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识别成人囊性纤维化患者的具体需求:使用定制问卷的初步研究。

Identifying specific needs in adult cystic fibrosis patients: a pilot study using a custom questionnaire.

机构信息

Department of Respiratory Diseases, Reims University Hospital, Maison Blanche University Hospital, 45, rue de Cognacq-Jay, 51 092, Reims cedex, France.

EA 4683 Medical and Pharmacological, University of Reims, Reims, France.

出版信息

BMC Pulm Med. 2021 Aug 18;21(1):270. doi: 10.1186/s12890-021-01613-4.

Abstract

BACKGROUND

Adult patients with cystic fibrosis (CF) experience daily physical symptoms and disabilities that can be challenging to address for health care teams.

METHODS

We sought to identify the most frequent topics that CF adults need to discuss with health care teams using a custom questionnaire including 62 items.

RESULTS

Fifty patients were included, 70% men, mean age 27.6 years, with a mean body mass index of 21.8 kg/m. Mean FEV% was 64% of predicted value. Forty-two percent of patients selected at least one topic. The most frequently selected topics were fatigue (20%), professional or scholar worries (18%), procreation (16%), physical activities (16%) and evolution of CF disease (16%). Women were more frequently concerned about fatigue, procreation and profession/school.

CONCLUSIONS

Using a custom questionnaire, we identified that CF adults express various unmet needs that extend beyond usual respiratory and nutritional concerns or treatment adherence. The interest of this questionnaire by health care team for improving therapeutic management of CF patients remains to be validated.

TRIAL REGISTRATION

The study was registered on ClinicalTrials.gov (NCT02924818) on 5th October 2016.

摘要

背景

成年囊性纤维化(CF)患者每天都要经历身体症状和残疾,这给医疗团队带来了挑战。

方法

我们使用包括 62 个项目的定制问卷,旨在确定 CF 成年患者与医疗团队讨论的最常见话题。

结果

共纳入 50 名患者,其中 70%为男性,平均年龄 27.6 岁,平均体重指数为 21.8 kg/m。平均 FEV%为预测值的 64%。42%的患者选择了至少一个话题。最常选择的话题是疲劳(20%)、职业或学术担忧(18%)、生育(16%)、体育活动(16%)和 CF 疾病的演变(16%)。女性更常关注疲劳、生育和职业/学业。

结论

使用定制问卷,我们发现 CF 成年患者表达了各种未满足的需求,这些需求不仅限于常规的呼吸和营养问题或治疗依从性。医疗团队对该问卷改善 CF 患者治疗管理的兴趣仍有待验证。

试验注册

该研究于 2016 年 10 月 5 日在 ClinicalTrials.gov(NCT02924818)上注册。

相似文献

本文引用的文献

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Cystic fibrosis.囊性纤维化。
Lancet. 2016 Nov 19;388(10059):2519-2531. doi: 10.1016/S0140-6736(16)00576-6. Epub 2016 Apr 29.

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