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确定并优先排序以患者为中心的策略,以加强对老年炎症性肠病患者的护理:一种改良的德尔菲法。

Identification and prioritization of patient-centred strategies to enhance IBD-related care for older adults: a modified Delphi approach.

作者信息

Rohatinsky Noelle, Tooke Natasha, Fowler Sharyle, Rueda-Clausen Christian, Morrison Dirk, Winchester Judith, Peña-Sánchez Juan-Nicolás

机构信息

College of Nursing, University of Saskatchewan, 4342-104 Clinic Place, Saskatoon, Saskatchewan, S7N 2E5, Canada.

College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, S7N 5E5, Canada.

出版信息

J Can Assoc Gastroenterol. 2024 Jul 6;7(5):384-392. doi: 10.1093/jcag/gwae021. eCollection 2024 Oct.

DOI:10.1093/jcag/gwae021
PMID:39416722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11477976/
Abstract

BACKGROUND

The older adult age group makes up one of the fastest-growing groups of individuals with inflammatory bowel disease (IBD). It is important to hear the perspectives of older adults living with IBD about care experiences and managing their illness. The purpose of this patient-oriented study was to identify and prioritize patient-centred strategies that have the potential to enhance IBD-related care for older adults in Saskatchewan.

METHODS

The interprofessional research team, consisting of older adult individuals living with IBD, gastroenterology providers, and researchers specializing in IBD or older adult education used a modified Delphi approach to identify and prioritize strategies that may enhance IBD-related care for older adults. Thirty-one older adults with IBD participated in ranking, revising, and prioritizing statements related to their chronic illness care. Nine statements were developed that highlighted strategies for older adult IBD care.

RESULTS

Through the consensus process, 6 statements were retained. Co-creating a treatment plan with the IBD provider was ranked as the top priority statement for older adults with IBD.

CONCLUSION

Facilitating collaborative relationships and understanding individual priorities for IBD-related care for older adults has the potential to enhance positive health outcomes and quality of life for these individuals.

摘要

背景

老年人群体是炎症性肠病(IBD)患者中增长最快的群体之一。听取IBD老年患者对护理经历和疾病管理的看法很重要。这项以患者为导向的研究旨在确定并优先考虑以患者为中心的策略,这些策略有可能加强萨斯喀彻温省对老年IBD患者的护理。

方法

跨专业研究团队由患有IBD的老年人、胃肠病学提供者以及专门从事IBD或老年教育的研究人员组成,他们采用改进的德尔菲法来确定并优先考虑可能加强对老年IBD患者护理的策略。31名患有IBD的老年人参与了对与他们慢性病护理相关的陈述进行排序、修订和优先排序。制定了九条陈述,突出了老年IBD护理的策略。

结果

通过共识过程,保留了6条陈述。与IBD提供者共同制定治疗计划被列为IBD老年患者的首要优先陈述。

结论

促进老年IBD患者的协作关系并了解其个人对IBD相关护理的优先事项,有可能改善这些患者的健康状况和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/062c/11477976/4d3a4338cf8a/gwae021_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/062c/11477976/4d3a4338cf8a/gwae021_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/062c/11477976/4d3a4338cf8a/gwae021_fig1.jpg

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本文引用的文献

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The 2023 Impact of Inflammatory Bowel Disease in Canada: Special Populations-IBD in Seniors.2023年炎症性肠病在加拿大的影响:特殊人群——老年人中的炎症性肠病
J Can Assoc Gastroenterol. 2023 Sep 5;6(Suppl 2):S45-S54. doi: 10.1093/jcag/gwad013. eCollection 2023 Sep.
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The 2023 Impact of Inflammatory Bowel Disease in Canada: Executive Summary.《2023年炎症性肠病在加拿大的影响:执行摘要》
J Can Assoc Gastroenterol. 2023 Jun 1;6(Suppl 2):S1-S8. doi: 10.1093/jcag/gwad003. eCollection 2023 Sep.
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Older Adults With Inflammatory Bowel Disease in Canada: A Mixed-Methods Exploratory Study of Care Experiences and Health-Related Quality of Life.
加拿大炎症性肠病老年患者:护理体验和健康相关生活质量的混合方法探索性研究。
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An Exploratory Study of Health-related Quality of Life and Care Experiences in Older Adults with Inflammatory Bowel Disease.老年炎症性肠病患者健康相关生活质量及护理体验的探索性研究
J Can Assoc Gastroenterol. 2023 Feb 7;6(3):116-124. doi: 10.1093/jcag/gwac039. eCollection 2023 Jun.
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Identification of the informational and supportive needs of patients diagnosed with inflammatory bowel disease: a scoping review.炎症性肠病确诊患者信息及支持需求的识别:一项范围综述
Front Psychol. 2023 May 11;14:1055449. doi: 10.3389/fpsyg.2023.1055449. eCollection 2023.
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The Experiences of Older Adults Living With Inflammatory Bowel Disease: A Scoping Review.老年炎症性肠病患者的经历:一项范围综述
Gastroenterol Nurs. 2023;46(4):296-308. doi: 10.1097/SGA.0000000000000737. Epub 2023 May 9.
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Patient Experiences in the Management of Inflammatory Bowel Disease: A Qualitative Study.炎症性肠病管理中的患者体验:一项定性研究。
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Shared decision-making in the management of patients with inflammatory bowel disease.炎症性肠病患者管理中的共同决策。
World J Gastroenterol. 2022 Jul 14;28(26):3092-3100. doi: 10.3748/wjg.v28.i26.3092.
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