Inflammatory Bowel Disease Unit, Department of Gastroenterology and Hepatology, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid 28222, Spain.
Inflammatory Bowel Disease Unit, Department of Gastroenterology, Hospital Clínic, Barcelona 08036, Spain.
World J Gastroenterol. 2023 Feb 14;29(6):917-925. doi: 10.3748/wjg.v29.i6.917.
Ulcerative colitis (UC) is a chronic inflammatory disease with a high impact. In order to improve patient outcomes, the clinician-patient relationship in daily practice is critical. Clinical guidelines provide a framework for UC diagnosis and treatment. However, standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined. Moreover, UC is a complex disease, given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease. In this article, we have discussed the key elements and specific objectives to consider in medical consultation, such as diagnosis, first visits, follow-up visits, active disease patients, patients on topical therapies, new treatment initiation, refractory patients, extra-intestinal manifestations, as well as challenging situations. The key elements have been mentioned to comprise effective communication techniques, motivational interviewing (MI), as well as information and educational aspects, or organizational issues. The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations, in addition to honesty and empathy with patients, as well as effective communication techniques, MI, information and educational points, or organizational issues. The role of other healthcare professionals such as specialized nurses, psychologists, or the use of checklists was also discussed and commented on.
溃疡性结肠炎（UC）是一种具有高影响力的慢性炎症性疾病。为了改善患者的预后，临床医生与患者的关系在日常实践中至关重要。临床指南为 UC 的诊断和治疗提供了框架。然而，标准程序和侧重于 UC 患者医疗咨询的医学内容尚未确定。此外，UC 是一种复杂的疾病，因为已经证明患者的特征和需求在诊断确立后以及疾病过程中会发生变化。在本文中，我们讨论了医疗咨询中需要考虑的关键要素和具体目标，例如诊断、初诊、复诊、活动期疾病患者、局部治疗患者、新治疗开始、难治性患者、肠外表现以及具有挑战性的情况。关键要素包括有效的沟通技巧、动机性访谈（MI）以及信息和教育方面或组织问题。报告称，在日常实践中实施的关键要素包括几个基本原则，例如充分准备的咨询，以及对患者的诚实和同理心，以及有效的沟通技巧、MI、信息和教育要点或组织问题。还讨论并评论了其他医疗保健专业人员（如专门护士、心理学家或使用清单）的作用。
