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Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Nurs+Scholarsh 2016 ; 48 (2): 118-27 Nephropedia Template TP
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A Systematic Review of Self-Management Interventions for Inflammatory Bowel Disease #MMPMID26756193
Conley S; Redeker N
J Nurs Scholarsh 2016[Mar]; 48 (2): 118-27 PMID26756193show ga
Purpose: To conduct a systematic review of self-management interventions for adults with inflammatory bowel disease (IBD) to (a) describe self-management skills in the interventions and (b) describe the effects of the interventions on the health-related outcomes measured. Design: Systematic review of self-management interventions for adults with IBD using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Methods: The search was conducted using Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and Proquest databases. Search terms were inflammatory bowel disease OR Crohn* disease OR ulcerative colitis AND self-management. We also used additional limits (adults ?18 years of age and published in English). The self-management skills were organized according to Lorig and Holman?s five self-management skills. Findings: Six reports met the inclusion criteria. One intervention contained all five of the self-management skills. Most interventions contained two skills. Four studies demonstrated positive effects of self-management on disease activity. Two interventions revealed positive effects on disease-specific health-related quality of life (HRQOL), and one intervention revealed positive effects on generic HRQOL. One study showed positive effects of symptoms. Conclusions: The interventions reviewed varied in the approaches, theoretical perspectives, self-management skills, and outcomes measured. Additional research is needed to understand which are the active components of self-management. Clinical Relevance: Support for self-management skills is an important component of nursing care for people with IBD.