在成功的内镜消除巴雷特食道新生病后,患者报告的及时监测障碍:多中心定性访谈研究:多中心定性访谈研究
Allon Kahn1, Margaret M Paul2, Jennifer M Kolb3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona.
Clinical and translational gastroenterology
|February 18, 2026
概括
由于后勤,财务和心理障碍,治疗后患者对巴雷特食道 (BE) 监视内镜的坚持往往很低. 解决这些以患者为中心的问题是改善BE瘤及时后续护理的关键.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在巴雷特食道 (BE) 相关瘤的内镜根除疗法 (EET) 后,持续监测至关重要,以控制复发.
- 在完全根除肠道代谢形成 (CE-IM) 后,患者遵守推的内镜监测间隔通常是不理想的.
- 了解患者遵守驱动因素对于针对逾期监测和后续损失的干预措施至关重要.
研究的目的:
- 探索患者报告的障碍和促进因素,影响对与BE相关的瘤进行内镜监测后EET的坚持.
- 确定导致监督预约延迟或错过的关键因素.
主要方法:
- 与BE相关的新生病患者的潜在招募,这些患者获得了CE-IM.
- 结构化虚拟采访,探索实时内镜监测的障碍和促进因素.
- 快速定性分析,直到主题和.
主要成果:
- 三十九名患者接受了采访,56.4%的人推迟了监测.
- 地理距离,访问限制,财务担忧,对疾病的误解和考试焦虑是常见的障碍.
- 延迟患者的BE段长度更长,烟草使用率更高.
结论:
- 在EET后的监测中,患者相关的延迟主要是后勤,社会经济和心理方面的.
- 像将护理转移到当地内镜医生或结合非内镜方法等策略可以改善及时监测.
- 以患者为中心的方法对于减少监视负担和确保遵守至关重要.
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