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      Influence Of Narrative Medicine-Based Health Education Combined With An Online Patient Mutual Assistance Group On The Health Of Patients With Inflammatory Bowel Disease and Arthritis

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          Abstract

          Background

          Inflammatory bowel disease arthritis (IBDA) threatens patients’ physical and mental health. Therefore, patients need not only physical therapy, but also adequate health education and psychological support. This study was designed to explore the effect of health education based on narrative medicine combined with an online patient mutual assistance group that was based on the physical and mental health of patients with IBDA.

          Methods

          A total of 120 patients with IBDA were randomly divided into four groups (30 patients per group). Patients in the control group were given routine health education on the premise of routine treatment. The three treatment groups were given health education based on narrative medicine, online patient mutual assistance group intervention, or combined intervention. Depression, sleep, arthralgia, irritable bowel syndrome (IBS) symptoms, and inflammatory factors were measured and compared before and 1 month after the intervention.

          Results

          Before the intervention, no significant differences were observed in baseline data between the four groups. However, after the intervention, the physical and mental health of patients who received health education based on narrative medicine or online patient mutual assistance groups was improved. Our data showed that patients in the combined intervention group experienced a better outcome.

          Conclusion

          Narrative medicine-based health education combined with an online patient mutual assistance group is beneficial to the physical and mental health of IBDA patients. Taken together, this model needs to be further deepened and popularized in clinical practice.

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          Most cited references38

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          Depression and anxiety in patients with Inflammatory Bowel Disease: A systematic review.

          An increasing number of studies have been conducted to look at anxiety and depression in IBD; however, there is no clear consensus on the prevalence of anxiety and depression in this population. The objective of this systematic review was to compile the existing data on the prevalence of all mood and anxiety disorders in Inflammatory Bowel Disease patients.
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            Psychological stress and corticotropin-releasing hormone increase intestinal permeability in humans by a mast cell-dependent mechanism.

            Intestinal permeability and psychological stress have been implicated in the pathophysiology of IBD and IBS. Studies in animals suggest that stress increases permeability via corticotropin-releasing hormone (CRH)-mediated mast cell activation. Our aim was to investigate the effect of stress on intestinal permeability in humans and its underlying mechanisms.
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              Pain and emotion: a biopsychosocial review of recent research.

              Research on emotion and pain has burgeoned. We review the last decade's literature, focusing on links between emotional processes and persistent pain. Neurobiological research documents the neural processes that distinguish affective from sensory pain dimensions, link emotion and pain, and generate central nervous system pain sensitization. Psychological research demonstrates that greater pain is related to emotional stress and limited emotional awareness, expression, and processing. Social research shows the potential importance of emotional communication, empathy, attachment, and rejection. Emotions are integral to the conceptualization, assessment, and treatment of persistent pain. Research should clarify when to eliminate or attenuate negative emotions, and when to access, experience, and express them. Theory and practice should integrate emotion into cognitive-behavioral models of persistent pain. © 2011 Wiley Periodicals, Inc.
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                Author and article information

                Journal
                Psychol Res Behav Manag
                Psychol Res Behav Manag
                PRBM
                prbm
                Psychology Research and Behavior Management
                Dove
                1179-1578
                07 January 2020
                2020
                : 13
                : 1-10
                Affiliations
                [1 ]Department of Gastroenterology, Huiyang Sanhe Hospital , Huizhou, People’s Republic of China
                [2 ]Department of Orthopedics, Fifth Affiliated Hospital of Guangzhou Medical University , Guangzhou, Guangdong, People’s Republic of China
                [3 ]School of Health Science, Wuhan University , Wuhan, Hubei, People’s Republic of China
                [4 ]College of Humanities and Social Sciences, Harbin Engineering University , Harbin, Heilongjiang, People’s Republic of China
                Author notes
                Correspondence: Ningxi Yang College of Humanities and Social Sciences, Harbin Engineering University , No. 145 Nantong Street, Harbin, Heilongjiang, People’s Republic of ChinaTel +86-18819268616Fax +86 451-82569608 Email yangningxi@bjmu.edu.cn
                [*]

                These authors contributed equally to this work

                Author information
                http://orcid.org/0000-0001-6055-7984
                Article
                213587
                10.2147/PRBM.S213587
                6954847
                32021504
                a9c50430-0a9e-4be5-b876-7cec94cd6222
                © 2020 Zhang et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 26 April 2019
                : 17 September 2019
                Page count
                Figures: 1, Tables: 3, References: 47, Pages: 10
                Funding
                Funded by: Huizhou Science and Technology Project
                The study received a grant from the Huizhou Science and Technology Project (Healthcare; No. 2019Y323) and the Fundamental Research Funds for the Central Universities (HEUCF20181312).
                Categories
                Original Research

                Clinical Psychology & Psychiatry
                ibda,narrative medicine,online patient mutual assistance group,health education

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