Evidence-based practice for oral nutrition management of patients with inflammatory bowel disease
10.3760/cma.j.cn115682-20240815-04569
- VernacularTitle:炎症性肠病患者经口营养管理的循证实践
- Author:
Liuyan LIN
1
;
Xiaohong JIANG
;
Li WANG
;
Qili XIAO
;
Yuxuan ZHANG
;
Wenxin WU
;
Huibing CHEN
Author Information
1. 广州中医药大学附属中山中医院肛肠科，中山 528400
- Publication Type:Journal Article
- Keywords:
Inflammatory bowel diseases;
Oral nutrition;
Nutrition management;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(18):2419-2427
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for oral nutrition management of patients with inflammatory bowel disease (IBD) and to evaluate its effectiveness.Methods:From May 2023 to March 2024, IBD patients, the medical and nursing staff in the Department of Proctology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine, were selected as study subjects using convenience sampling method. Evidence-based nursing was used to summarize the best evidence for oral nutrition management of IBD patients, formulate review indicators, develop best evidence-based practice programs for clinical application through status review and barrier factor analysis. Effectiveness was evaluated at the system level, medical and nursing staff level, and patient level.Results:After evidence-based practice, a multidisciplinary management team and management system for oral nutrition was established at the system level. At the medical and nursing staff level, the oral nutrition knowledge score increased from [50.00 (40.00, 60.00) ] to [100.00 (85.00, 100.00) ], with a statistically significant difference ( P<0.01), and the implementation rate of the three review indicators improved from 0 to 100.00%. At the patient level, oral nutrition knowledge and attitude scores improved from [10.00 (8.00, 12.00) ] and [35.00 (31.00, 40.00) ] to [16.00 (16.00, 16.00) ] and [48.00 (45.00, 48.00) ], respectively, with statistically significant differences ( P<0.01), and the implementation rate of each of the review indicators rose above 80.00% except for indicator 6. The patients' nutrition indicators, including body mass index, waist circumference, left upper arm midpoint circumference and left hand grip strength were improved, and the difference was statistically significant ( P<0.05) . Conclusions:The implementation of evidence-based practice programs can improve the standardization of clinical work of healthcare professionals, enhance patients' nutrition knowledge and attitude, and promote their rational dietary behaviors, thus improving their nutrition status and quality of life.
