消化管专家开发了一个初步问题提示清单,用于患有埃索诺菲尔性消化管炎的成年人:修改后的德尔菲研究
Sudharshan Achalu1, Rani Berry1, Abel Joseph1
1Department of Medicine-Gastroenterology/Hepatology, Stanford University School of Medicine, Redwood City, CA.
Journal of clinical gastroenterology
|September 23, 2024
概括
一个新的问题提示列表 (QPL) 对于性食道炎 (EoE) 是由专家开发的. 该工具旨在通过指导患者提出关于EoE的基本问题来改善患者与医生的沟通.
科学领域:
- 胃肠病学 胃肠病学
- 患者沟通 患者沟通
- 临床实践指南 临床实践指南
背景情况:
- 问题提示列表 (QPLs) 是结构化的工具,旨在通过鼓励患者提问来增强患者与医生的沟通.
- 目前,对于影响食道的病症 - - 酸性食道炎 (EoE) 没有特定的QPL.
研究的目的:
- 为患有EoE的成年患者开发一个初步的QPL.
- 结合国际食道专家的见解,创建一个全面的相关问题的清单.
主要方法:
- 使用了经过修改的Delphi方法,涉及16名食道专家.
- 专家参加了两轮的独立评级,以生成和完善EoE QPL的问题.
- 如果被评为"基本"或"重要" (中位数≥4.0) 的问题被接受.
主要成果:
- 对于最终的 EoE QPL,有51个问题被接受,占生成问题的85%.
- 问题被分为四个主题:"什么是 EoE? ","治疗选择","后续监测和长期风险",以及"过敏和遗传检测".
- 高专家一致意见的关键问题包括关于管理食物影响和可用的治疗选择的询问.
结论:
- 本研究介绍了第一个专门针对 EoE 的初步 QPL,通过专家共识开发.
- 预计QPL将通过促使患者提出优先级,相关的问题来改善患者与医生的沟通.
- 未来的研究将专注于通过整合患者的观点来完善这种沟通工具.
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