是时候在炎症性肠道疾病管理中引入健康指导了吗?
S Cosentino1, C Bezzio2, D Gilardi1
1IBD Unit, Gastroenterology Unit, Rho Hospital, ASST Rhodense, Rho, Italy.
概括
保健教练通过提高患者的自我管理和福祉来改善炎症性肠病 (IBD) 护理的承诺. 这种方法补充了传统疗法,解决了改善生活质量的关键行为方面.
科学领域:
- 胃肠病学和肝病学
- 行为医学是一种行为医学.
- 慢性疾病管理 慢性疾病管理
背景情况:
- 炎症性肠病 (IBD) 带来了重大的身体,心理和社会挑战.
- 传统的IBD治疗主要集中在炎症上,但往往忽视影响坚持和生活质量的行为因素.
- 健康辅导提供以患者为中心的方法来培养自我效能和可持续的行为改变.
研究的目的:
- 审查有关慢性疾病管理中的健康辅导现有证据.
- 探索健康辅导的潜在应用和好处,特别是在炎症性肠病 (IBD) 护理中.
- 突出健康辅导作为整体IBD管理的补充策略.
主要方法:
- 这项研究是对当前文献的叙事审查.
- 它综合了来自各种慢性疾病管理研究的证据.
- 它特别审查了与炎症性肠病 (IBD) 健康指导相关的新兴证据.
主要成果:
- 卫生辅导已经证明了慢性疾病的好处,包括改善自我管理和生活质量.
- 在IBD的初步证据表明,心理健康,治疗坚持和应对机制的潜在改善.
- 早期的研究表明,健康辅导是可行的,受到了患者的欢迎,并可能减少压力,疲劳和IBD相关的残疾.
结论:
- 健康辅导可以作为传统炎症肠病 (IBD) 护理的宝贵补充,整合医疗和心理社会支持.
- 需要进一步的研究来规范协议,定义健康教练的作用,并评估长期的临床和经济影响.
- 将健康辅导纳入多学科IBD团队可以推进整体的,以价值为基础的患者护理.
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