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英国克罗恩病和结肠炎协会(CCUK)约克年度徒步活动的参与者对其炎症性肠病护理有何看法?一项调查的简短报告。

What Do Participants of the Crohn's and Colitis UK (CCUK) Annual York Walk Think of Their Inflammatory Bowel Disease Care? A Short Report on a Survey.

作者信息

Mikocka-Walus Antonina, Power Madeleine, Rook Lisa, Robins Gerry

机构信息

Antonina Mikocka-Walus, PhD, is Senior Lecturer, Department of Health Sciences, University of York, Heslington, York, United Kingdom. Madeleine Power, MSc, is Research Assistant, Department of Health Sciences, University of York, Heslington, York, United Kingdom. Lisa Rook, RN, is IBD Nurse, IBD Service, Department of Gastroenterology, York Teaching Hospital, York, United Kingdom. Gerry Robins, MD, is Consultant Gastroenterologist, IBD Service, Department of Gastroenterology, York Teaching Hospital, York, United Kingdom. CCUK York Walk Planning Committee, The Crohn's and Colitis UK York Walk Planning Committee, York, United Kingdom.

出版信息

Gastroenterol Nurs. 2018 Jan/Feb;41(1):59-64. doi: 10.1097/SGA.0000000000000261.

Abstract

There has been a growing interest in a patient-centered model of care in inflammatory bowel disease; however, no relevant study using a mixed methodology has been conducted to date. Thus, our multidisciplinary group aimed to explore the issue of patient involvement in care among the inflammatory bowel disease community. A mixed-methods anonymous survey was conducted during the Crohn's and Colitis UK annual event. Summary statistics were used to describe the sample, and a simple thematic analysis identified key themes in qualitative responses. There were 64 survey respondents, representing 73% of the total family/friend groups participating (N = 87). Overall, 75% of respondents answered that they had the opportunity to discuss their care with their inflammatory bowel disease practitioner and 81% felt their opinions were taken on board and valued. A clear majority (84%) had at some point been treated by a gastroenterologist. In contrast, less than half (44%) had the opportunity for a dietician consultation and only 28% had the opportunity for a psychologist/counselor consultation. Although satisfaction with inflammatory bowel disease care was high, access to specialty services was concerning. Efforts should be made to provide access to mental health practitioners for those with clinically significant anxiety and/or depression.

摘要

在炎症性肠病中,以患者为中心的护理模式越来越受到关注;然而,迄今为止尚未有使用混合方法的相关研究。因此,我们的多学科团队旨在探讨炎症性肠病群体中患者参与护理的问题。在英国克罗恩病和结肠炎年度活动期间进行了一项混合方法的匿名调查。汇总统计数据用于描述样本,简单的主题分析确定了定性回答中的关键主题。共有64名调查受访者,占参与的家庭/朋友群体总数的73%(N = 87)。总体而言,75%的受访者表示他们有机会与炎症性肠病医生讨论他们的护理,81%的人觉得他们的意见得到了听取和重视。绝大多数(84%)曾在某个时候接受过胃肠病学家的治疗。相比之下,不到一半(44%)的人有机会接受营养师咨询,只有28%的人有机会接受心理学家/顾问咨询。尽管对炎症性肠病护理的满意度很高,但获得专科服务的情况却令人担忧。应该努力为有临床显著焦虑和/或抑郁的患者提供获得心理健康从业者服务的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95a1/5794248/7901a88c0c7f/gastnu-41-59-g001.jpg

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