Effects of Self-Management Interventions in Patients With Irritable Bowel Syndrome: Systematic Review

Western Journal of Nursing Research - Tập 40 Số 11 - Trang 1698-1720 - 2018
Xiaomei Cong1,2, Mallory Perry2, Katherine M. Bernier2, Erin E. Young2, Angela Starkweather2
1University of Connecticut, Farmington, CT USA
2University of Connecticut, Storrs, CT USA

Tóm tắt

Irritable bowel syndrome (IBS) is a prevalent and costly condition, with expenditures exceeding US$21 billion annually. As there is no known cure for IBS, treatment is focused on symptom self-management strategies. The purpose of this systematic review was to investigate the efficacy and overall effect of self-management interventions for patients with IBS. Of the 64 publications that were identified, 20 were included in the systematic review. Self-management interventions were found in diverse formats, including web-based, self-training booklets, individual and/or group interventions with health care providers, and cognitive-behavioral therapy or exercise-based interventions. Different symptom measures were used across the studies, whereas measurement of quality of life was more standardized. Overall, there is robust evidence supporting self-management interventions for improving short-term symptom management and improving quality of life, whereas longer term outcomes are variable. Further studies are needed to use standardized symptom measures and tailor interventions for pediatric populations, and tracking longer term outcomes.

Từ khóa


Tài liệu tham khảo

Agency for Healthcare Research and Quality. (2014). Patient self-management support programs: An evaluation. Retrieved from http://www.ahrq.gov/research/findings/final-reports/ptmgmt/index.html

10.1016/j.cpr.2013.03.004

10.2147/CLEP.S40245

10.1053/j.gastro.2014.09.002

10.1177/1099800411414047

10.1097/SGA.0000000000000017

10.1111/nmo.12487

10.1007/s10620-012-2047-1

10.1186/1471-230X-13-68

10.1007/s11894-005-0018-9

10.1097/SGA.0000000000000229

10.1097/SGA.0b013e31821092e8

10.1038/ajg.2013.120

10.18553/jmcp.2004.10.4.299

10.1016/j.brat.2009.05.002

10.5056/jnm15067

10.1038/ajg.2009.479

10.1111/j.1440-1746.2011.06640.x

10.1136/bmj.f2882

10.3748/wjg.15.2887

10.1111/apt.12171

10.1016/j.cgh.2008.03.004

Lacy B. E., 2015, Gastroenterology Hepatology, 11, 1

10.1016/j.brat.2010.03.003

10.1038/ajg.2011.139

10.1053/j.gastro.2005.11.061

10.1111/j.1572-0241.2003.07296.x

10.7326/0003-4819-151-4-200908180-00135

10.1017/S0033291709990195

10.1016/j.jpsychores.2010.09.018

Pedersen N., 2015, Danish Medical Journal, 62, B5168

10.1053/j.gastro.2011.07.043

10.5056/jnm.2012.18.3.298

10.1053/j.gastro.2005.08.063

10.1097/MEG.0b013e328354f41f

10.1136/gut.2004.062901

10.1038/ajg.2009.612

10.1007/s10484-007-9037-7

10.1111/nmo.13126

10.1080/13548506.2015.1051557

10.1136/gutjnl-2012-302167

10.3748/wjg.v18.i48.7175

10.1097/MEG.0b013e328351b2c2

10.1159/000362405

10.1542/peds.2009-0028

10.1053/gast.2002.32392

10.1016/j.cgh.2015.09.027