Kamp Kendra J, West Patricia, Holmstrom Amanda, Luo Zhehui, Wyatt Gwen, Given Barbara
Psi , Postdoctoral Fellow, University of Washington, Department of Biobehavioral Nursing and Health Informatics, Seattle, WA,, USA.
Alpha Psi , PhD Student, Michigan State University, East Lansing, MI, USA.
J Nurs Scholarsh. 2019 Jul;51(4):380-389. doi: 10.1111/jnu.12487. Epub 2019 May 22.
The purpose was to determine the relationship between social support, psychological symptoms and self-management behaviors among adults with inflammatory bowel disease (IBD) and examine the influence of types of social support and patient age.
This was a systematic review. PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Communication and Mass Media Complete, and Communication Abstracts were searched. Publication dates were limited to January 2000 to August 2018.
The systematic review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement, and quality was appraised based on the Critical Appraisal Skills Programme for cohort studies tool. The data were synthesized using narrative synthesis techniques.
The literature review yielded 458 results. Eight articles met inclusion criteria. Articles utilized a variety of conceptualizations of both social support and self-management behaviors, making comparisons difficult. Findings demonstrated an inverse relationship between social support and psychological symptoms, and in one study only when social support buffered high stress. Studies with significant relationships between age and self-management behaviors indicated that a lower age was associated with decreased self-management behaviors.
Social support has the potential to influence psychological symptoms among patients with IBD. Future research should examine types of social support (i.e., emotional, informational, and tangible support) and measure levels of received social support.
Social support may serve as a modifiable factor to improve psychological symptoms among adults with IBD. Younger adults (age <40 years) may benefit from specialized interventions to address self-management behaviors.
本研究旨在确定炎症性肠病（IBD）成年患者的社会支持、心理症状与自我管理行为之间的关系，并探讨社会支持类型和患者年龄的影响。
这是一项系统评价。检索了PubMed、科学网、护理学与健康相关文献累积索引数据库（CINAHL）、心理学文摘数据库（PsycINFO）、通信与大众传媒全文数据库以及通信文摘数据库。发表日期限定为2000年1月至2018年8月。
本系统评价遵循系统评价与Meta分析的首选报告项目声明，并根据队列研究的批判性评价技能计划工具对质量进行评估。采用叙述性综合技术对数据进行综合分析。
文献检索共得到458条结果。8篇文章符合纳入标准。文章对社会支持和自我管理行为采用了多种概念化方式，难以进行比较。研究结果表明社会支持与心理症状之间存在负相关关系，且仅在一项研究中，社会支持对高压力起到了缓冲作用。年龄与自我管理行为之间存在显著关系的研究表明，年龄较小与自我管理行为减少有关。
社会支持有可能影响IBD患者的心理症状。未来的研究应考察社会支持的类型（即情感支持、信息支持和实际支持），并测量所获得的社会支持水平。
社会支持可能是改善IBD成年患者心理症状的一个可调节因素。较年轻的成年人（年龄<40岁）可能会从针对自我管理行为的专门干预中受益。
