对炎症性肠病患者的自我管理干预措施的系统审查
Masami Iizawa1, Lisa Hirose1, Maya Nunotani2
1Japan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.
炎症性肠病 (IBD) 的自我管理干预措施是有效的,特别是那些专注于症状管理和患者参与的干预措施. 这些方法,通常与信息提供相结合,可以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 健康心理学 心理健康心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 以前的研究表明,对炎症性肠病 (IBD) 的自我管理的有效性.
- 然而,对于IBD的特定有效的自我管理干预类型需要澄清.
- 这项研究系统地审查了IBD自我管理干预措施的状态和有效性.
研究的目的:
- 系统地审查和澄清IBD患者自我管理干预措施的状态和有效性.
- 确定哪些类型的自我管理干预措施对IBD最有效.
- 分析心理健康,生活质量和医疗保健资源使用等结果.
主要方法:
- 随机对照试验 (RCT) 的系统文献综述.
- 在Embase,Medline和Cochrane图书馆 (2000-2020) 进行的搜索.
- 包括有IBD的成年人类参与者;根据设计,质量和结果的标准分层研究.
主要成果:
- 包括50项研究;31项专注于IBD,14项针对性结肠炎,5项针对克罗恩病.
- 66% (33项研究) 报告结果有所改善.
- 有效的干预措施主要集中在症状管理上,通常与信息提供,个性化活动和多学科交付相结合.
结论:
- 症状管理干预措施与信息提供支持IBD自我管理.
- 个人化,参与式干预方法被认为是有效的.
- 进一步的研究可以完善针对IBD患者的有针对性的自我管理策略.
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