了解性结肠炎的结肠切除术和皮质囊-门解剖术后的生活经验:一项定性研究
Edward L Barnes1,2,3, Marcella H Boynton4, Darren A DeWalt4
1Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Crohn's & colitis 360
|February 12, 2025
概括
患有性结肠炎 (UC) 的患者接受囊-门解剖 (IPAA) 经历肠道症状影响日常生活. 尽管面临挑战,但大多数患者在IPAA手术后报告生活质量有所改善.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 患者报告的结果
背景情况:
- 对于性结肠炎 (UC) 的患者经历,经过囊-门解剖 (IPAA) 之后的患者经历还没有得到很好的定义.
- 这种异质性影响临床评估和研究标准化.
- 进行了一项定性研究,以探索患者经验和生活质量 (QoL) 后的IPAA UC.
研究的目的:
- 了解UC的IPAA后的患者体验.
- 为了识别患者在IPAA后经历的症状.
- 评估这些症状对生活质量 (QoL) 的影响.
主要方法:
- 半结构焦点小组与15名接受UCIIPA的患者进行了研究.
- 参与者包括那些有正常囊功能和炎症囊状况的人.
- 调查的重点是肠道症状,活动,一般问题,生活质量和心理社会方面.
主要成果:
- 参与者报告了肠道症状 (频率,紧迫性, incontinence) 对日常活动,工作和生活方式的重大影响.
- 生活方式的修改,包括饮食改变和时间安排的调整是常见的.
- 尽管症状负担较重,但大多数参与者在IPAA后报告了整体QOL的改善.
结论:
- IPAA后的肠道症状显著影响UC患者的各种生活领域和整体QOL.
- 对UC进行IPAA的患者构成了一个独特的群体.
- 为了对IPAA结果的标准化评估,需要以患者为中心的结果措施.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
101
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
101
Ostomy Care
207
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
207
Inflammatory Bowel Disease I: Ulcerative Colitis
126
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
126
Appendicitis-II: Diagnostic Studies and Management
59
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
59
Peptic Ulcer Disease V: Surgical Management and Nursing Care
199
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
199
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
304
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
304


