Syndrome de l'intestin irritable: les fibres modifient-elles les symptômes gastro-intestinaux ? : [une revue de littérature] travail de Bachelor

Un grand nombre de patients souffrant du SII signalent une aggravation de leurs symptômes gastro-intestinaux après la consommation de certains mets. Pour soulager les symptômes gastro-intestinaux, les différentes associations de diététiciens ont des recommandations nombreuses et variées. Parmi ces recommandations, les associations préconisent une adaptation de la consommation des fibres solubles et insolubles. Toutefois, les recommandations nutritionnelles concernant les fibres ne sont pas semblables, ni toutes d‟actualité. C‟est pourquoi nous cherchons à répondre à la question suivante : est-ce que les interventions nutritionnelles impliquant des fibres ont un impact sur les symptômes gastro-intestinaux du syndrome de l‟intestin irritable

Interventions to improve patient experience in mammography ::a scoping review protocol

Objective: The objective of this review is to map the global evidence on interventions aiming to enhance the patient experience during mammography examination. Introduction: Mammography is the examination of choice to detect breast cancer, which is the most common malignant condition among women globally. However, this examination can cause psychological distress, discomfort, and pain for patients. To limit these negative experiences, and to promote patient engagement in diagnostic and screening examinations, some interventions have been tested in clinical practice. Each intervention has key differing features that need to be explored in a scoping review. This mapping will help inform mammography professionals and researchers. Inclusion criteria: This review will consider studies that focus on women, men, transgender, nonbinary, or intersexual persons undergoing diagnostic or screening mammography. It will consider studies evaluating interventions and reporting data on the patient experience. These interventions may, for instance, be related to the information provided, breast compression, relaxation, medication, or physical environment. The review will also describe the outcomes related to patient experience (eg, anxiety, pain, discomfort). Methods: The search strategy will aim to find published and unpublished studies and will be conducted in MEDLINE, Embase, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, and ProQuest Dissertation and Theses. Furthermore, three registries will be searched for ongoing studies. This review will be conducted following JBI methodology, utilizing the three-step search strategy with two independent reviewers performing study selection and data extraction. The results, frequencies, and conceptual categories will be presented in a tabular and narrative summary

Strategies enhancing the patient experience in mammography ::a scoping review

Introduction: A positive experience in mammography is essential for increasing patient attendance and reattendance at these examinations, whether conducted for diagnostic or screening purposes. Mammograms indeed facilitate early disease detection, enhance the potential for cure, and consequently reduce breast cancer mortality. The main objective of this review was to identify and map the strategies aiming to improve the patient experience in diagnostic and screening mammography. Methods: This scoping review was performed following the JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Searches were performed through databases of MEDLINE, Embase.com, CINAHL, APA PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, ProQuest Dissertation and Theses, and three clinical trial registries. This review considered studies evaluating the effect of interventions, occurring within the mammography department, on the patient experience. Results: The literature search yielded 8113 citations of which 60, matching the inclusion criteria, were included. The strategies were classified into eight categories. The most represented one was breast compression and positioning, followed by relaxation techniques and analgesic care, communication and information, screening equipment, examination procedures, patient-related factors, physical environment, and finally staff characteristics. The studied outcomes related to patient experience were mainly pain, anxiety, comfort, and satisfaction. Other types of outcomes were also considered in the studies such as image quality, technical parameters, or radiation dose. Most studies were conducted by radiographers, on female patients, and none mentioned the inclusion of male or transgender patients. Conclusion: This review outlined a diversity of strategies to improve patient experience, although technique-based interventions were predominant. Further research is warranted, notably on psychological strategies, and on men and transgender people. Implications for practice: This scoping review provides guidance to healthcare providers and services for better patient/client-centered care

Interventions to improve patient experience in mammography: a scoping review protocol

The objective of this scoping review is to investigate the extent of the current evidence on implemented strategies aiming to improve patient experience (e.g., increase satisfaction, reduce pain, limit discomfort) in mammography