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Content of Telephone Consultations of Patients With Inflammatory Bowel Disease: A Single-Center Descriptive Study.
Kawakami, Aki; Tanaka, Makoto; Sakagami, Kayoko; Ito, Hiroaki.
Afiliação
  • Kawakami A; Aki Kawakami, PhD, RN, PHN, is Associate Professor, Department of Critical and Invasive-Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
  • Tanaka M; Makoto Tanaka, PhD, RN, PHN, is Professor, Department of Critical and Invasive-Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
  • Sakagami K; Kayoko Sakagami, RN, is a head nurse at Kinshukai Infusion Clinic, Osaka, Japan.
  • Ito H; Hiroaki Ito, PhD, MD, is a head of the clinic at Kinshukai Infusion Clinic, Osaka, Japan.
Gastroenterol Nurs ; 46(4): 282-288, 2023.
Article em En | MEDLINE | ID: mdl-37224075
This study aimed to analyze the specific contents of telephone consultations of patients with inflammatory bowel disease. A medical record survey was conducted at a clinic in Japan for 1 year. Telephone consultation sheets recorded by nurses for calls with the patients or their relatives were reviewed. Content analysis was used to summarize the telephone consultation content. Consultations were categorized into 8 categories. Coding was conducted by 2 independent researchers. Concordance rates were evaluated using kappa coefficients. We analyzed 476 sheets. A total of 229 participants consulted the clinic at least once. The mean number of consultations per person was 2.1. Of these patients, 96 (40.9%) had ulcerative colitis. The kappa coefficient was 0.89. The most frequent consultation was "Consultation on worsening health: Inflammatory bowel disease is likely to have worsened" (42.0%). The second most frequent response was "Consultation or progress report on a worsening health condition: The disease is unlikely to have worsened" (19.8%). For consultations related to worsening the disease, it would be useful to assess symptoms over the phone using a disease activity index to ascertain the degree of worsening and to develop a screening tool for determining whether patients can continue remote support or require face-to-face consultation.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Inflamatórias Intestinais / Colite Ulcerativa / Consulta Remota Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Inflamatórias Intestinais / Colite Ulcerativa / Consulta Remota Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article