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Patient experiences of Cytosponge: a qualitative study
Frontline Gastroenterology Pub Date : 2024-01-01 , DOI: 10.1136/flgastro-2023-102484
Laura Jane Neilson , Rebecca C Fitzgerald , Jennifer Deane , Irene Debiram-Beecham , Halime Gulle , Colin Rees , Linda Sharp

Objective Cytosponge is a novel technology for oesophageal pathology diagnosis. Uses include diagnosis of Barrett’s oesophagus and as a triage tool to prioritise upper gastrointestinal endoscopy. Patient experience is a key component of quality care. Previous work has developed endoscopy patient-reported experience measures. An appropriate tool to measure patient experience of Cytosponge is required. The aim of this work was to describe the patient experience of Cytosponge. Design/Method Individuals aged 18 years or over, who had undergone Cytosponge from September 2020 to March 2021, were invited to participate in a semi-structured interview. Interviews were audio-recorded, transcribed verbatim and anonymised. Thematic analysis was undertaken. Themes were organised into two overarching areas relating to patient experiences and patient perceptions of the test. Results 19 patients underwent interview (aged 37–80 years, 13 male). In terms of patient experiences of Cytosponge, five themes were identified: emotional reaction; expectations; environment and physical process; sensory experience; communication and information. All themes were present across all procedural phases, aside from sensory experience which was only present during the test. With regard to perception of the test, two major themes were identified: test novelty (encompassing patient awareness of the test and reaction to the new test) and trusting the test results. Conclusion Patients must remain central to novel technologies such as Cytosponge. Measuring patient experience is essential to achieve that. This study demonstrates five major themes which describe the patient experience of this procedure. These have been used to adapt the Newcastle ENDOPREM for use in Cytosponge. No data are available.

中文翻译:

Cytosponge 的患者体验:定性研究

目的 细胞海绵是食管病理诊断的新技术。用途包括诊断巴雷特食管以及作为优先考虑上消化道内窥镜检查的分类工具。患者体验是优质护理的关键组成部分。之前的工作已经制定了内窥镜检查患者报告的经验测量方法。需要一个适当的工具来衡量患者对 Cytosponge 的体验。这项工作的目的是描述 Cytosponge 的患者体验。设计/方法 邀请2020年9月至2021年3月接受过Cytosponge的18岁或以上个人参加半结构化访谈。访谈均进行录音、逐字转录并匿名。进行了主题分析。主题分为与患者体验和患者对测试的看法相关的两个总体领域。结果 19 例患者接受访谈(年龄 37-80 岁,男性 13 例)。在 Cytosponge 的患者体验方面,确定了五个主题:情绪反应;期望; 环境和物理过程;感官体验;沟通和信息。除了仅在测试期间存在的感官体验之外,所有主题都存在于所有程序阶段。关于测试的感知,确定了两个主要主题:测试新颖性(包括患者对测试的认识和对新测试的反应)和信任测试结果。结论 患者必须始终以 Cytosponge 等新技术为中心。衡量患者体验对于实现这一目标至关重要。这项研究展示了五个主要主题,描述了该手术的患者体验。这些已用于改造 Newcastle ENDOPREM 以用于 Cytosponge。无可用数据。
更新日期:2023-12-07
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