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首页> 外文期刊>Critical Reviews in Biomedical Engineering >Communicating Gastrointestinal Symptoms: The Patient's Challenge
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Communicating Gastrointestinal Symptoms: The Patient's Challenge

机译：沟通胃肠道症状：患者的挑战

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摘要

Gastrointestinal (GI) disorders present with signs that are objective and symptoms that are subjective, evaluable only if an individual can recognize, characterize, describe, and communicate them to a healthcare professional (HCP). The aim of this study was to quantify the extent to which healthcare seekers perceive difficulties in communicating their GI symptoms to HCPs. Interviews were conducted in two settings where individuals were expected to acknowledge experiencing GI symptoms: a tertiary-care, ambulatory GI clinic and the digestive health medication area of a large retail pharmacy. A 13-item questionnaire was designed to identify subjects' perceptions of the component stages of a symptom communication process. Surveys were completed by 100 participants, 50 from the clinic and 50 from the pharmacy. Most participants reported that it was difficult to know if their symptom descriptions had been understood (clinic: 68%; pharmacy: 86%), that difficulty in describing symptoms hampered access to healthcare (clinic: 82%; pharmacy: 76%), and that use of different descriptors (e.g., icons) would facilitate symptom reporting (clinic: 90%; pharmacy: 98%). Apart from difficulties in selecting a standard term and in providing a specific description for their symptoms, perceived barriers to communicating symptoms did not differ between the clinic and pharmacy settings. Most individuals with GI symptoms perceive difficulty in communicating their symptoms to healthcare professionals. Improved access and improved GI healthcare require new, patient-centered tools for symptom communication. These may be pictogram- or icon-based tools rather than traditional verbal descriptors.
机译：胃肠道（GI）疾病存在于具有主观的目标和症状的迹象，只有在个人可以识别，表征，描述和将它们传达给医疗保健专业人员（HCP）时，才会评估。本研究的目的是量化医疗保健寻求者感知到将其GI症状传达给HCP的程度。采访是在两种环境中进行的，其中个人预计会承认经历GI症状：大学护理，动态GI诊所和大型零售药房的消化健康用药面积。 13项问卷旨在识别对症状通信过程的组件阶段的主题的看法。调查由100名参与者完成，从诊所和50名来自药房完成。大多数参与者报告说，很难知道它们的症状描述是否已被理解（诊所：68％;药房：86％），描述症状阻碍了医疗保健的症状（诊所：82％;药房：76％），和使用不同描述符（例如，图标）将促进症状报告（诊所：90％;药房：98％）。除了选择标准术语的困难以及提供特定描述的症状方面，诊所和药房的症状的感知障碍在诊所和药房环境之间没有区别。大多数患有GI症状的人认为难以向医疗保健专业人员传达其症状。改进的访问和改进的GI医疗保健需要新的患者居中的症状通信工具。这些可能是象形图或基于图标的工具，而不是传统的口头描述符。

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