Vernon-Roberts Angharad, Blay Lucy, Day Andrew S
Department of Paediatrics, University of Otago, Riccarton Avenue, Christchurch, 8011, New Zealand.
Dig Dis Sci. 2024 Feb;69(2):410-418. doi: 10.1007/s10620-023-08191-x. Epub 2023 Dec 12.
Inflammatory Bowel Disease (IBD) is one of the most serious chronic diseases affecting the global population. Clinical team members involved in the care of individuals with IBD should have sufficient knowledge about IBD.
The study aim was to assess IBD knowledge among four health care professional groups in New Zealand: nurses, medical students, dietitians, and pharmacists.
All four groups completed surveys on demographics, work experience, and contact with patients with IBD. All completed a validated IBD knowledge assessment questionnaire (IBD-KID2), and percentage scores with standard deviation (SD) for each group calculated and compared.
Participants included 200 nurses, 196 medical students, 45 dietitians, and 28 pharmacists. Mean IBD-KID2 percentage scores were nurses 69.7% (SD 14.7), medical students 77.6% (SD 14.5), dietitians 87.4% (SD 8.3), and pharmacists 83.4% (SD 10.1). Nurses scored lower than other HCP (P < 0.001). Independent variables were associated (P < 0.05) with higher scores for nurses having first degree relative with IBD, access to IBD guidelines, worked with children with IBD; medical students in their clinical years of study; and dietitians with IBD-specific education. Specific items scored poorly: growth, food triggers, heritability of IBD, and nutrient absorption.
Knowledge gaps exist among HCP that may be addressed with targeted education. Improvements in the knowledge of those caring for people with IBD may optimize patient outcomes.
炎症性肠病(IBD)是影响全球人口的最严重的慢性疾病之一。参与IBD患者护理的临床团队成员应具备足够的IBD相关知识。
本研究旨在评估新西兰四个医疗专业群体(护士、医学生、营养师和药剂师)的IBD知识水平。
所有四个群体都完成了关于人口统计学、工作经验以及与IBD患者接触情况的调查。所有人都完成了一份经过验证的IBD知识评估问卷(IBD-KID2),并计算和比较了每个群体的百分比得分及标准差(SD)。
参与者包括200名护士、196名医学生、45名营养师和28名药剂师。IBD-KID2的平均百分比得分分别为:护士69.7%(标准差14.7),医学生77.6%(标准差14.5),营养师87.4%(标准差8.3),药剂师83.4%(标准差10.1)。护士的得分低于其他医疗保健专业人员(P < 0.001)。自变量与以下因素的较高得分相关(P < 0.05):有IBD一级亲属的护士、可获取IBD指南、曾与IBD儿童患者共事;处于临床学习阶段的医学生;以及接受过IBD特定教育的营养师。特定项目得分较低:生长发育、食物诱发因素、IBD的遗传易感性和营养吸收。
医疗保健专业人员中存在知识差距,可通过针对性教育来解决。提高IBD患者护理人员的知识水平可能会优化患者治疗效果。