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用于炎症性肠病管理的远程营养:益处、局限及未来展望。

Telenutrition for the management of inflammatory bowel disease: Benefits, limits, and future perspectives.

作者信息

Güney Coşkun Merve, Kolay Ezgi, Basaranoglu Metin

机构信息

Department of Nutrition and Dietetics, Istanbul Medipol University, Faculty of Health Sciences, Istanbul 34810, Turkey.

Department of Nutrition and Dietetics, Institute of Health Sciences, Istanbul Medipol University, Istanbul 34810, Turkey.

出版信息

World J Clin Cases. 2023 Jan 16;11(2):308-315. doi: 10.12998/wjcc.v11.i2.308.

Abstract

Patients with inflammatory bowel disease (IBD) require lifelong and personalized care by a multidisciplinary healthcare team. However, the traditional medical model is not ideal for patients who require continuous close monitoring and whose symptoms may dramatically worsen between regularly scheduled visits. Additionally, close dietary follow-up and monitoring of IBD in a traditional setting are challenging because of the disease complexity, high pressure on outpatient clinics with a small number of IBD specialist dietitians, and rising incidence. Given the significant burden of IBD, there is a need to develop effective dietary management strategies. The coronavirus disease 2019 pandemic caused an unprecedented shift from in-person care to delivering health care technological remote devices. Traditional nutrition therapy and consultation can be provided by telenutrition through remote electronic communication applications that could greatly benefit patient care. Telenutrition might be useful, safe, and cost-effective compared with standard care. It is likely that virtual care for chronic diseases including IBD will continue in some form into the future. This review article summarizes the evidence about telenutrition applications in the management of IBD patients, and we gave an overview of the acceptance and impact of these interventions on health outcomes.

摘要

炎症性肠病(IBD)患者需要多学科医疗团队提供终身的个性化护理。然而,传统医疗模式对于那些需要持续密切监测且症状可能在定期就诊期间显著恶化的患者并不理想。此外,由于疾病的复杂性、门诊压力大以及IBD专科营养师数量少和发病率上升,在传统环境中对IBD进行密切的饮食随访和监测具有挑战性。鉴于IBD的重大负担,有必要制定有效的饮食管理策略。2019年冠状病毒病大流行导致了前所未有的从面对面护理到通过远程技术设备提供医疗保健的转变。传统的营养治疗和咨询可以通过远程营养通过远程电子通信应用程序来提供,这可能会极大地有益于患者护理。与标准护理相比,远程营养可能是有用的、安全的且具有成本效益的。包括IBD在内的慢性病的虚拟护理很可能会以某种形式在未来继续存在。这篇综述文章总结了关于远程营养在IBD患者管理中的应用的证据,并且我们概述了这些干预措施对健康结果的接受度和影响。

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