Clinicians' Knowledge, Attitudes, and Practices Regarding the Management of Functional Gastrointestinal Disorders With Neuromodulators and Psychological Treatment.

IF 3.3 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Neurogastroenterology and Motility Pub Date : 2024-10-30 DOI:10.5056/jnm23161
Seung Yong Shin, Ju Yup Lee, Sung Won Jung, Seung-Ho Jang, Han Seung Ryu, Ayoung Lee, Geun Tae Park, Woongki Chang, Minkyong Kim, Beom Seuk Hwang, Yong Sung Kim, Joong Goo Kwon
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Abstract

Background/aims: Little is known about the practical clinical application of neuromodulators and psychiatric treatments in patients with functional gastrointestinal disorders (FGIDs). We investigate the knowledge, attitudes, and practices of Korean clinicians regarding the use of neuromodulators and psychiatric treatments for FGIDs.

Methods: This prospective, online, cross-sectional study was conducted between May and August 2022. A questionnaire regarding the knowledge, attitude, and practice of neuromodulators and psychiatric treatments for FGIDs was developed and administered to primary care clinicians and gastroenterologists in university hospitals in Korea.

Results: Overall, 451 clinicians from primary (n = 179, 39.7%), secondary (n = 113, 25.1%), and tertiary (n = 159, 35.3%) hospitals participated in the survey. Most of them considered that neuromodulators (98.7%) and psychiatric treatment (86.5%) were required for patients with FGIDs. However, approximately one-third of them did not prescribe neuromodulators, mainly due to unfamiliarity with the drugs, and only one-quarter considered psychiatric referral. Compared to gastroenterologists at university hospitals, primary care clinicians' prescriptions had a lower rate (87.2% vs 64.2%, P < 0.001) and shorter duration of neuromodulator. The psychiatric referral rate was lower for primary care clinicians than for gastroenterologists at university hospitals (19.0% vs 34.2%, P < 0.001).

Conclusions: Knowledge, attitude, and practice levels regarding neuromodulators and psychiatric treatment among clinicians are inhomogeneous, and a knowledge gap exists between primary care clinicians and gastroenterologists at university hospitals. Encouraging ongoing education for Korean clinicians regarding the appropriate use of neuromodulators and psychiatric treatments in patients with FGIDs is suggested.

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临床医生对使用神经调节剂和心理疗法治疗功能性胃肠病的认识、态度和做法。
背景/目的:人们对神经调节剂和精神治疗在功能性胃肠病(FGID)患者中的临床实际应用知之甚少。我们调查了韩国临床医生在使用神经调节剂和精神疗法治疗功能性胃肠紊乱方面的知识、态度和实践:这项前瞻性在线横断面研究于 2022 年 5 月至 8 月间进行。研究人员编制了一份关于神经调节剂和精神疗法治疗 FGIDs 的知识、态度和实践的调查问卷,并对韩国大学医院的初级保健临床医生和消化科医生进行了问卷调查:共有 451 名来自一级医院(179 人,占 39.7%)、二级医院(113 人,占 25.1%)和三级医院(159 人,占 35.3%)的临床医生参与了调查。他们大多认为 FGID 患者需要神经调节剂(98.7%)和精神治疗(86.5%)。然而,其中约三分之一的医生没有开具神经调节剂处方,主要原因是对药物不熟悉,只有四分之一的医生考虑转诊至精神科。与大学医院的消化科医生相比,初级保健临床医生的神经调节剂处方率较低(87.2% vs 64.2%,P < 0.001),用药时间也较短。在大学医院,初级保健临床医生的精神科转诊率低于消化科医生(19.0% vs 34.2%,P < 0.001):结论:临床医生对神经调节剂和精神治疗的知识、态度和实践水平参差不齐,初级保健临床医生和大学医院的消化科医生之间存在知识差距。建议对韩国临床医生进行有关在 FGID 患者中适当使用神经调节剂和精神治疗的持续教育。
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来源期刊
Journal of Neurogastroenterology and Motility
Journal of Neurogastroenterology and Motility GASTROENTEROLOGY & HEPATOLOGY-CLINICAL NEUROLOGY
CiteScore
6.30
自引率
8.80%
发文量
96
期刊介绍: Journal of Neurogastroenterology and Motility (J Neurogastroenterol Motil) is a joint official journal of the Korean Society of Neurogastroenterology and Motility, the Thai Neurogastroenterology and Motility Society, the Japanese Society of Neurogastroenterology and Motility, the Indian Motility and Functional Disease Association, the Chinese Society of Gastrointestinal Motility, the South East Asia Gastro-Neuro Motility Association, the Taiwan Neurogastroenterology and Motility Society and the Asian Neurogastroenterology and Motility Association, launched in January 2010 after the title change from the Korean Journal of Neurogastroenterology and Motility, published from 1994 to 2009.
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