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炎症性肠病患者使用的信息资源:满意度、期望与信息差距。

Information resources used by patients with inflammatory bowel disease: Satisfaction, expectations and information gaps.

作者信息

Catalán-Serra Ignacio, Huguet-Malavés Jose María, Mínguez Miguel, Torrella Emilio, Paredes Jose María, Vázquez Narciso, Ramírez Jose Joaquín, Calvo Félix, Nos Pilar, Gutiérrez Ana, Palau Antonio, Cortés Javier, Ramón-Monllor Pilar, Hinojosa Joaquín

机构信息

Digestive Disease Department, Hospital Arnau de Vilanova de Valencia, Valencia, Spain.

Digestive Disease Department, Hospital General Universitario de Valencia, Valencia, Spain.

出版信息

Gastroenterol Hepatol. 2015 Jun-Jul;38(6):355-63. doi: 10.1016/j.gastrohep.2014.09.003. Epub 2015 Mar 24.

Abstract

BACKGROUND AND PURPOSE

Information received by IBD patients about their disease is of particular importance. The objective of the study was to determine the information resources these patients used, together with their perceived information gaps and expected preferences.

PATIENTS AND METHODS

A prospective, observational, cross-sectional study conducted on IBD patients attending 13 Spanish hospitals during 2008. Patients completed a semi-structured 52-question survey.

RESULTS

Survey was adequately completed by 379 of 385 patients (98%), of whom 57% had Crohn's disease and 43% ulcerative colitis. Mean patient age was 37.9 years (range, 16-76 years). Gastroenterologists were the most commonly used resource (98%), followed by the Internet (60%), and general practitioners (50%). More than 90% reported good to excellent satisfaction with gastroenterologists, nurses, and patients' associations. Only 56% considered their information needs to be covered. The Internet was mostly used by young patients and those with a high education level. In the future, 85% of the patients would like to receive information from the gastroenterologists, and 92% by face-to-face interviews. Patients mainly want additional information on treatment (medical and surgical), clinical manifestations, cancer, and mortality risks. They also think that they are poorly informed about their social and work rights, risks of cancer and death, and research trials.

CONCLUSIONS

Patients with IBD use and prefer gastroenterologists as the main source of information, but only half of them consider their information needs to be covered.

摘要

背景与目的

炎症性肠病(IBD)患者所获得的关于其疾病的信息尤为重要。本研究的目的是确定这些患者使用的信息资源,以及他们感知到的信息差距和预期偏好。

患者与方法

2008年对在13家西班牙医院就诊的IBD患者进行了一项前瞻性、观察性横断面研究。患者完成了一项包含52个问题的半结构化调查问卷。

结果

385名患者中有379名(98%)充分完成了调查,其中57%患有克罗恩病,43%患有溃疡性结肠炎。患者的平均年龄为37.9岁(范围16 - 76岁)。胃肠病学家是最常使用的信息资源(98%),其次是互联网(60%)和全科医生(50%)。超过90%的患者对胃肠病学家、护士和患者协会表示满意,满意度为良好至优秀。只有56%的患者认为他们的信息需求得到了满足。互联网主要被年轻患者和高学历患者使用。未来,85%的患者希望从胃肠病学家那里获取信息,92%的患者希望通过面对面访谈获取信息。患者主要希望获得关于治疗(药物和手术)、临床表现、癌症和死亡风险的更多信息。他们还认为自己对社会和工作权利、癌症和死亡风险以及研究试验了解不足。

结论

IBD患者将胃肠病学家作为主要信息来源并倾向于此,但只有一半的患者认为他们的信息需求得到了满足。

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