Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care
Abstract Background Inflammatory bowel disease (IBD), consisting of Crohn's disease (CD) and ulcerative colitis (UC), is a chronic disorder with a considerable negative impact on health-related quality of life (HRQoL). During the past decade, IBD nurse specialists have been increasingly involve...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08985-1 |
| _version_ | 1828083441880530944 |
|---|---|
| author | Line Alvestad Lars-Petter Jelsness-Jørgensen Rasmus Goll Anne Clancy Thomas Gressnes Per Christian Valle Ann Ragnhild Broderstad |
| author_facet | Line Alvestad Lars-Petter Jelsness-Jørgensen Rasmus Goll Anne Clancy Thomas Gressnes Per Christian Valle Ann Ragnhild Broderstad |
| author_sort | Line Alvestad |
| collection | DOAJ |
| description | Abstract Background Inflammatory bowel disease (IBD), consisting of Crohn's disease (CD) and ulcerative colitis (UC), is a chronic disorder with a considerable negative impact on health-related quality of life (HRQoL). During the past decade, IBD nurse specialists have been increasingly involved in follow-up care of IBD outpatients, in a consultative and coordinating role, closely cooperating with gastroenterologists. Whether patients’ HRQoL differs between nurses’ follow-up care (NF) and conventional follow-up care (CF) has not been widely researched and the aim of this study was to compare two different follow-up regimes with respect to patients’ HRQoL. Methods This cross-sectional, multicenter study involved seven centers; five organized as CF, two as NF. Results A total of 304 patients aged 18–80 years, 174 females and 130 males, were included, of whom 140 received care under the NF model and 164 under the CF model. Participants in the NF group had a statistically significant higher median total score on the Inflammatory Bowel Disease Questionnaire (IBDQ) (p-value < .001). This pattern could also be seen in the sub-scores of the different IBDQ domains. Despite a trend of higher IBDQ score in all domains in the NF model, the overall result in our study did not reach the limit of 16 points, defined as clinically significant. A higher proportion of NF patients had IBDQ scores defined as remission, as well as a statistically significant higher frequency of outpatient check-ups during a two-year follow-up period. Conclusions Nurse-led models are not inferior to conventional models with regards to patient reported HRQoL except in the social domain where the model showed to be clinically significant better. Further studies are needed to advance efforts to implement these models and increase access to IBD care. |
| first_indexed | 2024-04-11T04:09:07Z |
| format | Article |
| id | doaj.art-e9b0a3038b914531aac3ac585f656719 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-11T04:09:07Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e9b0a3038b914531aac3ac585f6567192023-01-01T12:16:06ZengBMCBMC Health Services Research1472-69632022-12-012211810.1186/s12913-022-08985-1Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up careLine Alvestad0Lars-Petter Jelsness-Jørgensen1Rasmus Goll2Anne Clancy3Thomas Gressnes4Per Christian Valle5Ann Ragnhild Broderstad6UiT, The Arctic University of NorwayØstfold University CollegeUniversity Hospital of North Norway, UNN HarstadUiT, The Arctic University of NorwayUiT, The Arctic University of NorwayUniversity Hospital of North Norway, UNN HarstadUniversity Hospital of North Norway, UNN HarstadAbstract Background Inflammatory bowel disease (IBD), consisting of Crohn's disease (CD) and ulcerative colitis (UC), is a chronic disorder with a considerable negative impact on health-related quality of life (HRQoL). During the past decade, IBD nurse specialists have been increasingly involved in follow-up care of IBD outpatients, in a consultative and coordinating role, closely cooperating with gastroenterologists. Whether patients’ HRQoL differs between nurses’ follow-up care (NF) and conventional follow-up care (CF) has not been widely researched and the aim of this study was to compare two different follow-up regimes with respect to patients’ HRQoL. Methods This cross-sectional, multicenter study involved seven centers; five organized as CF, two as NF. Results A total of 304 patients aged 18–80 years, 174 females and 130 males, were included, of whom 140 received care under the NF model and 164 under the CF model. Participants in the NF group had a statistically significant higher median total score on the Inflammatory Bowel Disease Questionnaire (IBDQ) (p-value < .001). This pattern could also be seen in the sub-scores of the different IBDQ domains. Despite a trend of higher IBDQ score in all domains in the NF model, the overall result in our study did not reach the limit of 16 points, defined as clinically significant. A higher proportion of NF patients had IBDQ scores defined as remission, as well as a statistically significant higher frequency of outpatient check-ups during a two-year follow-up period. Conclusions Nurse-led models are not inferior to conventional models with regards to patient reported HRQoL except in the social domain where the model showed to be clinically significant better. Further studies are needed to advance efforts to implement these models and increase access to IBD care.https://doi.org/10.1186/s12913-022-08985-1Inflammatory bowel diseaseIBD nurse specialistHealth-related quality of lifeMicro-teamMultidisciplinary teamQuality of Life |
| spellingShingle | Line Alvestad Lars-Petter Jelsness-Jørgensen Rasmus Goll Anne Clancy Thomas Gressnes Per Christian Valle Ann Ragnhild Broderstad Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care BMC Health Services Research Inflammatory bowel disease IBD nurse specialist Health-related quality of life Micro-team Multidisciplinary team Quality of Life |
| title | Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care |
| title_full | Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care |
| title_fullStr | Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care |
| title_full_unstemmed | Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care |
| title_short | Health-related quality of life in inflammatory bowel disease: a comparison of patients receiving nurse-led versus conventional follow-up care |
| title_sort | health related quality of life in inflammatory bowel disease a comparison of patients receiving nurse led versus conventional follow up care |
| topic | Inflammatory bowel disease IBD nurse specialist Health-related quality of life Micro-team Multidisciplinary team Quality of Life |
| url | https://doi.org/10.1186/s12913-022-08985-1 |
| work_keys_str_mv | AT linealvestad healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT larspetterjelsnessjørgensen healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT rasmusgoll healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT anneclancy healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT thomasgressnes healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT perchristianvalle healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare AT annragnhildbroderstad healthrelatedqualityoflifeininflammatoryboweldiseaseacomparisonofpatientsreceivingnurseledversusconventionalfollowupcare |