Recurrent abdominal pain in children: forerunner to adult irritable bowel syndrome?
Recurrent abdominal pain in children: forerunner to adult irritable bowel syndrome?
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DOI：
10.1111/j.1088-145x.2003.00081.x
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发表时间：
2003-07-01
期刊：
影响因子：
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通讯作者：
Shulman, Robert
中科院分区：
文献类型：
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作者：
Jarrett, Monica;Heitkemper, Margaret;Shulman, Robert
问题和目的：回顾复发性腹痛（RAP）的病因学和病理生理学及其作为成人肠易激综合征（IBS）前兆的潜在作用。结论：生理机制不容易识别为有机原因可能是RAP患者症状的基础。它们可能由心理社会因素引发，导致更大的功能障碍，更多的诊所就诊，以及更低的学术和社会能力。这些儿童中，25%将经历类似的症状作为成年人，许多人将被诊断为IBS.Practice IMPLICATIONS：护士可以提供这些儿童的护理早期和有效的管理，如果他们认为腹痛/不适的问题，从更广泛的焦点，包括儿童的经验背景。
ISSUES AND PURPOSE: Review the etiology and pathophysiology of recurrent abdominal pain (RAP) and its potential role as a precursor to irritable bowel syndrome (IBS) in adults.CONCLUSIONS: Physiological mechanisms not easily identifiable as an organic cause may underlie symptoms in RAP patients. They may be triggered by psychosocial factors that result in greater functional disability, more clinic visits, and lower academic and social competence. Of these children, 25% will experience similar symptoms as adults; many will be diagnosed with IBS.PRACTICE IMPLICATIONS: Nurses can provide early and efficient management of these children's care if they view the issues of abdominal pain/discomfort from a broader focus that includes the context of the child's experiences.