患者报告的结肠直肠疾病经验是由清洁度预测的
Shruthi Srinivas1, Bayan Shalash2, Maria Knaus1
1Department of Pediatric Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, Columbus, OH, USA.
在肠道管理计划中实现清洁,显著改善了儿童的体验,提高了他们的生活质量和自信. 这项研究强调了关注清洁的重要性,以改善患者的治疗结果.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 结肠直肠手术 结肠直肠手术
- 患者报告的结果
背景情况:
- 患有直肠形 (ARM),赫施普隆病 (HD) 和功能性便秘 (FC) 的儿童需要肠道管理计划 (BMP) 进行清洁.
- 虽然已知临床结果,但BMPs对患者体验 (例如,独立性,自信) 的影响不明.
研究的目的:
- 调查肠道管理计划与患有结直肠疾病的儿童整体患者体验之间的关系.
- 评估实现清洁程度如何影响患者报告的经验测量 (PREM) 和结果 (PROM).
主要方法:
- 对295名儿童患者 (≥3岁) 进行了横截面调查,这些患者接受了针对ARM,HD或FC的BMP.
- 该调查包括22个PREM和11个PROM,使用利克尔特尺度表进行评估.
- 进行了后勤回归分析,以确定患者体验的重要预测因素.
主要成果:
- 205名患者 (69.5%的应答率) 参与了研究,平均年龄为8.9岁.
- 实现清洁与更高的PREM分数 (p=0.0002) 和PROM分数 (p=0.005) 有显著的关联.
- 在回归分析中,清洁是积极患者体验的强有力的预测因素 (p<0.0001).
结论:
- 在BMP中成功实现清洁性与积极的患者体验有关.
- 专注于实现清洁,不管具体的肠道方案,可以优化儿科患者的功能和体验结果.
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