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护士在肠易激综合征管理中的作用:一项叙述性综述

The Role of the Nurse in the Management of Irritable Bowel Syndrome: A Narrative Review.

作者信息

Ruggiero Luigi, Andretta Vincenzo, Soldaini Carlo, Fricano Ivan, Mancusi Marco, Sellitti Annamaria, Vastarella Josephine, Santonicola Antonella

机构信息

Gastrointestinal Unit, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi, SA, Italy.

AOU San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.

出版信息

Transl Med UniSa. 2023 Dec 22;25(1):28-37. doi: 10.37825/2239-9747.1043. eCollection 2023.

DOI:10.37825/2239-9747.1043
PMID:40303480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038828/
Abstract

Irritable bowel syndrome (IBS) is characterized by chronic symptoms of abdominal pain in association with changes in bowel habits. Abdominal pain is the most debilitating symptom for IBS patients, and its management is one of the greatest challenges for gastroenterologists. In recent years more evidence has arisen about an increasingly central role of the nurse in the management of gastrointestinal diseases including IBS. The aim of this narrative review is to analyse the latest evidence on the pathophysiology, diagnosis, and treatment of IBS patients with a specific focus on the role of the nurse in its management.

摘要

肠易激综合征(IBS)的特征是伴有排便习惯改变的慢性腹痛症状。腹痛是IBS患者最使人衰弱的症状,对其进行管理是胃肠病学家面临的最大挑战之一。近年来,越来越多的证据表明护士在包括IBS在内的胃肠道疾病管理中发挥着越来越核心的作用。本叙述性综述的目的是分析IBS患者病理生理学、诊断和治疗的最新证据,特别关注护士在其管理中的作用。

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本文引用的文献

1
Randomised, placebo-controlled trial and meta-analysis show benefit of ondansetron for irritable bowel syndrome with diarrhoea: The TRITON trial.随机、安慰剂对照试验和荟萃分析显示昂丹司琼对腹泻型肠易激综合征有益:TRITON 试验。
Aliment Pharmacol Ther. 2023 Jun;57(11):1258-1271. doi: 10.1111/apt.17426. Epub 2023 Mar 3.
2
Nurse practitioner-delivered cognitive-behavioral treatment as a novel implementation route for irritable bowel syndrome: A proof of concept.护士从业者提供的认知行为治疗作为一种新颖的肠易激综合征实施途径:概念验证。
Neurogastroenterol Motil. 2023 Apr;35(4):e14526. doi: 10.1111/nmo.14526. Epub 2023 Jan 20.
3
Italian guidelines for the management of irritable bowel syndrome: Joint Consensus from the Italian Societies of: Gastroenterology and Endoscopy (SIGE), Neurogastroenterology and Motility (SINGEM), Hospital Gastroenterologists and Endoscopists (AIGO), Digestive Endoscopy (SIED), General Medicine (SIMG), Gastroenterology, Hepatology and Pediatric Nutrition (SIGENP) and Pediatrics (SIP).意大利肠易激综合征管理指南:来自意大利胃肠病学与内镜学会(SIGE)、神经胃肠病学与动力学会(SINGEM)、医院胃肠病学家与内镜医师学会(AIGO)、消化内镜学会(SIED)、普通医学学会(SIMG)、胃肠病学、肝病学与儿科营养学会(SIGENP)以及儿科学会(SIP)的联合共识
Dig Liver Dis. 2023 Feb;55(2):187-207. doi: 10.1016/j.dld.2022.11.015. Epub 2022 Dec 11.
4
Low FODMAP diet reduces gastrointestinal symptoms in irritable bowel syndrome and clinical response could be predicted by symptom severity: A randomized crossover trial.低 FODMAP 饮食可减轻肠易激综合征的胃肠道症状,且临床应答可根据症状严重程度预测:一项随机交叉试验。
Clin Nutr. 2022 Dec;41(12):2792-2800. doi: 10.1016/j.clnu.2022.11.001. Epub 2022 Nov 4.
5
How to Implement the 3-Phase FODMAP Diet Into Gastroenterological Practice.如何将三相FODMAP饮食应用于胃肠病学实践。
J Neurogastroenterol Motil. 2022 Jul 30;28(3):343-356. doi: 10.5056/jnm22035.
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The effect of self-management online modules plus nurse-led support on pain and quality of life among young adults with irritable bowel syndrome: A randomized controlled trial.自我管理在线模块加护士主导支持对年轻成人肠易激综合征疼痛和生活质量的影响:一项随机对照试验。
Int J Nurs Stud. 2022 Aug;132:104278. doi: 10.1016/j.ijnurstu.2022.104278. Epub 2022 Apr 30.
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Association between irritable bowel syndrome and micronutrients: A systematic review.肠易激综合征与微量营养素的相关性:系统综述。
J Gastroenterol Hepatol. 2022 Aug;37(8):1485-1497. doi: 10.1111/jgh.15891. Epub 2022 May 28.
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Efficacy and Acceptability of Dietary Therapies in Non-Constipated Irritable Bowel Syndrome: A Randomized Trial of Traditional Dietary Advice, the Low FODMAP Diet, and the Gluten-Free Diet.非便秘型肠易激综合征的饮食疗法的疗效和可接受性:传统饮食建议、低 FODMAP 饮食和无麸质饮食的随机试验。
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