Said Hyder, Moulton Calum D, Hart Ailsa, Keefer Laurie
Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, United States.
Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, SW7 2AZ, United Kingdom.
J Crohns Colitis. 2026 Feb 1;20(Supplement_2):ii52-ii65. doi: 10.1093/ecco-jcc/jjaf227.
There is a growing body of evidence supporting the value of multidisciplinary teams in delivering comprehensive, holistic care for individuals with inflammatory bowel disease (IBD). Members of this team often include gastroenterologists, psychologists, nurses, dieticians, and other specialists and allied healthcare professionals, each of whom have a significant role in the treatment of IBD and its associated complications. Common symptoms that impact quality of life include persistent abdominal pain, fatigue, urgency, sleep disturbances, and mood disorders. Holistic care models are particularly well-suited to address these challenges, offering targeted symptom-based interventions. Further, holistic care models can modify broader health behaviors that can influence disease activity, such as nutrition, smoking cessation, and stress management. The implementation of holistic care can take various forms, ranging from fully integrated medical homes embedded within IBD centers to partially integrated or community-based programs. Antidepressant medications can help to restore the gut-brain axis, thereby improving mental health and physical symptoms concurrently, and we provide practical guidance in their dosing, side-effect profiles, and appropriate combination therapies. Additionally, digital health technologies have provided diagnostic and therapeutic insights into advancing IBD care, enhancing the delivery of longitudinal, patient-centered care. To improve long-term outcomes and enhance quality of life for individuals with IBD, clinicians and healthcare systems must prioritize the development and integration of holistic, multidisciplinary care models into routine practice.
越来越多的证据支持多学科团队在为炎症性肠病（IBD）患者提供全面、整体护理方面的价值。该团队成员通常包括胃肠病学家、心理学家、护士、营养师以及其他专科医生和相关医疗保健专业人员，他们每个人在IBD及其相关并发症的治疗中都发挥着重要作用。影响生活质量的常见症状包括持续性腹痛、疲劳、便急、睡眠障碍和情绪障碍。整体护理模式特别适合应对这些挑战，提供基于症状的针对性干预措施。此外，整体护理模式可以改变更广泛的健康行为，这些行为会影响疾病活动，如营养、戒烟和压力管理。整体护理的实施可以采取多种形式，从IBD中心内完全整合的医疗之家到部分整合或基于社区的项目。抗抑郁药物有助于恢复肠-脑轴，从而同时改善心理健康和身体症状，我们在其剂量、副作用特征和适当的联合治疗方面提供实用指导。此外，数字健康技术为推进IBD护理提供了诊断和治疗见解，增强了以患者为中心的长期护理服务。为改善IBD患者的长期预后并提高其生活质量，临床医生和医疗保健系统必须优先将整体、多学科护理模式的开发和整合纳入常规实践。
