Chauhan Usha, Stitt Larry, Rohatinsky Noelle, Watson Melanie, Currie Barbara, Westin Lisa, McCaw Wendy, Norton Christine, Nistor Irina
Hamilton Health Sciences, Hamilton, Ontario, Canada.
Robarts Clinical Trials, London, Ontario, Canada.
J Can Assoc Gastroenterol. 2021 Oct 21;5(3):129-136. doi: 10.1093/jcag/gwab041. eCollection 2022 Jun.
Inflammatory bowel disease (IBD) can impact the quality of life and increase health care resource utilization. Nurses play an integral role in ensuring ease of access to care between scheduled office visits.
This study aimed to capture the utilization of Canadian IBD nursing telephone and e-mail services.
A descriptive cross-sectional study with an eight-item online survey was completed by nurses to assess the use of nurse-led telephone and e-mail services for IBD patients.
Twenty-one IBD nurses participated, and 572 patients nurse encounters were reported. Patients with ulcerative (UC) contacted with disease flare when compared to Crohn's disease (CD) (40% versus 24%, < 0.001). Nursing services were primarily utilized for queries regarding medication (39.3%), disease exacerbations (29.6%), investigations (26%), and scheduling appointments (17.6%). Patients with CD had more telephone conversations (62.7%) and required more follow-up telephone calls (72.2%) compared to patients with UC (33%) and 25%, respectively. Nurse-managed interventions were provided independently for 61.4% of encounters, while 19% required a scheduled appointment in the IBD clinic. In the absence of telephone or e-mail assistance, older patients were more likely to call their family doctor ( = 0.18, < 0.001), visit the emergency room ( = 0.18, < 0.001), visit an urgent access clinic ( = 0.22, < 0.001), or visit a walk-in clinic ( = 0.29, < 0.001) than younger patients.
Nurse-managed IBD advice lines are proactive services that can address most patient disease-related concerns.
炎症性肠病（IBD）会影响生活质量并增加医疗资源的利用。护士在确保患者在预定门诊就诊期间能够轻松获得护理方面发挥着不可或缺的作用。
本研究旨在了解加拿大IBD护理电话和电子邮件服务的使用情况。
护士完成了一项包含8个项目的在线描述性横断面研究，以评估针对IBD患者的护士主导的电话和电子邮件服务的使用情况。
21名IBD护士参与了研究，共报告了572次护士与患者的接触。与克罗恩病（CD）患者相比，溃疡性结肠炎（UC）患者在疾病发作时联系护士的比例更高（40%对24%，P<0.001）。护理服务主要用于解答药物相关问题（39.3%）、疾病加重问题（29.6%）、检查问题（26%）和预约安排问题（17.6%）。与UC患者（分别为33%和25%）相比，CD患者进行电话沟通的比例更高（62.7%），需要更多的随访电话（72.2%）。61.4%的接触由护士独立进行干预，而19%的接触需要在IBD诊所预约。在没有电话或电子邮件协助的情况下，老年患者比年轻患者更有可能致电家庭医生（P = 0.18，P<0.001）、前往急诊室（P = 0.18，P<0.001）、前往紧急就诊诊所（P = 0.22，P<0.001）或前往随诊诊所（P = 0.29，P<0.001）。
护士主导的IBD咨询热线是积极主动的服务，能够解决大多数患者与疾病相关的问题。
