Digestive System Service, Germans Trias i Pujol University Hospital, Badalona, Barcelona, Spain.
J Crohns Colitis. 2011 Jun;5(3):211-7. doi: 10.1016/j.crohns.2011.01.001. Epub 2011 Feb 11.
Nurses play an important role in the multidisciplinary management of inflammatory bowel disease (IBD), but little is known about this role and the associated resources.
To improve knowledge of resource availability for health care activities and the different organizational models in managing IBD in Spain.
Cross-sectional study with data obtained by questionnaire directed at Spanish Gastroenterology Services (GS). Five GS models were identified according to whether they have: no specific service for IBD management (Model A); IBD outpatient office for physician consultations (Model B); general outpatient office for nurse consultations (Model C); both, Model B and Model C (Model D); and IBD Unit (Model E) when the hospital has a Comprehensive Care Unit for IBD with telephone helpline, computer, including a Model B. Available resources and activities performed were compared according to GS model (chi-square test and test for linear trend).
Responses were received from 107 GS: 33 Model A (31%), 38 Model B (36%), 4 Model C (4%), 16 Model D (15%) and 16 Model E (15%). The model in which nurses have the most resources and responsibilities is the Model E. The more complete the organizational model, the more frequent the availability of nursing resources (educational material, databases, office, and specialized software) and responsibilities (management of walk-in appointments, provision of emotional support, health education, follow-up of drug treatment and treatment adherence) (p<0.05).
Nurses have more resources and responsibilities the more complete is the organizational model for IBD management. Development of these areas may improve patient outcomes.
护士在炎症性肠病（IBD）的多学科管理中发挥着重要作用，但对于这一角色及其相关资源的了解甚少。
旨在提高对西班牙管理 IBD 的医疗保健活动和不同组织模式的资源可用性的认识。
对西班牙胃肠病学服务（GS）进行了横断面研究，通过问卷收集数据。根据是否存在以下情况，确定了 5 种 GS 模型：没有专门用于 IBD 管理的服务（模型 A）；有用于医生咨询的 IBD 门诊（模型 B）；有用于护士咨询的普通门诊（模型 C）；同时具有模型 B 和模型 C（模型 D）；当医院有配备电话热线、计算机的 IBD 综合护理单元时，包括模型 B（模型 E）。根据 GS 模型比较了可用资源和开展的活动（卡方检验和线性趋势检验）。
共收到 107 个 GS 的回复：33 个模型 A（31%）、38 个模型 B（36%）、4 个模型 C（4%）、16 个模型 D（15%）和 16 个模型 E（15%）。护士拥有最多资源和责任的模型是模型 E。组织模型越完整，护理资源（教育材料、数据库、办公室和专业软件）和责任（管理随到随诊、提供情感支持、健康教育、药物治疗随访和治疗依从性）的可用性越高（p<0.05）。
IBD 管理的组织模型越完整，护士的资源和责任就越多。这些领域的发展可能会改善患者的治疗效果。
