治疗偏好原型在异性食道炎及其对治疗的影响
Joy W Chang1, Kelcie Brophy2, Kerry A Ryan2
1Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
The American journal of gastroenterology
|October 18, 2024
概括
患有性食道炎 (EOE) 的患者对治疗有不同的偏好,包括药物治疗或自然治疗方法. 一些患者似乎更喜欢自然疗法,但实际上是矛盾的,冒着不坚持的风险.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 患者为中心的护理
背景情况:
- 患者对性食道炎 (EoE) 管理决策和治疗优先级的理解仍然不充分.
- 患者的观点显著影响了EOE等慢性疾病的坚持和治疗结果.
研究的目的:
- 系统地识别和描述患者的观点和态度,这些观点和态度影响了对治疗性食道炎的决策.
- 了解EoE患者对治疗的不同态度和价值观.
主要方法:
- 采用Q-方法来探索患者对EoE管理的态度.
- 关于EoE疾病管理的31个陈述被开发并由参与者排名.
- 用2和3个因素轮换进行个别因素分析,确定了不同的偏好原型.
主要成果:
- 两种以治疗为中心的原型出现了:"药物偏好"和"自然治疗偏好".
- 确定了第三个原型",治疗模两可",其特点是将EoE视为温和和偶发的.
- "自然治疗偏好"组中的很大一部分 (54%) 被重新分类为"治疗矛盾",表明可能出现不坚持.
结论:
- 在EOE患者中存在三种不同的治疗偏好原型.
- 个性化治疗策略至关重要,特别是对于那些对自然疗法怀疑的患者来说.
- 识别模糊的患者是防止不遵守和失去EoE管理后续的关键.
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