Patients' perception of colonoscopy: patients with inflammatory bowel disease and irritable bowel syndrome experience the largest burden
Patients' perception of colonoscopy: patients with inflammatory bowel disease and irritable bowel syndrome experience the largest burden
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DOI：
10.1097/meg.0b013e328361dcd3
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发表时间：
2013-08-01
影响因子：
2.1
通讯作者：
Dekker, Evelien
中科院分区：
文献类型：
--
作者：
Denters, Maaike J.;Schreuder, Marthe;Dekker, Evelien
背景结肠镜检查在世界范围内是一种经常进行的手术，人们对此有负面的看法，导致不愿接受该手术。目的比较5组患者对结肠镜检查的满意度：炎症性肠病(IBD)、肿瘤家族易感性、腺瘤/癌监测、癌症症状和肠易激综合征(IBS)。方法在荷兰的两家地区医院和两家三级教学医院进行前瞻性问卷调查。纳入2009年10月至2010年6月期间连续接受结肠镜检查的797例患者，其中146例(18%)IBD，153例(19%)腺瘤或癌监测，104例(13%)家族史，280例(35%)提示癌症的症状，以及114例(14%)IBS样症状。接受两份问卷调查：一份在手术当天，另一份在手术后6周。结果肠源性肠病和肠易激综合征患者在肠道准备阶段有更多的尴尬和负担(P=0.040和0.018)，在结肠镜检查过程中有更多的疼痛(P=0.018)。在调整给药镇静量、是否熟悉内窥镜检查、结肠镜检查持续时间或是否进行干预时，也观察到了这种疼痛差异。所有患者组在6周时对结肠镜检查的满意度均低于结肠镜检查后即刻，他们回忆的尴尬和负担更多，但痛苦更少。结论根据结肠镜检查适应症的定义，患者组对结肠镜检查程序的体验不同。(C)2013年沃尔特斯·克鲁沃健康垂直酒吧Lippincott Williams&Wilkins。
Background Colonoscopy is a frequently performed procedure worldwide with a negative perception, leading to reluctance to undergo the procedure. Perceptions could differ depending on the specific indication for the colonoscopy.Aims To compare patient satisfaction with the colonoscopy procedure between five different patient groups: inflammatory bowel disease (IBD), familial predisposition for cancer, adenoma/carcinoma surveillance, symptoms suggestive of cancer, and irritable bowel syndrome (IBS).Methods A prospective questionnaire study was carried out in two regional hospitals and two tertiary teaching hospitals in the Netherlands. A total of 797 consecutive patients scheduled for colonoscopy between October 2009 and June 2010, 146 (18%) IBD, 153 (19%) adenoma or carcinoma surveillance, 104 (13%) familial predisposition, 280 (35%) symptoms suggestive of cancer, and 114 (14%) IBS-like symptoms, were included. Two questionnaires were administered: one on the day of the procedure and another 6 weeks after the procedure. The main outcome measurements were embarrassment, pain, burden, most burdensome aspect, and overall level of satisfaction.Results Patients with IBD and IBS reported significantly more embarrassment and burden from the bowel preparation phase (P=0.040 and 0.018, respectively) and more pain during the colonoscopy procedure (P=0.018). This difference in pain was also observed when adjusting for volume of sedation administered, familiarity with the endoscopist, duration of the colonoscopy, or whether or not an intervention was performed. All patient groups were less satisfied with the procedure at 6 weeks than directly after the colonoscopy; they recalled more embarrassment and burden, but less pain.Conclusion Patient groups, defined by indication for colonoscopy, experience the colonoscopy procedure differently. (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.