对刺激性肠综合征,并发性焦虑和抑郁症的全面自我管理干预措施的形成性评估:混合方法研究研究
Kendra Kamp1, Pei-Lin Yang2, Emily Friedman3
1Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States.
JMIR formative research
|January 31, 2024
概括
这项研究评估了一种针对焦虑或抑郁的刺激性肠综合征 (IBS) 的新型自我管理干预措施. 患者和提供者都认为这是可以接受的,但为了在临床环境中实现可行性和可用性,需要进行改进.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 实施科学 实施科学
背景情况:
- 刺激性肠综合征 (IBS) 显著影响生活质量,焦虑或抑郁症的并发症率很高.
- 现有的IBS自我管理干预措施未得到充分利用,并且往往未能解决并发性精神健康需求.
- 对于患有IBS和并发性焦虑或抑郁症的患者,需要采取全面的方法.
研究的目的:
- 评估一种新的,全面的自我管理干预措施的可接受性,适当性,可行性和可用性.
- 应用实施科学和以人为中心的设计原则来改进干预.
- 收集IBS患者和并发性焦虑/抑郁症患者以及医疗保健提供者的反.
主要方法:
- 融合混合方法设计使用半结构面试和调查.
- 从初级保健和胃肠道病学环境中,有目的地抽取IBS和中度至重度焦虑/抑郁症患者的样本.
- 包括从初级保健和胃肠病学部门的医疗保健提供者来评估实施方面.
主要成果:
- 患者 (n=12) 和提供者 (n=14) 认为干预措施是可以接受和适当的,理由是其综合性和专注于肠-大脑相互作用.
- 可用性得分中等 (患者:52.5/100,提供者:45.6/100),表明需要改进的领域.
- 对患者来说,可行性得到证实,但提供者对临床实施,交付格式和干预时间提出了担忧.
结论:
- 这种干预被认为是可接受的,适合于IBS患者和并发性焦虑或抑郁症.
- 关键的可行性和可用性问题需要精细化,特别是关于交付方法,干预持续时间和临床整合的问题.
- 需要进一步改进和试点测试,以改善干预措施的实施和在医疗机构的采用.
相关概念视频
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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
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