专业人士的残疾分数来评分六种FI类型 (固体,液体,浮,粘液,压力,冲动).
- 每种FI类型的权重是通过使用修改后的EQ-5D+系统评估的残疾分数的平均值来确定的.
- 对FI发作的频率进行了分类 (从未,偶尔,常见),以计算最终得分.
主要成果:
- 制定了一个新的FI评分系统,最高得分为80,将重量分配给不同的FI类型 (例如,固体/液体-8,冲动-7,浮/粘液-6,压力-5).
- 患者和非专业人士对FI严重性的排名与结直肠外科医生的排名不同.
- 该研究发现,医疗保健提供者和患者如何感知便失禁的严重程度存在差异.
结论:
- 开发了一种新的,简单,逻辑和全面的便失禁 (FI) 评分系统,解决了以前方法的缺陷.
- 开发的系统易于使用,并提供更准确的FI评估.
- 在患者和外科医生对FI严重性的看法之间观察到显著的差异.
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