Development and Pilot Testing of the Inflammatory Bowel Disease Nutrition Care Pathway

Hwang, Caroline; Issokson, Kelly; Giguere-Rich, Catherine; Reddy, Swapna; Tinsley, Andrew; Deen, Welmoed K. van; Bray, Harry; Lum, Donald; Aguilar, Humberto; Zisman, Timothy L.; Younes, Ziad; Crate, Damara; Oberai, Ridhima; Weaver, Alandra; Melmed, Gil Y.; Siegel, Corey A.; Hou, Jason K.

doi:10.1016/j.cgh.2020.06.039

Cited by 15 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…e intervention period was 2 weeks. (5) Maintenance stage: at this stage, the patient's self-care behavior has changed, but the speed of change may slow down over time, making it difficult to maintain. At this stage, strengthen the encouragement of patients, encourage and praise patients who have completed the plan well, and guide them to consolidate and maintain established healthy behaviors; those who do not complete the plan help them find problems and provide targeted guidance to help them solve problems, and appropriate psychological support is needed to strengthen their confidence in overcoming the disease and self-management, the intervention time was 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

“…The treatment of IBD is difficult, and the patient's treatment compliance, dietary habits, and self-management ability can all have an important impact on treatment and recurrence [ 4 ]. Some studies have pointed out [ 5 ] that self-care and lifestyle of IBD patients after discharge are of great effect to improve the treatment outcome of patients, which is conducive to improving the quality of life and prognosis of patients. However, some patients lack the awareness of continuous care after discharge, which makes them poor in self-care ability and control of the disease.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Application of Health Education Based on Phased Transition Theory Model in Continuous Nursing for Patients with Inflammatory Bowel Disease

Xiao

Ye²

2022

Emergency Medicine International

View full text Add to dashboard Cite

Objective. To explore the application effect of health education based on phased transition theory model in the continuous nursing for patients with inflammatory bowel disease (IBD). Method. A total of 106 patients with IBD admitted to the hospital were enrolled as the research objects between October 2020 and September 2021. According to random number table method, they were divided into observation group and control group, 53 cases in each group. The control group was given routine nursing, while observation group was additionally given health education based on phased transition theory model. The nutritional status (serum prealbumin (PA), albumin (ALB), body mass index (BMI)), scores of Disease Knowledge Mastery Scale, exercise of self-care agency scale (ESCA), and Inflammatory Bowel Disease Questionnaire (IBDQ) were compared between the two groups before and after intervention. Results. After intervention, PA, ALB, and BMI in observation group were higher than those in control group ( P < 0.05 ), scores of Disease Knowledge Mastery Scale, total mastery rate, scores and total score of ESCA, and scores and total score of IBDQ were significantly higher than those in control group ( P < 0.05 ). Conclusion. The application of health education based on phased transformation theory model in the continuous nursing improves disease knowledge mastery, self-care ability, nutritional status, and quality of life in IBD patients.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of Health Education Based on Phased Transition Theory Model in Continuous Nursing for Patients with Inflammatory Bowel Disease

Xiao

Ye²

2022

Emergency Medicine International

View full text Add to dashboard Cite

show abstract

“…16 Most recently, a modified version of the MUST was included in an IBD nutrition care pathway screening 2388 patients, among which 18% of patients were at high risk for the presence of malnutrition. 17 Importantly, although the proposed screening tools provide easy-to-use measures to identify individuals at risk for malnutrition, they are not to be used solely to define malnutrition. Therefore, continued efforts have been made on an international scale to define malnutrition.…”

Section: Definitions Of Malnutritionmentioning

confidence: 99%

“…The MUST has been validated against the SGA, 15 and in a small study looking at malnutrition in hospitalized elderly patients, higher malnutrition risk as calculated by MUST was correlated with increased length of stay and with increased mortality 16 . Most recently, a modified version of the MUST was included in an IBD nutrition care pathway screening 2388 patients, among which 18% of patients were at high risk for the presence of malnutrition 17 …”

Section: Definitions Of Malnutritionmentioning

confidence: 99%

Nutrition Considerations in Inflammatory Bowel Disease

Lin

Micic

2021

Nut in Clin Prac

View full text Add to dashboard Cite

The purpose of this article is to provide an updated review of the definition, prevalence, causes, and clinical management of malnutrition in inflammatory bowel disease (IBD). Prevalence of malnutrition in IBD is estimated to be between 6.1% and 69.7% depending on the definition used, the type of IBD, the clinical setting, and whether the IBD is active or in remission. Whereas older definitions of malnutrition have been found to be correlated with mortality and length of hospital stay, the more recent European Society for Clinical Nutrition and Metabolism (ESPEN) 2015 and the Global Leadership Initiative on Malnutrition (GLIM) definitions provide significantly different prevalence estimates of malnutrition when applied to the same patient population, and further work is needed to validate these two definitions against clinical outcomes. In patients with IBD with identified malnutrition, oral nutrition supplementation, enteral nutrition, or parenteral nutrition should be started. In malnourished patients with Crohn's disease undergoing surgery, preoperative enteral nutrition has been demonstrated to reduce the rate of postoperative complications. Overall, patients with IBD are at significant risk for malnutrition and should be screened for malnutrition by using a validated screening tool. The management of malnutrition in IBD is complex, and studies are often limited in their size or their ability to demonstrate an improvement in clinical outcomes based on specific nutrition-related interventions. Future studies particularly regarding the validation of new screening tools and perioperative management of malnutrition may provide insight into the standardization of diagnosis and management of malnutrition in IBD.

show abstract

“…The Malnutrition Universal Screening Tool (MUST) is a commonly used and simple 3-step nutritional screening tool validated for health care practitioners in varied clinical settings and patient populations (12,13). Although recommended for use in patient with IBD (14), published experience with this tool in IBD is limited. We observed that key data elements used in the MUST tool are extractable from the electronic medical record (EMR), potentially enabling more efficient identification of patients at increased risk for malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Increased Risk of Hospitalization, Surgery, and Venous Thromboembolism Among Patients With Inflammatory Bowel Disease and Malnutrition in a Large, Community-Based Health Care System

et al. 2023

View full text Add to dashboard Cite

INTRODUCTION: Patients with inflammatory bowel disease (IBD) constitute a high-risk population for malnutrition.Routine screening with standardized tools is recommended but can be challenging. Outcome data specific to IBD are sparse. METHODS:We performed a retrospective cohort study (2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019) and electronically screened a large community-based population with IBD for malnutrition risk by extracting height and longitudinal weight, data elements used in the Malnutrition Universal Screening Tool (MUST). We used Cox proportional hazards regression to evaluate whether an electronic medical record-derived modified MUST malnutrition risk score was associated with IBD-related hospitalization, surgery, and venous thromboembolism. RESULTS:Malnutrition risk was categorized as low in 10,844 patients with IBD (86.5%), medium in 1,135 patients (9.1%), and high in 551 patients (4.4%). In the 1-year follow-up period, medium and high malnutrition risks, compared with low risk, were associated with IBD-related hospitalization (mediumrisk adjusted hazard ratio [aHR] 1.80, 95% confidence interval [CI] 1.34-2.42; high-risk aHR 1.90, 95% CI 1.30-2.78) and IBD-related surgery (medium risk aHR 2.28, 95% CI 1.60-3.26; high risk aHR 2.38, 95% CI 1.52-3.73). Only high malnutrition risk was associated with venous thromboembolism (aHR 2.79, 95% CI 1.33-5.87).

show abstract

Development and Pilot Testing of the Inflammatory Bowel Disease Nutrition Care Pathway

Cited by 15 publications

References 9 publications

Application of Health Education Based on Phased Transition Theory Model in Continuous Nursing for Patients with Inflammatory Bowel Disease

Application of Health Education Based on Phased Transition Theory Model in Continuous Nursing for Patients with Inflammatory Bowel Disease

Nutrition Considerations in Inflammatory Bowel Disease

Increased Risk of Hospitalization, Surgery, and Venous Thromboembolism Among Patients With Inflammatory Bowel Disease and Malnutrition in a Large, Community-Based Health Care System

Contact Info

Product

Resources

About