了解患者对结核病诊断的经验:一种定性面试研究
Alice M Harper1, Jessica Watson1, Rachel O'Donnell2
1Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.
被诊断为患有乳病 (CD) 的患者由于非特异性症状和诊断延迟而经历了显著的不确定性. 改善沟通和简化诊断途径,可能不需要活检,可以提高患者的体验.
科学领域:
- 胃肠病学 胃肠病学
- 患者体验研究 研究研究
- 诊断途径 诊断途径
背景情况:
- 结肠病 (CD) 的诊断往往由于非特异性症状而延迟.
- 传统的诊断包括血清学和内镜活检,但非活检方法正在出现.
- 了解患者的旅程对于改善诊断护理至关重要.
研究的目的:
- 为了探索被诊断患有心脏病的成年人的生活经历.
- 在诊断过程中确定不确定性和挑战的关键点.
主要方法:
- 在英国,使用半结构面试对20名被诊断为CD的成年人进行定性研究.
- 参与者从一个更大的调查组中有意抽取样本.
- 数据分析使用反射主题分析.
主要成果:
- 患者报告了长期的诊断前不确定性,通常与正常化,非特异性症状.
- 一般医生经常建议替代诊断 (例如,IBS,贫血).
- 经过调查,诊断的不确定性持续存在,包括在血清学,长期内镜等待和饮食挑战期间对胆固醇检测的不知情;通过活检结果出现了清晰度.
结论:
- 患者到结核病诊断的旅程以不确定性为标志.
- 建议加强GP对CD的认识,明确沟通血清学测试,并解决内镜等待时间.
- 实施非活检诊断途径需要仔细考虑临床途径和沟通策略,以减轻患者的不确定性.
更多相关视频
07:39Author Spotlight: Investigating the Effects of Compounds on Intestinal Tissue Using 3D Human Cell Line Models
Published on: September 1, 2023
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
相关概念视频
Assessment of the Gastrointestinal System I: Subjective Data
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
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...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Chronic Pancreatitis II: Collaborative Care
Assessment:
Serum Laboratory Studies, Stool Test, Breath Test
