儿科刺激性肠综合征 (IBS) 的自我管理和治疗坚持:一项纵向研究
Kaitlyn L Gamwell1, James L Peugh2, Neha Santucci2
1University of South Carolina School of Medicine, Department of Pediatrics, Greenville, SC, United States; Prisma Health Children's Hospital-Upstate, Department of Pediatric Pain Medicine, Greenville, SC, United States.
像护理人员提醒和分心等自我管理策略对于儿科易肠综合征 (IBS) 患者至关重要. 提高对解决问题的信心,与增加体力活动相关,与IBS症状相关.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 慢性疼痛管理 慢性疼痛管理
- 行为健康 行为健康
背景情况:
- 儿科刺激性肠综合征 (IBS) 越来越普遍,但该群体的自我管理文献很少.
- 胃痛是儿科医生的首要原因,强调需要有效的管理策略.
- 了解IBS年轻人的自我管理对于改善健康结果至关重要.
研究的目的:
- 描述患有IBS的年轻人的自我管理变量和相关因素.
- 探索IBS症状和幸福感的微长度和纵度模式.
- 确定儿童IBS自我管理的潜在障碍和促进者.
主要方法:
- 一项试点研究涉及50名被诊断患有IBS的年轻人 (10-18岁).
- 通过日常日记收集微长度数据,跨越三个7天的时间段.
- 在COVID-19大流行期间进行的多层次建模分析.
主要成果:
- 年轻人报告中度疼痛 (5/10) 和幸福感 (5-8/10).
- 在处方治疗中,物理治疗显示了最高的坚持;护理人员提醒和分心是常见的自我管理策略.
- 护理人员的提醒/应用程序的使用与幸福相反相关;症状解决问题的信心与身体活动正相关.
结论:
- 对于患有慢性疼痛和IBS的年轻人来说,自我管理至关重要.
- 识别可修改的障碍和促进因素是定制干预措施的关键.
- 未来的研究应该集中在更大的样本上,以告知针对性的儿科IBS治疗.
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