Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
Japan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.
PLoS One. 2023 Jul 17;18(7):e0287618. doi: 10.1371/journal.pone.0287618. eCollection 2023.
BACKGROUND/AIMS: Self-management (SMN) is a recognized component of care for chronic conditions, yet its importance in the context of inflammatory bowel disease (IBD) is unclear. This study evaluates the status of SMN and its relationship with quality of life (QOL) in Japanese patients with IBD.
A web-based survey was conducted among adult (≥20 years old) Japanese patients with ulcerative colitis (UC) or Crohn's disease (CD). Registered members of an online IBD information platform completed a 45-item survey covering demographics, diet, treatment, physical condition, stress management, financial concerns, support services, and QOL. SMN was operationally defined by dietary and lifestyle behaviours, and contingency analysis was used to test for associated factors. Individual-level contributions to SMN were identified with logistic regression.
There were 372 responses to the survey (211 with UC, 161 with CD). Approximately 60% of participants practiced SMN and these patients were 4-24% more likely to report positive QOL than those who did not. SMN was more common in patients with CD than those with UC. SMN practice was also associated with IBD-related hospitalisation/surgery and consultation with others about IBD (e.g. physicians, nurses, patients).
The results of this study suggest an association between the practice of SMN and positive QOL in patients with IBD in Japan.
背景/目的：自我管理（SMN）是慢性病护理的公认组成部分，但在炎症性肠病（IBD）的背景下，其重要性尚不清楚。本研究评估了日本 IBD 患者的 SMN 状况及其与生活质量（QOL）的关系。
在溃疡性结肠炎（UC）或克罗恩病（CD）的成年（≥20 岁）日本患者中进行了一项基于网络的调查。在线 IBD 信息平台的注册成员完成了一项包含人口统计学、饮食、治疗、身体状况、压力管理、财务问题、支持服务和 QOL 的 45 项调查。SMN 通过饮食和生活方式行为来定义，使用 contingency 分析来测试相关因素。使用逻辑回归确定个体对 SMN 的贡献。
该调查共收到 372 份回复（UC211 份，CD161 份）。约 60%的参与者实施了 SMN，与未实施 SMN 的参与者相比，这些患者报告积极 QOL 的可能性高 4-24%。CD 患者中 SMN 的实施比 UC 患者更常见。SMN 的实践也与 IBD 相关的住院/手术以及与他人（如医生、护士、患者）讨论 IBD 有关。
这项研究的结果表明，在日本，IBD 患者实施 SMN 与积极的 QOL 之间存在关联。
