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肠易激综合征的治疗:患者的态度与可接受性

Treatments for irritable bowel syndrome: patients' attitudes and acceptability.

作者信息

Harris Lynsey R, Roberts Lesley

机构信息

Primary Care Clinical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

出版信息

BMC Complement Altern Med. 2008 Dec 19;8:65. doi: 10.1186/1472-6882-8-65.

Abstract

BACKGROUND

Irritable Bowel Syndrome, a highly prevalent chronic disorder, places significant burden on the health service and the individual. Symptomatic distress and reduced quality of life are compounded by few efficacious treatments available. As researchers continue to demonstrate the clinical efficacy of alternative therapies, it would be useful to gain a patient-perspective of treatment acceptability and identify patient's attitudes towards those modalities considered not acceptable.

METHODS

Six hundred and forty-five participants identified from an earlier IBS-prevalence study received a postal questionnaire to evaluate preferences and acceptability of nine forms of treatment. Proportions accepting each form of treatment were calculated and thematic analysis of qualitative data undertaken.

RESULTS

A total of 256 (39.7%) of 645 potential respondents completed the questionnaire (mean age 55.9 years, 73% female). Tablets were most acceptable (84%), followed by lifestyle changes (diet (82%), yoga (77%)). Acupuncture (59%) and suppositories (57%) were less acceptable. When explaining lack of acceptability, patient views fell into four broad categories: dislike treatment modality, do not perceive benefit, general barriers and insufficient knowledge. Scepticism, lack of scientific rationale and fear of CAM were mentioned, although others expressed a dislike of conventional medical treatments. Past experiences, age and health concerns, and need for proof of efficacy were reported.

CONCLUSION

Most patients were willing to accept various forms of treatment. However, the reservations expressed by this patient-population must be recognised with particular focus directed towards allaying fears and misconceptions, seeking further evidence base for certain therapies and incorporating physician support and advice.

摘要

背景

肠易激综合征是一种高度流行的慢性疾病,给医疗服务和个人带来了沉重负担。由于可用的有效治疗方法很少,症状困扰和生活质量下降的情况更加严重。随着研究人员不断证明替代疗法的临床疗效,从患者角度了解治疗的可接受性并确定患者对那些被认为不可接受的治疗方式的态度将是有益的。

方法

从早期的肠易激综合征患病率研究中确定的645名参与者收到了一份邮寄问卷,以评估九种治疗方式的偏好和可接受性。计算了接受每种治疗方式的比例,并对定性数据进行了主题分析。

结果

645名潜在受访者中共有256人(39.7%)完成了问卷(平均年龄55.9岁,73%为女性)。片剂最容易被接受(84%),其次是生活方式改变(饮食(82%)、瑜伽(77%))。针灸(59%)和栓剂(57%)较难被接受。在解释不可接受的原因时,患者的观点分为四大类:不喜欢治疗方式、感觉不到益处、一般障碍和知识不足。有人提到了怀疑态度、缺乏科学依据和对补充替代医学的恐惧,尽管也有人表示不喜欢传统医学治疗。报告了过去的经历、年龄和健康问题以及对疗效证明的需求。

结论

大多数患者愿意接受各种形式的治疗。然而,必须认识到这一患者群体所表达的保留意见,尤其要关注消除恐惧和误解、为某些疗法寻求更多证据基础以及纳入医生的支持和建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f851/2633319/1cf81cd07b9a/1472-6882-8-65-1.jpg

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