Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital.
Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital.
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DOI：
10.1371/journal.pone.0288752
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Kiran, Ravi P.
中科院分区：
文献类型：
--
作者：
Moodley, Yoshan;van Wyk, Jacqueline;Ning, Yuming;Wexner, Steven;Gounden, Cathrine;Naidoo, Vasudevan;Kader, Shakeel;Neugut, Alfred I.;Kiran, Ravi P.
结肠镜检查后咨询使患者能够围绕其后续治疗做出明智的决定，而不遵守这些咨询（“不显示”）会阻碍疾病管理。在南非等资源有限的地区，关于结肠镜检查后自我依从性的文献很少。在这种情况下，需要了解自我坚持结肠镜检查后咨询，以确定是否需要改进干预措施，以及这些干预措施应解决哪些自我坚持的具体因素。这项假设生成、横断面、定量调查的目的是对在南非四级医院接受诊断性结肠镜检查的患者进行与结肠镜检查后自我依从性相关的认知、动机、社会和行为变量进行基线评估。在47例患者中进行依从性决定因素问卷（ADQ），以建立与结肠镜检查后咨询自我依从性相关的要素的基线评估，包括护理的人际方面、感知效用、严重程度、易感性、主观规范、意图和支持/障碍。ADQ评分转换为每个元素最大评分的百分比（100.0%）。转换后ADQ评分的总体平均值为57.8%。ADQ的具体组成部分的平均转换得分如下：主观规范（40.8%），感知的严重性（55.4%），感知的效用（56.6%），意图（59.4%），支持/障碍（59.9%），人际方面（62.2%）和感知的敏感性（65.9%）。在不同年龄组的受试者中，转换后的ADQ总平均值和ADQ个体要素无统计学显著差异（当在≤40岁和>40岁的参与者之间进行比较时，p值范围在0.180和0.949之间），性别（雄性和雌性之间比较时，p值范围为0.071 - 0.946），和种族（当非洲黑人和非非洲黑人之间进行比较时，p值范围在0.119和0.774之间）。我们的研究结果表明，一般需要适当的干预措施，以提高自我坚持结肠镜检查后咨询在我们的设置。
Post-colonoscopy consults empower patients to make informed decisions around their subsequent treatment, and non-compliance with these consults (“no-shows”) hinders disease management. There is a paucity in the literature regarding self-adherence to post-colonoscopy consults in resource-limited settings such as South Africa. An understanding of self-adherence to post-colonoscopy consults in this setting is required to establish whether improved interventions are needed, and what specific elements of self-adherence should be addressed with these interventions. The objective of this hypothesis-generating, cross-sectional, quantitative survey was to conduct a baseline assessment of cognitive, motivational, social, and behavioural variables related to self-adherence to post-colonoscopy consults in patients who underwent diagnostic colonoscopy at a South African quaternary hospital. The Adherence Determinants Questionnaire (ADQ) was administered in 47 patients to establish a baseline assessment of elements related to self-adherence to post-colonoscopy consults, including interpersonal aspects of care, perceived utility, severity, susceptibility, subjective norms, intentions, and supports/barriers. ADQ scores were transformed to a percentage of the maximum score for each element (100.0%). The overall mean transformed ADQ score was 57.8%. The mean transformed scores for specific ADQ components were as follows: subjective norms (40.8%), perceived severity (55.4%), perceived utility (56.6%), intentions (59.4%), supports/barriers (59.9%), interpersonal aspects (62.2%), and perceived susceptibility (65.9%). There were no statistically significant differences in overall mean transformed ADQ scores and individual ADQ elements across categories of participant age (p-values ranging between 0.180 and 0.949 when compared between participants ≤40 years and >40 years old), gender (p-values ranging between 0.071 and 0.946 when compared between males and females), and race (p-values ranging between 0.119 and 0.774 when compared between Black Africans and non-Black Africans). Our findings suggest a general need for appropriate interventions to improve self-adherence to post-colonoscopy consults in our setting.
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影响因子：
2.9
作者：
Shrestha, Manish P.;Hu, Chengcheng;Taleban, Sasha
通讯作者：
Taleban, Sasha
影响因子：
2.8
作者：
McLaren ZM;Ardington C;Leibbrandt M
通讯作者：
Leibbrandt M
影响因子：
1
作者：
Moodley Y;Madiba T
通讯作者：
Madiba T
影响因子：
5.1
作者：
Bateson, MC
通讯作者：
Bateson, MC
DOI：
10.7196/samj.2018.v108i2.12338
发表时间：
2018-02-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Brand, M;Gaylard, P;Ramos, J
通讯作者：
Ramos, J