接受结肠镜检查的IBD患者满意度:一个多中心的横截面研究
Daniele Napolitano1, Alessio Lo Cascio2, Mattia Bozzetti3
1CEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.
Journal of clinical medicine
|April 26, 2025
概括
在炎症性肠病 (IBD) 中,患者对结肠镜的满意度很高,但可以得到改善. 提高肠道准备和提供者的专业知识可以提高对关键IBD监测的坚持.
科学领域:
- 胃肠病学 胃肠病学
- 患者护理 患者护理
背景情况:
- 结肠镜对于炎症性肠病 (IBD) 管理至关重要,包括诊断,监测和发育不良的检测.
- 患者对监测结肠镜检查的遵守率低于最佳水平是一个重大挑战.
- 不适,焦虑和肠道准备问题有助于粘附不良.
研究的目的:
- 在IBD患者中评估患者对结肠镜的满意度.
- 确定影响患者在结肠镜检查过程中的满意度的因素.
- 探索改善患者遵守IBD监测的策略.
主要方法:
- 这是一项多中心的横截面研究,涉及意大利三个中心的444名IBD患者.
- 使用了检查前后的问卷,包括内镜客户满意度问卷 (ECSQ) 和感知压力量表 (PSS-10).
- 分析了与患者满意度相关的临床因素,肠道制备方法和医疗保健提供者的专业知识.
主要成果:
- 总体而言,患者对结肠镜的满意度很高 (98.8%),尽管满意度因手术阶段而异.
- 专家内镜师,疾病缓解和频繁的先前手术积极预测了满意度.
- 严重的疾病活动,深度镇静和大量的肠道准备与较低的满意度有关.
结论:
- 优化肠道准备方案对于改善患者体验至关重要.
- 提高医疗保健提供者的专业知识和实施减压技术可以提高遵守.
- 有针对性的干预措施可以提高患者遵守IBD监测指南的必要性.
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