School of Nursing, National Defense Medical Center, Taipei 114, Taiwan.
Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, WA 98195, USA.
Int J Environ Res Public Health. 2022 Mar 4;19(5):3003. doi: 10.3390/ijerph19053003.
Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavioral therapy, diet education and relaxation) versus usual care on work- and activity-impairments in adults with IBS. This secondary data analysis used daily diaries and Work Productivity and Activity Impairment in Irritable Bowel Syndrome (WPAI-IBS) questionnaire data collected at baseline, 3, 6 and 12 months post-randomization from 160 adults with IBS. Mixed-effects modeling was used to compare the effect of CSM versus usual care on work- and activity-related outcomes. The effect of CSM was shown to be superior to usual care in improving WPAI-IBS and diary-measured presenteeism, overall work productivity loss and activity impairment with sustained effects up to 12 months post-randomization (all p < 0.05). Moreover, the CSM intervention was found to be particularly beneficial for IBS patients with greater baseline work and activity impairments (all p < 0.05). The CSM intervention may bring benefits to individuals and society through improving symptoms and reducing presenteeism associated with IBS.
肠易激综合征（IBS）患者更有可能缺勤（旷工）、工作效率降低（在职病假）和活动能力受损。本研究比较了综合自我管理（CSM）干预方案（包括认知行为疗法、饮食教育和放松）与常规护理对 IBS 成人工作和活动障碍的影响。这项二次数据分析使用了从 160 名 IBS 成人在基线、3、6 和 12 个月随机分组后收集的日常日记和肠易激综合征工作生产力和活动障碍（WPAI-IBS）问卷数据。混合效应模型用于比较 CSM 与常规护理对工作和活动相关结果的影响。结果显示，CSM 在改善 WPAI-IBS 和日记测量的在职病假、总体工作生产力损失和活动障碍方面优于常规护理，持续效果长达随机分组后 12 个月（所有 p < 0.05）。此外，CSM 干预对基线工作和活动障碍较大的 IBS 患者尤其有益（所有 p < 0.05）。CSM 干预可能通过改善症状和减少与 IBS 相关的在职病假，为个人和社会带来益处。
