一般医生的经验与慢性腹部症状和便calprotectin引导转诊策略在儿童:一个荷兰的定性研究
Sophie M Ansems1, Marjolein Y Berger1, Donald G van Tol1,2
1Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
The European journal of general practice
|December 2, 2024
概括
一般医生 (GPs) 发现便calprotectin (FCal) 测试改善了慢性腹部症状的儿童的诊断信心. 然而,管理功能性胃肠道疾病 (FGID) 仍然是一个挑战,尽管FCal战略有助于放心.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 初级医疗保健医学 一级医疗保健医学
- 诊断策略 诊断策略
背景情况:
- 在患有慢性腹痛的儿童中,区分功能性胃肠道疾病 (FGID) 和有机疾病是全科医生 (GPs) 的常见挑战.
- 已经提出了一种包含便calprotectin (FCal) 测试的转诊策略,以帮助全科医生在这个诊断过程中.
研究的目的:
- 探索全科医生在诊断和管理患有慢性腹部症状的儿童方面的经验.
- 了解便calprotectin (FCal) 测试策略对全科医生的诊断信心和功能性胃肠道疾病 (FGID) 管理方法的影响.
主要方法:
- 十七名荷兰全科医生参与了一项FCal测试策略的随机对照试验.
- 数据是通过一个在线焦点小组和13个半结构化访谈收集的.
- 对转录的定性数据进行了主题内容分析.
主要成果:
- 一般医生报告说,由于FCal测试的明确指示,准确性和非侵入性,诊断信心增加.
- 尽管诊断得到了改进,但全科医生认为管理FGID和解决心理社会因素是主要的挑战.
- 当将FCal战略整合到FGID儿童的安慰策略中时,被认为是有益的.
结论:
- 便calprotectin (FCal) 测试策略增强了管理儿科功能性胃肠道疾病 (FGID) 的全科医生的诊断信心.
- 在初级保健中有效管理FGID,包括沟通和干预,需要进一步的研究和开发.
- 将FCal等诊断工具整合到更广泛的保证策略中,是支持全科医生的关键.
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