对智力障碍者便秘管理的严游戏:一个范围审查和叙事综合
Serena Daniel1, Ruth Bishop2, Ellie Killner1
1University of Exeter Medical School, Truro, UK.
International journal of medical informatics
|February 11, 2025
概括
严的游戏 (SG) 显示了提高智力障碍者 (PwID) 的肠道运动 (BM) 知识的潜力. 与PwID和护理人员的联合制作可以增强BM管理并减少耻辱感.
科学领域:
- 医疗信息学 医疗信息学
- 严的游戏设计 设计
- 关于残疾人的研究.
背景情况:
- 智力障碍影响2%的英国人口,超过三分之一的人经历了肠道运动 (BM) 问题.
- 智力障碍者 (PwID) 的BM问题是致病率和死亡率的重要原因.
- 耻辱和缺乏围绕BM问题的知识加剧了PwID的健康挑战.
研究的目的:
- 审查现有的Serious Games (SG),旨在提高BM管理的知识,特别是便秘.
- 评估SG在解决BM问题的有效性和实施情况.
主要方法:
- 使用PRISMA ScR指南,从2010年到2024年的出版物进行系统搜索.
- 我们搜索的数据库包括PUBMED,EMBASE和PsychINFO.
- 关于 SG 特性,结果和评估的提取数据的叙述综合.
主要成果:
- 确定了三个严重游戏 (SG),没有一个是随机对照试验 (RCT).
- 所有SG都针对医疗保健专业人员;只有一个改善了参与者的知识.
- 没有SG在临床实践中实施或与患者共同制作.
结论:
- 目前的SG在改善BM知识方面表现出有限的成功,并没有为PwID量身定制.
- 与PwID及其护理人员共同制作SG有望改善BM管理并减少耻辱感.
- 这种方法可以作为其他弱势群体的典范,例如痴呆症患者.
更多相关视频
相关概念视频
Drugs for Treatment of Constipation-Predominant IBS
129
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
129
Irritable Bowel Syndrome III: Medical and Nursing Management
149
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
149
Drugs for Treatment of Diarrhea-Predominant IBS
140
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
140
Drugs Affecting GI Tract Motility: Other Laxatives
159
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
159
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
204
Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
204
Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives
184
Laxatives enhance bowel movements and alleviate constipation. They augment the stool's bulk, stimulate intestinal muscle contractions, draw water into the intestines, or soften the stool. There are five key types of laxatives: bulk laxatives, stimulant laxatives, osmotic laxatives, stool softeners, and lubricant laxatives.
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This...
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This...
184


