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为患有IBD的人提供基于证据的心理困扰干预措施:以人为中心的设计和实施路线图

Maria MacDonald¹, Courtney Heisler², Natalie Willett²

¹Dalhousie, Internal Medicine, Nova Scotia Health, Halifax, B3H 4R2, Canada.

Journal of the Canadian Association of Gastroenterology

|December 15, 2025

概括

将心理健康支持纳入炎症性肠病 (IBD) 护理是非常重要的. 获得支持的关键促进者包括直接的专业讨论,混合护理模式和IBD相关心理困扰 (IBD-PD) 自助策略.

科学领域:

胃肠病学胃肠病学
心理学心理学心理学
医疗保健服务研究医疗服务研究

背景情况:

与炎症性肠道疾病相关的心理痛苦 (IBD-PD) 显著影响疾病的严重程度,心理健康和死亡率.
了解患者需求对于在IBD护理中提供有效的心理健康支持至关重要.

研究的目的:

确定促进者,以获得IBD-PD的基于证据的干预措施.
为IBD心理健康支持提供以患者为中心的模型提供信息.

主要方法:

使用半结构面试进行的定性研究.
该COM-B行为变化轮框架指导了采访脚本的开发.
使用感应方法进行主题分析,以确定主题.

主要成果:

将心理健康纳入IBD专业护理是必不可少的.
自助策略是可行的,可以接受的和可访问的.
虚拟和混合护理模式通常可以接受IBD-PD支持.
需要灵活,多方面的交付模式.
卫生保健专业人员直接讨论IBD-PD是一个关键的促进者.
有资格的心理学家是优先考虑的,即使没有IBD知识.

结论:

直接讨论IBD-PD,混合护理格式和综合自助策略是关键促进者.
需要以患者为中心的方法来改善IBD患者获得心理健康支持的机会.

关键词:

与IBD相关的心理痛苦与IBD相关的心理痛苦.社区支持支持社区支持.炎症性肠病 (IBD) 是一种炎症性肠病.心理健康心理健康

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