JIANG Hao,XIE Ziling,DONG Chaoqun.. Summary of best evidence for the self-management in patients with irritable bowel syndrome[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(12): 992-999,1006.
Abstract：Objective: To search, evaluate and summarize the relevant evidence for self-management of patients with irritable bowel syndrome (IBS), so as to provide evidence-based information for clinical healthcare personnel to implement standardized patient self-management. Methods: Based on the “6S” evidence resource pyramid model, the top-down systematical search for evidence on self-management in patients with IBS was done in guideline websites, websites of professional societies, and comprehensive databases from January 2013 to December 2022; the types of literature included guidelines, clinical decisions, evidence summaries,expert consensus, and systematic reviews. Two researchers who were trained in evidence-based methodology independently evaluated the quality of the included literature, and the best evidence was extracted and summarized to form the best evidence. Results: A total of 18 literatures were included, including 8 guidelines, 1 clinical decision, 6 expert consensus, and 3 systematic reviews. Finally, a total of 27 pieces of best evidence were summarized, including 6 aspects of self-management, that is management support, knowledge learning, selfmonitoring,diet management, exercise management, and psychological adjustment. Conclusion: The study summarized the best evidence for self-management in IBS patients, which can provide an evidence-based information for clinical healthcare professionals to more scientifically and effectively guide IBS patients in comprehensive self-management.
