Ways of acquiring and needs of requiring disease-related knowledge among patients with inflammatory bowel disease / 中华全科医师杂志

Objective@#To survey the ways of acquiring and the needs of requiring disease-related knowledge among patients with inflammatory bowel disease (IBD).@*Methods@#A total of 376 IBD patients visiting the special clinic in the Second Affiliated Hospital of Zhejiang University School of Medicine from May 2013 to March 2016 participated in a questionnaire survey. The self-designed questionnaire included general information, hospital visits and internet use of the IBD patients.@*Results@#Totally 359 valid questionnaires were returned with a recovery rate of 95.5% (359/376). Among the participants there were 226 men and 133 women with a mean age of 41.8 years (14- 88 years); and 199 cases of Crohn disease (55.4%) and 160 cases of ulcerative colitis 44.6%. The main methods of acquiring IBD-related knowledge were information from IBD specialist (77.7%, 279/359) and using the internet (59.3%, 213/359). The most frequently searched itemsin internet werelong-term prognosis (97.2%, 207/213), medical treatment (76.1%, 162/213), etiology (58.2%, 124/213) and nutrition treatment (51.6%, 110/213); 96.6% (347/359) patients showed strong interest in keeping close connection with IBD specialist and 89.0% (319/359) wanted to join a IBD club.@*Conclusion@#IBD patients show strong interest indisease-related knowledge, which they acquire most from the doctors and the internet, IBD specialists are expected to provide the detailed health education for patients.

Multi-disciplinary team for diagnosis and treatment of inflammatory bowel disease / 中华全科医师杂志

Inflammatory bowel disease ( IBD ) is a group of chronic non-specific inflammatory conditions of the intestine with unknown etiology.IBD has variety of intestinal manifestations and complications and there is lack of gold standard for diagnosis, so the disease should be diagnosed on the basis of clinical manifestations, endoscopic findings and histopathological examination.Most patients require surgical treatment and long-term maintenance of medication.Multi-disciplinary team (MDT), consisting of gastroenterologist, general surgeon, anorectal surgeon, nutritionist and psychologist, is needed for individualized treatment of patients.This article introduces the MDT model of diagnosis and treatment, and its application in inflammatory bowel disease.