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Patient Compliance during 24-Hour Dual pH Probe Monitoring for Extraesophageal Reflux

机译:在24小时双pH探头监测食管外反流期间的患者依从性

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摘要

Objective. During ambulatory 24-hour dual pH probe monitoring for suspected extraesophageal reflux (EER), patients are responsible for indicating relevant study events. Study interpretation relies on patient accuracy and compliance to test instructions. This study sought to explore patient compliance during pH probe monitoring and evaluated the utility of a Post-Evaluation Questionnaire as a clinical tool. Participants and Methods. Participants were prospectively studied during 24-hour dual pH probe monitoring. Participants used both a food diary and monitor settings to indicate relevant study events. Following pH testing, participants completed a Post-Evaluation Questionnaire regarding test experiences. Results. Eighty-two participants completed the study. Means and standard deviations were calculated for individual responses on the Post-Evaluation Questionnaire. Means indicate high participant accuracy for study events, and adherence to typical activities and diet over the testing period. Factor analysis was performed on the Post-Evaluation Questionnaire items and identified two factors: “typical experiences” and “times forgot.” Cronbach's alpha demonstrated acceptable reliability levels for questions related to “typical experiences,” but poor reliability for “times forgot” questions. Conclusions. Assessment of participant compliance during pH probe testing can quickly and easily be completed through a Post-Evaluation Questionnaire. Participant compliance can be assessed for improved study interpretation.
机译:目的。在动态24小时双pH探头监测怀疑的食管外反流(EER)期间,患者负责指示相关的研究事件。研究解释依赖于患者的准确性和对测试说明的依从性。这项研究试图探索患者在pH探针监测过程中的依从性,并评估评估后问卷作为临床工具的实用性。参加者和方法。在24小时双重pH探针监测过程中对参与者进行了前瞻性研究。参与者使用食物日记和监控设置来指示相关的研究事件。在进行pH测试之后,参与者完成了有关测试经验的评估后问卷。结果。八十二名参与者完成了研究。在评估后问卷中计算个人回答的平均值和标准差。手段表明参与者对研究事件的准确性很高,并且在测试期间坚持典型的活动和饮食。对评估后问卷进行了因素分析,确定了两个因素:“典型经验”和“忘记时间”。对于与“典型经历”相关的问题,克朗巴赫(Cronbach)的alpha证明了可接受的可靠性水平,但对于“时代遗忘”的问题,其可靠性却很差。结论。可通过评估后问卷快速轻松地完成对pH探针测试过程中参与者依从性的评估。可以评估参与者的依从性以改善研究解释。

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