功能性消化不良管理在来自贫困地区的人群中的双语视角
Christopher Vélez1,2, Isabelle Garcia-Fischer1, Mary Paz3
1Center for Neurointestinal Health, Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Clinical and translational gastroenterology
|January 13, 2025
概括
在服务不足地区 (UAs) 的功能性消化不良 (FD) 患者经历了显著的生活质量损害,即使有轻微的症状. 需要改善护理准入和共享决策,考虑到健康的社会决定因素.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 功能性消化不良 (FD) 是肠-大脑相互作用的常见疾病.
- 服务不足地区 (UA) 的个人在获得胃肠道 (GI) 护理方面面临挑战.
- 患者对UAs的FD管理的看法,特别是在有限的英语熟练人口中,是研究不足的.
研究的目的:
- 描述UAs中FD患者在护理方面的经验.
- 在脆弱社区内识别FD管理中的障碍和促进者.
- 为了在UA中对肠-大脑相互作用障碍的未来研究提供信息.
主要方法:
- 在美国东北部社区卫生中心对26名FD患者进行了英语和西班牙语的半结构面试.
- 使用恒定比较方法对面试成绩单进行主题分析.
- 评估了心理社会压力因素和胃肠道症状严重程度.
主要成果:
- 尽管有轻微的胃肠道症状,但FD显著影响了参与者的生活质量和幸福感.
- 健康的不利社会决定因素是普遍存在的.
- 参与者,特别是英语水平有限的参与者,报告说他们难以获得护理.
结论:
- 无论症状的严重程度如何,FD在UA人群中显著降低了生活质量.
- 教育干预措施应加强FD护理中的共享决策.
- 干预措施必须对影响UA居民健康的社会决定因素敏感.
相关概念视频
Peptic Ulcer Disease IV: Management
71
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...
71
Gastroesophageal Reflux Disease II: Clinical Features and Management
54
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...
54
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
88
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
88
Peptic Ulcer Disease V: Surgical Management and Nursing Care
221
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
221
Gastritis III: Clinical Manifestations and Management
150
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
150
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors
350
Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI) tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining.
350


