验证亚洲便秘评估倡议问卷:关于症状报告和便秘意识的横截面研究
Shang Wei Song1,2,3, Wei Ying Ng1,3, Ni Yin Lau1,3
1The N.1 Institute for Health, National University of Singapore, Singapore.
BMJ open gastroenterology
|August 14, 2025
概括
亚洲便秘评估倡议问卷 (ACAIQ-SYM) 是评估亚洲人群慢性便秘症状的验证工具. 患者的意识显著影响症状报告,突出了改善教育的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
背景情况:
- 现有的慢性便秘 (CC) 患者报告结果指标 (PROM) 对于亚洲人群来说,往往在文化上不合适.
- 亚洲便秘评估倡议问卷 (ACAIQ) 是在新加坡的患者和临床医生的投入下开发的.
研究的目的:
- 在亚洲背景下以心理测量方法验证ACAIQ.
- 调查便秘意识对CC患者症状报告的影响.
主要方法:
- 一项涉及259名CC患者和153名健康对照者的横截面研究.
- 评估 ACAIQ 的结构有效性,内部一致性,测试-重新测试可靠性和标准有效性.
- 用非参数测试分析便秘意识对症状感知和罗马四号标准的影响.
主要成果:
- 该ACAIQ-SYM尺度表现出强大的心理测量特性,包括结构有效性,内部一致性 (α=0.88),和可重现性 (ICC≥0.70).
- 在ACAIQ-QoL尺度表中,出现了结构性不一致,需要进一步细化.
- 意识到他们的CC的参与者报告了更严重的症状;71.4%的CC参与者不知道他们的情况.
结论:
- ACAIQ-SYM是评估亚洲人群中CC症状的可靠和有效工具.
- 由于意识对症状报告的重大影响,患者教育至关重要.
- 需要进一步开发ACAIQ-QoL;优化的ACAIQ具有数字健康和个性化CC管理的潜力.
相关概念视频
01:25Assessment of the Rectum and Anus
402
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
402
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
245
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
245
01:17Assessment of the Gastrointestinal System I: Subjective Data
280
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
280
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
162
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
162
01:17Irritable Bowel Syndrome I: Introduction
382
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
382
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
302
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
302