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A systematic review outlining the impact of education on patients and physicians in gastroenterology
Psychology, Health & Medicine ( IF 3.8 ) Pub Date : 2021-02-25 , DOI: 10.1080/13548506.2021.1890158
Alicia Georghiades 1 , Francisco José Eiroa-Orosa 1
Affiliation  

ABSTRACT

Functional gastrointestinal symptoms (FGIDs) refer to a noticeable change in the body that is reported by the patient as being different from normal. FGIDs can have a significant impact on the patient’s quality of life by interfering with daily functioning. The primary objective of the current paper was to identify short-term educational interventions for patients diagnosed with FGIDs and medically unexplained symptoms. This is with the aim of assessing its effectiveness on patient’s quality of life and symptom severity. The second objective was to establish the current educational programmes and training opportunities available for physicians working with this subgroup of patients. This is in order to ascertain if these could change negative physician beliefs and attitudes. Databases such as PubMed and Google Scholar were searched from November to February 2018. A total of eight interventions were found which were evaluated using the Behavioural Change Techniques Taxonomy. Short-term educational programmes combining the use of lectures and practical sessions were found to be the most effective in improving patient quality of life and symptom severity. Managing patient exposure through the use of problem-based learning was considered the most effective teaching method for trainee physicians and could help to prevent the internalisation of negative attitudes. Definite conclusions about the effectiveness of patient and physician interventions are difficult to ascertain due to the small number of studies found and the high risk of bias. Future research should focus on providing a more unified approach to the management of this subgroup of patients.



中文翻译:

系统评价概述了教育对胃肠病学患者和医生的影响

摘要

功能性胃肠道症状 (FGID) 是指患者报告的与正常不同的身体明显变化。FGID 可通过干扰日常功能对患者的生活质量产生重大影响。本论文的主要目的是为被诊断患有 FGID 和医学上无法解释的症状的患者确定短期教育干预措施。这是为了评估其对患者生活质量和症状严重程度的有效性。第二个目标是为与该患者亚组一起工作的医生建立当前的教育计划和培训机会。这是为了确定这些是否可以改变消极的医生信念和态度。在 2018 年 11 月至 2018 年 2 月期间搜索了 PubMed 和 Google Scholar 等数据库。共发现了八项干预措施,这些干预措施使用行为改变技术分类法进行了评估。结合讲座和实践课程的短期教育计划被发现在改善患者生活质量和症状严重程度方面最有效。通过使用基于问题的学习来管理患者暴露被认为是实习医生最有效的教学方法,并有助于防止消极态度的内化。由于发现的研究数量少且偏倚风险高,很难确定有关患者和医生干预有效性的明确结论。

更新日期:2021-02-25
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