在性结肠炎患者的爆发识别和医生访问的必要性判断之间的差距
Makoto Tanaka1, Aki Kawakami1, Yasushi Iwao2
1Department of Adult Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Gastroenterology research
|July 2, 2024
概括
患有性结肠炎 (UC) 的患者通常会识别发作,但延迟寻求医疗护理. 这项研究发现,在症状识别和医生访问之间存在很大的差距,强调需要更好地教育患者管理UC爆发的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 患者报告的结果
- 炎症性肠道疾病研究研究
背景情况:
- 性结肠炎 (UC) 患者可能不会立即寻求医疗护理,尽管他们认识到症状恶化.
- 了解患者对UC发作和寻求护理延迟的看法至关重要.
研究的目的:
- 为了研究患者如何识别性结肠炎 (UC) 发作.
- 量化识别UC爆发症状和决定去看医生之间的差距.
主要方法:
- 一项问卷调查对1641名日本克罗恩和结肠炎基金会的成员进行了调查.
- 分析了260名UC患者的数据,重点是对已知的爆发症状和促使医生访问的症状的自由文本描述.
- 一个"间隙"是由长期的,加剧的,或关键的症状定义的",明显的延迟"是由关键的症状表明的.
主要成果:
- 便中的血液是最常见的UC爆发症状.
- 在56.8%的患者中,观察到症状识别和医生访问之间的显著差距.
- 56.8%的患者经历了差距,其中29.7%显示明显的延迟,52%的患者在微妙恶化时讨论咨询医生.
结论:
- 性结肠炎 (UC) 患者能够准确地识别爆发症状.
- 在近一半的UC患者中,在症状识别和寻求医疗咨询之间存在很大的差距.
- 医疗保健专业人员有效的患者教育对于改善UC患者的治疗结果至关重要.
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