了解初级保健提供者对炎症性肠病患者预防性查的态度
Fang Xu1, Susan A Carlson1, Kurt J Greenlund1
1Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
初级保健提供者 (PCP) 通常对炎症性肠病 (IBD) 患者推预防性查感到舒适. 然而,许多PCP对IBD特定指导方针缺乏熟悉,这表明需要改善教育和资源传播.
科学领域:
- 预防医学 预防医学
- 胃肠病学 胃肠病学
- 主要护理是指初级护理.
背景情况:
- 预防性护理对于管理炎症性肠病 (IBD) 至关重要.
- 由于对指南不熟悉,初级保健提供者 (PCP) 在提供IBD特异性预防护理时经常遇到挑战.
- 本研究调查了PCP对IBD患者预防性查的态度和做法.
研究的目的:
- 评估PCP在为IBD患者提供预防性查方面的舒适度和实践.
- 识别PCP在提供IBD特异性预防护理时所面临的障碍.
- 突出改善指南传播和PCP教育的领域.
主要方法:
- 一项基于网络的调查 (DocStyles,2022年春季) 对1,503名PCP进行了评估,评估了他们对查的舒适度以及不适的原因.
- 提供/推查抑郁症/焦虑症,皮肤癌,骨质疏松症和子宫癌的可能性根据PCP舒适度和IBD患者频率进行了比较.
- 经调整的几率比率 (AORs) 被估计用于推查并与IBD指南保持一致.
主要成果:
- 72%的PCP报告说,他们对建议IBD患者进行查感到满意.
- 不适的主要原因是不熟悉IBD特定指南 (55%).
- 舒适与更高的推抑郁症/焦虑症 (AOR=3.99) 和皮肤癌 (AOR=3.19) 查的可能性有关. 特定于IBD的指南的遵守率低于骨质疏松症和宫癌查的一般指南.
结论:
- 尽管普遍舒适,但PCP对IBD特定查指南的知识存在差距.
- 需要有针对性的教育和可访问的资源来改善PCP对IBD查建议的遵守.
- 提高对免疫抑制患者指导方针的认识,对于最佳的预防护理至关重要.
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