Heitkemper M, Levy R L, Jarrett M, Bond E F
Gastroenterol Nurs. 1995 Nov-Dec;18(6):224-30. doi: 10.1097/00001610-199511000-00006.
Irritable Bowel Syndrome (IBS) is a common problem affecting a significant portion of the U.S. population. Nurses are involved directly in the planning and implementing of therapeutic interventions for this patient population. Using a Human Response Model, the authors of this article review intervention studies for IBS. This model provides a context for integration of Person (vulnerability) and Environment (risk) factors that may modify the patient's response to a given therapeutic regimen. Human responses are categorized as Physiological, Pathophysiological, and Behavioral/Experiential. Interdisciplinary therapeutic strategies include motility manipulations via pharmacological agents, dietary modifications, and self-care enhancement. Areas for nursing research are described.
肠易激综合征(IBS)是一个影响美国相当一部分人口的常见问题。护士直接参与针对这一患者群体的治疗干预措施的规划和实施。本文作者使用人类反应模型回顾了针对IBS的干预研究。该模型为整合可能改变患者对特定治疗方案反应的个体(易感性)和环境(风险)因素提供了背景。人类反应分为生理、病理生理和行为/体验三类。跨学科治疗策略包括通过药物进行运动调节、饮食调整和自我护理强化。文中描述了护理研究的领域。