Tampere University, Finland.
Etelä-Pohjanmaa Hospital District, Finland.
Scand J Gastroenterol. 2024 Jan-Jun;59(2):164-168. doi: 10.1080/00365521.2023.2276654. Epub 2024 Jan 30.
Inflammatory bowel disease (IBD) nursing has been identified as a crucial component in the IBD service delivery. This article aims to provide a comprehensive overview of the state of IBD nursing care in Finland, and to identify areas that would benefit from further research.
Tertiary IBD outpatient clinics nationwide were invited to participate in a cross-sectional descriptive study conducted using an electronic survey. The quality of IBD nursing services was assessed using the Nursing Care Quality in IBD (NCQ-IBD) evaluation tool.
Of the 34 identified clinics, 27 participated (79.4%) in the study. The NCQ-IBD tool classifies the clinics in four categories, where A indicates the highest level of quality, and D the lowest. In this study, 26 clinics (96.3%) were classified at level C, and one clinic (3.7%) at level D. Nursing responsibilities in IBD management and informing the patients were at a high level of quality, whereas nursing research in IBD was at a low level. An IBD database (i.e. clinical IBD registry) was in use only in 10 clinics. Although training in the clinical aspects of IBD was readily available, there was a lack of training plans for IBD, and clinics seldom held an annual review of the IBD nursing activities and outcomes. There were very few clinics using structured indices and questionnaires, and only 16 clinics (59.3%) applied a written IBD protocol.
In the Finnish IBD nursing service, as measured with the NCQ-IBD tool, several areas for future improvement were identified.
文章目的：炎症性肠病（IBD）护理已被确定为 IBD 服务提供的重要组成部分。本文旨在全面概述芬兰的 IBD 护理状况，并确定需要进一步研究的领域。
材料与方法：全国性的三级 IBD 门诊诊所受邀参与了一项使用电子调查进行的横断面描述性研究。使用护理在炎症性肠病中的质量评估（NCQ-IBD）评估工具评估 IBD 护理服务的质量。
结果：在确定的 34 个诊所中，有 27 个（79.4%）参与了研究。NCQ-IBD 工具将诊所分为四个类别，其中 A 表示质量最高，D 表示质量最低。在本研究中，26 个诊所（96.3%）被归类为 C 级，1 个诊所（3.7%）为 D 级。IBD 管理和告知患者的护理职责具有较高的质量水平，而 IBD 护理研究则处于较低水平。仅 10 个诊所使用了 IBD 数据库（即临床 IBD 登记处）。尽管 IBD 的临床方面的培训很容易获得，但缺乏 IBD 培训计划，而且诊所很少对 IBD 护理活动和结果进行年度审查。很少有诊所使用结构化指标和问卷，只有 16 个诊所（59.3%）应用了书面 IBD 方案。
结论：根据 NCQ-IBD 工具衡量，芬兰的 IBD 护理服务存在几个需要改进的领域。
