Hanna Quincy E B, Tripp Dean A, Geirc Madelaine, Gnat Lauren, Moayyedi Paul, Beyak Michael
Department of Psychology, Queen's University, Kingston, ON, Canada.
Department's of Psychology, Anesthesiology & Urology, Queen's University, Kingston, ON, Canada.
Qual Life Res. 2023 Dec;32(12):3309-3326. doi: 10.1007/s11136-023-03454-6. Epub 2023 Jun 22.
Ulcerative colitis and Crohn's disease are subtypes of inflammatory bowel disease: a chronic condition of unclear etiology characterized by inflammation of the small and large intestine. Inflammatory bowel disease is managed with diet, medications, and surgeries, with the most common surgery, recommended to ulcerative colitis patients being j-pouch surgery.
To assess the current literature concerning psychosocial factors associated with j-pouch surgery for patients with inflammatory bowel disease.
A systematic scoping review of the empirical and grey literature was conducted for original research on j-pouch surgery and psychosocial variables. Eight databases were searched: Medline, PsychInfo, CINAHL, EBM Reviews, ProQuest Dissertations and Theses Global, ResearchGate, Prospero, and PrePubMed.
Thirty-nine articles were identified. Many studies (n = 18) adopted a case-series design, and none examined psychosocial interventions. The most popular psychosocial variables assessed were quality of life (n = 34) and those associated with sexual health and functioning (n = 9).
Despite being an established surgical procedure, little research has examined the psychosocial implications of j-pouch surgery. As such, clinicians lack a robust understanding of how this procedure affects patients' psychiatric and social status and adaptive abilities. There is a need for high-quality research utilizing validated measures and rigorous design methodologies with control populations.
溃疡性结肠炎和克罗恩病是炎症性肠病的亚型，炎症性肠病是一种病因不明的慢性病，其特征为小肠和大肠的炎症。炎症性肠病通过饮食、药物和手术进行治疗，溃疡性结肠炎患者最常推荐的手术是J形储袋手术。
评估目前有关炎症性肠病患者J形储袋手术相关社会心理因素的文献。
对关于J形储袋手术和社会心理变量的原始研究进行了实证文献和灰色文献的系统综述。检索了八个数据库：医学期刊数据库（Medline）、心理学文摘数据库（PsychInfo）、护理学与健康领域数据库（CINAHL）、循证医学评论数据库（EBM Reviews）、全球博硕士论文数据库（ProQuest Dissertations and Theses Global）、研究之门（ResearchGate）、国际系统评价注册库（Prospero）和预PubMed。
共识别出39篇文章。许多研究（n = 18）采用了病例系列设计，且没有一项研究考察社会心理干预措施。评估的最常见社会心理变量是生活质量（n = 34）以及与性健康和性功能相关的变量（n = 9）。
尽管J形储袋手术已是一种既定的外科手术，但很少有研究考察其社会心理影响。因此，临床医生对该手术如何影响患者的精神和社会状况以及适应能力缺乏充分的了解。需要利用经过验证的测量方法和严格的设计方法以及对照人群进行高质量研究。
