影响炎症性肠病患者与食物相关的生活质量的因素:系统综述。

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Wenli Zhu, Yan Zhang, Linda Dong-Ling Wang, Jiajia Li, Sicong Hou
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引用次数: 0

摘要

背景:被诊断为炎症性肠病(IBD)的患者由于肠道症状的不确定性,通常会有严重的饮食限制和忌口。饮食摄入不足可能会增加营养不良的风险,并导致与食物相关的生活质量(FRQoL)受损。很少有研究调查影响 IBD 患者 FRQoL 的因素。本研究旨在总结有关 IBD 患者 FRQoL 的现有证据,包括现状、测量工具和相关影响因素:在 PubMed、Embase、CINAHL、PsycInfo、Cochrane Library 等数据库以及最常用的中文数据库(CNKI、万方和 CBM)中进行了全面的文献检索。研究纳入了 2015 年 1 月至 2023 年 12 月间发表的有关 IBD 患者 FRQoL 的研究。采用乔安娜-布里格斯研究所(Joanna Briggs Institute,JBI)的批判性评估清单对所选研究的方法学质量进行评估:最后,只有五项研究符合纳入标准,其中包括三项横断面研究和两项病例对照研究。食物相关生活质量-29 量表(FR-QoL-29)的总核心分为 145 分,是测量 IBD 患者食物相关生活质量的最常用工具。成年 IBD 患者的 FRQoL 平均得分介于 69.9 分至 102.3 分之间,儿童患者的 FRQoL 平均得分介于 94.3 分之间。与 FRQoL 相关的因素多种多样,包括社会人口、临床、心理、饮食相关和营养摄入等因素:IBD患者FRQoL的主要影响因素包括疾病活动状态、严重症状、IBD手术史、负面情绪反应和限制性饮食行为。临床医生应与营养师合作,密切关注疾病状态、营养摄入和限制性饮食习惯,评估 IBD 患者的 FRQoL,并为其提供个性化的饮食建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors influencing food-related quality of life in patients with inflammatory bowel disease: A systematic review.

Background: People diagnosed with Inflammatory bowel disease (IBD) often have severe dietary restrictions and avoidance due to the uncertainty of intestinal symptoms. Inadequate dietary intake may increase the risk of malnutrition and result in impaired food-related quality of life (FRQoL). Few studies investigated factors influencing FRQoL in patients with IBD. This study aimed to synthesize the existing evidence regarding FRQoL among patients with IBD, including the current situation, measurement instruments, and related influencing factors.

Method: The comprehensive literature search was conducted in databases including PubMed, Embase, CINAHL, PsycInfo, Cochrane Library, as well as the most commonly used Chinese databases (CNKI, Wanfang and CBM). Studies published between January 2015 and December 2023 on FRQoL in patients with IBD were included. The Joanna Briggs Institute (JBI) critical appraisal checklist was utilized to evaluate the methodological quality of the selected studies.

Results: Finally, only five studies met the inclusion criteria were reviewed, including three cross-sectional studies and two case-control studies. The Food-related quality of life-29 Scale (FR-QoL-29) with a total core of 145 was the most used instrument measuring FRQoL in patients with IBD. The mean scores of FRQoL ranged from 69.9 to 102.3 in adult patients with IBD and 94.3 in children. A diverse range of factors were associated with FRQoL, including socio-demographic, clinical, psychological, diet-related, and nutrient intake factors.

Conclusions: The main influencing factors of FRQoL among patients with IBD included disease activity status, severe symptoms, history of IBD surgery, negative emotion reaction, and restrictive eating behaviour. Clinicians should work in concert with dietitians, keeping an eye on the disease status, nutrition intake, and restrictive eating habits, assessing FRQoL and providing personalized dietary recommendation for the patients with IBD.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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