了解患者的激活水平 变化 专家 美国医生在GERD管理中的沟通
Afrin N Kamal1, Sudharshan Achalu1, Shilpa Jani2
1Department of Medicine, Division of Gastroenterology, Stanford University School of Medicine, Redwood City.
Journal of clinical gastroenterology
|July 23, 2024
概括
患者激活,一种让患者参与护理的策略,可以改善胃食道逆流症 (GERD) 的药物坚持. 了解患者的行为是有效管理这种常见疾病的关键.
科学领域:
- 胃肠病学 胃肠病学
- 患者坚持的研究研究.
- 健康心理学 心理健康心理学
背景情况:
- 胃食道逆流性疾病 (GERD) 是一种普遍的疾病,需要持续的症状管理.
- 药物不服药在GERD患者中很常见,但导致这种情况的患者行为尚未得到充分探索.
- 目前针对GERD的治疗模式往往忽视了影响坚持治疗的患者特定的行为因素.
研究的目的:
- 评估专家胃肠病学家对患者激活在GERD管理的认识和理解.
- 评估患者激活水平对患者与医生的沟通在GERD护理中的感知影响.
- 确定医生在多大程度上参与建立伙伴关系的行为,促进患者对GERD的激活.
主要方法:
- 对36名专门从事食道疾病的胃肠科医生进行了横截面调查.
- 该调查包括医生对患者激活 (CS-PAM) 和针对GERD调整的以患者为中心的护理 (PACIC) 的知识.
- 医生在GERD咨询期间报告了他们参与特定的伙伴关系建设行为.
主要成果:
- 虽然大多数医生承认"患者参与",但对"患者激活"的认识较低 (33.3%).
- 医生报告的对患者激活的支持 (CS-PAM分数) 一般很高.
- 医生经常询问GERD对患者生活的影响 (52.8%),但不经常谈论健康习惯或提及支持性服务.
结论:
- 患者激活是提高GERD患者药物坚持的重要策略.
- 整合患者激活原则可能提供一种行为方法来改善GERD管理结果.
- 对支持患者激活的医生实践进行进一步的研究是有必要的,以优化GERD护理.
相关概念视频
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
65
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
65
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:26Peptic Ulcer Disease IV: Management
79
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
79
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
01:29Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
302
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
302
01:21Barrett Esophagus-II: Clinical Manifestations and Management
135
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
135