Lopez Robert N, McCombie Andrew, Gearry Richard B, Day Andrew S
Department of Paediatrics, University of Otago, Christchurch, New Zealand.
Department of Medicine, University of Otago, Christchurch, New Zealand.
Inflamm Intest Dis. 2020 Jun;5(2):65-69. doi: 10.1159/000505918. Epub 2020 Feb 26.
Children with inflammatory bowel disease (IBD) who attend residential camps derive various psycho-social benefits from their attendance. This study evaluated the impact of camp attendance on participants' disease-specific knowledge and quality of life (QOL). Prior to attending a dedicated camp for children with IBD, all campers were contacted and asked to participate in an evaluation of outcomes. Campers were asked to complete questionnaires regarding background disease status, demographic information, disease-specific knowledge (Inflammatory Bowel Disease Knowledge Inventory Device [IBD-KID]) and QOL (IMPACT-III). Assessments were completed before the camp and then again 1 month and 6 months after the camp. The camp consisted of adventure-based experiences and did not include specific IBD-related educational activities. Thirty-nine of 44 campers provided baseline information. The responders comprised 21 boys, and the median age was 14 years. Most ( = 35) were diagnosed with Crohn's disease. Twenty-five of the baseline responders were in clinical remission. Mean IBD-KID scores increased from baseline at both 1 month and 6 months ( = 0.03 and = 0.04, respectively). Although mean QOL scores did not increase after 1 or 6 months, body image sub-scores were increased at 6 months ( = 0.015). Children and adolescents with IBD attending this residential camp demonstrated enhanced disease-specific knowledge following the camp, which was maintained 6 months following the camp. QOL scores were not increased overall at either time point. These results demonstrate a further benefit of residential camps for children and adolescents with IBD.
参加寄宿营地的炎症性肠病(IBD)患儿从参与中获得了各种心理社会益处。本研究评估了参加营地对参与者疾病相关知识和生活质量(QOL)的影响。在参加专门为IBD患儿设立的营地之前,所有营员都被联系并被要求参与结果评估。营员们被要求完成关于背景疾病状况、人口统计学信息、疾病相关知识(炎症性肠病知识量表[IBD-KID])和生活质量(IMPACT-III)的问卷。评估在营地前完成,然后在营地后1个月和6个月再次进行。该营地包括基于冒险的体验,不包括特定的IBD相关教育活动。44名营员中有39名提供了基线信息。应答者包括21名男孩,中位年龄为14岁。大多数(n = 35)被诊断为克罗恩病。25名基线应答者处于临床缓解期。IBD-KID平均得分在1个月和6个月时均较基线有所增加(分别为P = 0.03和P = 0.04)。虽然生活质量平均得分在1个月或6个月后没有增加,但身体形象子得分在6个月时有所增加(P = 0.015)。参加该寄宿营地的IBD儿童和青少年在营地后疾病相关知识有所增强,并在营地后6个月得以维持。两个时间点的生活质量得分总体上均未增加。这些结果证明了寄宿营地对IBD儿童和青少年的进一步益处。