Cong Xiaomei, Perry Mallory, Bernier Katherine M, Young Erin E, Starkweather Angela
1 University of Connecticut, Storrs, CT, USA.
2 University of Connecticut, Farmington, CT, USA.
West J Nurs Res. 2018 Nov;40(11):1698-1720. doi: 10.1177/0193945917727705. Epub 2017 Aug 30.
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.
肠易激综合征（IBS）是一种常见且成本高昂的疾病，每年的支出超过210亿美元。由于IBS尚无已知的治愈方法，治疗重点在于症状自我管理策略。本系统评价的目的是调查IBS患者自我管理干预措施的疗效和总体效果。在识别出的64篇出版物中，有20篇纳入了系统评价。自我管理干预措施形式多样，包括基于网络的、自我训练手册、与医疗保健提供者进行的个体和/或团体干预，以及认知行为疗法或基于运动的干预。各研究使用了不同的症状测量方法，而生活质量测量则更为标准化。总体而言，有充分证据支持自我管理干预措施可改善短期症状管理和提高生活质量，而长期结果则各不相同。需要进一步开展研究，采用标准化症状测量方法，并为儿科人群量身定制干预措施，同时跟踪长期结果。
