炎症性肠病中的肠急性:一个概念分析
Daniele Napolitano1, Mattia Bozzetti2, Valentina Vanzi3
1CEMAD, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Inflammatory bowel diseases
|February 25, 2026
概括
炎症性肠病 (IBD) 中的肠急性是多维的,涉及突然的,无法控制的需要排便. 提出了一个新的框架,用于IBD护理和研究中的评估和管理.
科学领域:
- 胃肠病学 胃肠病学
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肠急性是炎症性肠病 (IBD) 中一个显著的,未被认可的症状.
- 它严重影响患者的生活质量,但缺乏一致的表征和测量.
- 了解肠道急迫性对于有效的IBD管理至关重要.
研究的目的:
- 在IBD中定义肠急症的概念.
- 对其临床和机械方面的现有证据进行审查.
- 提出一个框架,用于临床实践和研究中的评估和管理.
主要方法:
- 使用沃克和阿万特的8步方法进行叙事概念分析.
- 从临床,生理和患者报告结果研究 (2016-2025) 整合证据.
- 在包括MEDLINE,PsycInfo,Scopus和Web of Science在内的主要数据库中进行搜索.
主要成果:
- 他们确定了7种肠急症的定义属性:突然发作,无法控制,上所时间有限,害怕失禁,预期焦虑,避免行为和坚持.
- 前例包括直肠炎症,过敏,骨盆底功能改变以及心理社会因素.
- 后果包括情绪困扰,社会限制和医疗保健使用量的增加;目前的措施缺乏多维性.
结论:
- 肠急症是一种复杂的结构,具有生理,心理和行为方面的维度.
- 系统地评估肠道急性应纳入常规IBD护理和临床试验.
- 需要一个经过验证的,多维的IBD特异性紧急措施来改善症状监测和以患者为中心的结果.
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