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计算机断层结肠成像(CTC):它真的是我们所认为的非侵入性选择吗?一项患者体验研究。

Computed Tomography Colonography (CTC): Is It Really the Non-Invasive Option We Think It Is? A Patient Experience Study.

作者信息

Dewar Greg, Brockbank Bethany, Randall Jonathan

机构信息

Bristol Royal Infirmary, University Hospitals Bristol, Bristol, UK.

出版信息

J Patient Exp. 2022 Aug 8;9:23743735221117926. doi: 10.1177/23743735221117926. eCollection 2022.

Abstract

Computed tomography colonography (CTC) is seen as a more tolerable alternative to colonoscopy, but patients struggle with the steps required for optimal diagnostic imaging. This prospective study aims to understand the experience of patients undergoing CTC. A survey was completed by a convenience sample of patients before and after CTC over 7 months. The 13-item questionnaire covered pre-test information, overall and specific experience of the test. The responses were tabulated and analyzed using descriptive statistics. Qualitative free-text responses were coded for content and thematic analysis. At a response rate of 51%, surveys were received from 41 patients. Overall, most patients (54%) found the investigation better than expected. However, 18% stated they were not informed of potential side effects. Side effects were experienced by 49% of patients, including diarrhea (34%) and abdominal pain (24%). About 59% experienced discomfort with gas insufflation, and 86% found turning during the investigation difficult. A significant proportion of patients undergoing CTC experience side effects and difficulties completing the investigation. Patient information is important to improve patient experience of CTC.

摘要

计算机断层结肠成像(CTC)被视为比结肠镜检查更易耐受的替代方法,但患者在获得最佳诊断成像所需的步骤方面存在困难。这项前瞻性研究旨在了解接受CTC检查的患者的体验。在7个月的时间里,对一个由接受CTC检查前后的患者组成的便利样本进行了一项调查。这份包含13个项目的问卷涵盖了检查前信息、检查的总体体验和具体体验。使用描述性统计方法对回答进行列表和分析。对定性的自由文本回答进行内容编码和主题分析。在51%的回复率下,收到了41名患者的调查回复。总体而言,大多数患者(54%)觉得检查比预期好。然而,18%的患者表示他们没有被告知潜在的副作用。49%的患者经历了副作用,包括腹泻(34%)和腹痛(24%)。约59%的患者在气体注入过程中感到不适,86%的患者觉得在检查过程中翻身困难。相当一部分接受CTC检查的患者经历了副作用和完成检查的困难。患者信息对于改善患者的CTC体验很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49be/9364188/5f7335bba9d0/10.1177_23743735221117926-fig1.jpg

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