Mercuri Caterina, Giordano Vincenza, Bosco Vincenzo, Serra Nicola, Spagnuolo Rocco, Nocerino Rita, Rea Teresa, Colaci Carmen, Guillari Assunta, Doldo Patrizia, Simeone Silvio
Department of Clinical and Experimental Medicine, University of Catanzaro MagnaGraecia, 88100 Catanzaro, Italy.
Cardarelli Hospital, 80131 Naples, Italy.
Healthcare (Basel). 2024 Dec 16;12(24):2538. doi: 10.3390/healthcare12242538.
Inflammatory bowel disease (IBD), encompassing ulcerative colitis and Crohn's disease, is a heterogeneous chronic condition characterized by periods of relapse and remission. Ulcerative colitis involves inflammation of the colon and rectum mucosa, while Crohn's disease causes deeper, transmural inflammation affecting all four gut layers from the mouth to the anus and can lead to complications such as fistulation. IBD significantly impacts patients' physical and psychological well-being, thus reducing their quality of life (QoL). We aimed to evaluate the effectiveness of nursing intervention facilitated through telephone and email support in improving the quality of life (QoL) of Inflammatory Bowel Disease (IBD) patients.
A pilot comparative observational design with pre-test and post-test assessments was employed, involving 50 participants assigned to either an intervention group (Group A, n = 26) or a control group (Group B, n = 24). Group A received regular telephone consultations and prompt email responses from trained nurses; Group B received standard care. Data were collected at baseline and six months post-intervention (T1) using the Patient-Reported Outcomes Measurement Information System (PROMIS) and Pittsburgh Sleep Quality Index.
Group A showed significant improvements in anxiety, depression, fatigue, and sleep quality, with -values indicating the significance of these findings.
Tailored nursing support via remote communication significantly benefits IBD patients by alleviating psychological distress and enhancing their overall well-being, underscoring the importance of integrating such interventions into standard IBD care practices.
炎症性肠病（IBD）包括溃疡性结肠炎和克罗恩病，是一种异质性慢性病，其特征为病情有复发和缓解期。溃疡性结肠炎累及结肠和直肠黏膜的炎症，而克罗恩病会导致更深层的透壁性炎症，影响从口腔到肛门的所有四层肠道组织，并可能引发诸如形成瘘管等并发症。IBD对患者的身心健康有显著影响，从而降低他们的生活质量（QoL）。我们旨在评估通过电话和电子邮件支持提供的护理干预对改善炎症性肠病（IBD）患者生活质量（QoL）的有效性。
采用一项带有预测试和后测试评估的试点比较观察性设计，50名参与者被分配到干预组（A组，n = 26）或对照组（B组，n = 24）。A组接受来自经过培训的护士的定期电话咨询和及时的电子邮件回复；B组接受标准护理。在基线期和干预后六个月（T1）使用患者报告结局测量信息系统（PROMIS）和匹兹堡睡眠质量指数收集数据。
A组在焦虑、抑郁、疲劳和睡眠质量方面有显著改善，-值表明了这些结果的显著性。
通过远程通信提供的个性化护理支持通过减轻心理困扰和提高整体幸福感，使IBD患者显著受益，突出了将此类干预措施纳入标准IBD护理实践的重要性。
