Impact of a nurse‐led counselling service on quality of life in patients with inflammatory bowel disease

Abstract

Health related quality of life can be improved over 6 months by provision of a nurse led counselling service but the effects are not sustained for 12 months.

Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis

“…Of these, a further 32 were excluded for various reasons leaving 14 studies eligible for data extraction. [23][24][25][26][27][28][29][30][31][32][33][40][41][42] Agreement between reviewers for eligibility assessment was excellent (Kappa statistic = 0.91). Detailed study characteristics are provided in Table 1, and risk of bias across all studies is reported in page 1 of the webappendix.…”

“…[23][24][25][26][27][28][29]32,33,[40][41][42] . Four of these presented data in patients with CD, 25,32,40,42 four in patients with UC, 27,28,40,41 and five in patients with IBD. 23,24,26,29,33 Results from all analyses in patients with quiescent IBD are summarised in Table 2.…”

“…Six RCTs assessed impact on disease activity indices in CD, 23,24,26,32,33,40 and seven in UC. 23,24,26,27,33,40,41 .…”

“…Six RCTs assessed impact on disease activity indices in CD, 23,24,26,32,33,40 and seven in UC. 23,24,26,27,33,40,41 . There was no significant difference in disease activity indices among those treated with psychological therapy, compared with those in the control group, at the final point of follow-up (SMD = -0.03; 95% CI -0.20 to 0.14) (Figure 3), with no evidence of heterogeneity between studies (I 2 = 0%, P = 0.87).…”

“…Five studies provided data on the effect of psychological therapy on anxiety scores in IBD at the end of therapy, 23,24,33,40,41 and five at the final point of follow-up. 23,24,32,33,40 At completion of therapy, when data were pooled from a total of 504 patients, there was no effect of psychological therapies on anxiety scores (SMD = -0.14; 95% CI -0.33 to 0.04) (webappendix pg.…”