系统性审查:综合护理模式,用于管理刺激性肠综合征
Molly M Warner1, Olivia Marie Soliman2, Megan Crichton3
1Faculty of Medicine, Centre for Health Services Research, Centre for Online Health, The University of Queensland, Woolloongabba, Queensland, Australia.
Neurogastroenterology and motility
|January 3, 2025
概括
综合护理模式显著改善了易怒肠综合征 (IBS) 症状和生活质量 (QoL). 需要进一步的研究来探索IBS管理的数字健康整合和初级保健服务.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 多学科综合护理模型显示,有潜力增强刺激性肠综合征 (IBS) 的成年人症状管理和生活质量 (QoL).
- 了解这些模型中的特征和数字健康整合对于优化患者结果至关重要.
研究的目的:
- 系统地描述和评估为IBS患者设计的综合护理模型的关键特征.
- 识别和评估数字卫生技术在这些既定护理模式中的使用情况.
主要方法:
- 在四个数据库中进行了全面的文献搜索,截至2024年3月.
- 包括涉及在提供非药物治疗的多学科综合护理环境中患有IBS的成年人的研究.
- 干预描述和复制模板 (TIDieR) 检查清单和项目INTEGRATE框架用于质量评估和特征提取.
主要成果:
- 分析了包括14个不同的综合护理模式的16项研究,涉及2165名患者 (918名IBS患者).
- 大多数模型 (11/13) 显示IBS症状有所改善,并且很大一部分 (6/9) 报告了增强的QoL.
- 通常涉及的临床医生包括胃肠科医生,心理学家,营养师和护士,心理和饮食疗法是最普遍的. 在四个模型中使用了数字健康.
结论:
- 对IBS的综合护理模型的特点是不同的临床团队,治疗干预措施和交付方法.
- 显然需要进一步研究数字健康工具的有效整合以及这些模型在初级保健机构中的实施,以实现更广泛的可访问性.
相关概念视频
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
166
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
166
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
139
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
139
01:17Irritable Bowel Syndrome I: Introduction
244
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
244
01:17Drugs for Treatment of Diarrhea-Predominant IBS
146
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
146
01:21Drugs for Treatment of Constipation-Predominant IBS
131
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
131
01:21Inflammatory Bowel Disease V: Surgical Management
116
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
116