Implementation of the recommendations for the psychological management of patients with spondyloarthritis and inflammatory bowel disease

IF 1.2 Q4 RHEUMATOLOGY
Ana Urruticoechea-Arana , Jesús Sanz , Daniel Ginard , Yago González-Lama , Xavier Juanola , Miriam Almirall , Natalia Borruel , Jordi Gratacós , Estíbaliz Loza
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引用次数: 0

Abstract

Objective

To assess and improve the level of implementation of the recommendations for the psychological management of patients with spondyloarthritis (SpA) and associated inflammatory bowel disease (IBD).

Methods

Qualitative study. We performed a narrative literature review to identify the recommendations for the psychological management of SpA and associated IBD and to explore their level of implementation. Based on the findings, we developed a national survey to assess: (1) current level of knowledge and implementation of the recommendations; (2) attitudes towards the recommendations; and (3) barriers and facilitators to their implementation. The results of the review and survey were discussed by a multidisciplinary group of 9 expert rheumatologists and gastroenterologists, who defined implementation strategies to increase the uptake of the recommendations.

Results

The review included 4 articles, 2 of them included direct recommendations on the identification and management of psychological problems in patients with SpA and IBD. None assessed the level of implementation of the recommendations in routine clinical practice. Our survey showed a great lack of awareness and implementation of the recommendations, even though psychological issues are very relevant for health professionals. Lack of time, resources, and knowledge are considered the main barriers to adherence to the recommendations. We propose several implementation strategies related to educational activities, clinical practice, and others to increase the uptake of reported recommendations.

Conclusions

Further research and efforts are required to achieve behaviour changes in clinical practice to improve the identification and management of psychological problems and needs in patients with SpA and IBD.

实施脊柱炎和炎症性肠病患者的心理管理建议
目的评价并提高脊柱炎(SpA)及相关炎症性肠病(IBD)患者心理管理建议的实施水平。MethodsQualitative研究。我们进行了一项叙述性文献综述,以确定SpA和相关IBD的心理管理建议,并探讨其实施水平。基于这些发现,我们开展了一项全国性调查,以评估:(1)目前的知识水平和建议的实施情况;(2)对建议的态度;(3)实施的障碍和促进因素。由9名风湿病专家和胃肠病学专家组成的多学科小组讨论了审查和调查的结果,并制定了实施策略,以提高建议的采纳率。结果共纳入4篇文献,其中2篇文献对SpA合并IBD患者心理问题的识别和处理提出了直接建议。没有人评估这些建议在常规临床实践中的实施水平。我们的调查显示,尽管心理问题与卫生专业人员非常相关,但人们对这些建议的认识和执行情况非常缺乏。缺乏时间、资源和知识被认为是遵守建议的主要障碍。我们提出了一些与教育活动、临床实践和其他相关的实施策略,以增加对报告建议的吸收。结论需要进一步的研究和努力,在临床实践中实现行为改变,以提高SpA和IBD患者心理问题和需求的识别和管理。
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来源期刊
Reumatologia Clinica
Reumatologia Clinica RHEUMATOLOGY-
CiteScore
2.40
自引率
6.70%
发文量
105
审稿时长
54 days
期刊介绍: Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.
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