量身定制的患者激活干预在炎症性肠病患者中的作用

Chisom Kanu, Carolyn Brown, J. Barner, C. Chapman, H. Walker
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引用次数: 2

摘要

目的采用前测、后测、对照组设计,探讨量身定制的患者激活干预(PAI)对炎症性肠病(IBD)患者的影响。方法采用方便抽样的方法从病历中选取符合纳入标准的患者,经患者同意后完成基线调查。基于对基线13项患者激活测量(PAM-13)的反应,他们被分为四个患者激活阶段之一。在办公室访问期间,干预患者(N=23)根据其基线阶段给予量身定制的PAI,其中包括信息小册子和与胃肠病学家的重点讨论,而对照组(N=27)接受常规护理。比较干预组(N=20)和对照组(N=21)在患者激活评分、药物依从性和护理满意度方面的基线和干预后1个月评分。结果大多数参与者为白种人(88%)、女性(64%)、大学毕业生(56%)和克罗恩病患者(59.2%)。总体而言,女性在基线时的平均激活评分(平均=70.9±15.4)显著高于男性(平均=60.9±10.7)(p=0.04)。这一趋势与干预后相同(75.6名女性vs 64.4名男性;p = 0.03)。干预组和对照组在干预前和干预后的平均激活评分差异无统计学意义(平均值=4.9±12.3,p=0.21)。然而,根据以往的研究结果,这种差异可能被认为具有临床意义。两组患者干预前后的药物依从性和满意度评分均无显著差异。结论量身定制的PAIs具有提高炎症性肠病患者激活水平的潜力。这种定制的医疗互动增加了患者对疾病管理的参与,并可能改善健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of a Tailored Patient Activation Intervention in Inflammatory Bowel Disease Patients
Purpose A pre-test, post-test, control group design was employed to investigate the impact of a tailored patient activation intervention (PAI) among inflammatory bowel disease (IBD) patients. Methods Patients who met the inclusion criteria were selected from medical records via convenience sampling, were consented, and completed a baseline survey. Based on responses to the baseline 13-item patient activation measure (PAM-13), they were categorized into one of four patient activation stages. During office visits, intervention patients (N=23) were given a tailored PAI based on their baseline stage, which consisted of an information booklet and focused discussion with the gastroenterologist, while the control group (N=27) received usual care. Baseline and 1-month post-intervention scores were compared between the intervention (N=20) and control (N=21) groups for changes in patient activation score, medication adherence, and satisfaction with care. Results Most participants were Caucasian (88%), female (64%), college graduates (56%), and had Crohn's disease (59.2%). Overall, females had a significantly higher (p=0.04) mean activation score (mean=70.9±15.4) than males (mean=60.9±10.7) at baseline. This trend was the same post-intervention (75.6 females vs 64.4 males; p=0.03). The difference in mean activation scores pre- vs post-intervention was not statistically significant between the intervention and control groups (mean=4.9±12.3, p=0.21). However, this difference could be considered to be clinically significant based on results from previous studies. There were no significant differences in medication adherence or satisfaction scores pre- vs post-intervention for either group. Conclusion Tailored PAIs have the potential to increase activation level of patients with inflammatory bowel disease. This customized medical interaction increased patient involvement in disease management and could potentially lead to improved health outcomes.
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