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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

Authors Zhang Y, Pi B, Xu X, Li Y, Chen X, Yang N

Received 26 April 2019

Accepted for publication 17 September 2019

Published 7 January 2020 Volume 2020:13 Pages 1—10

DOI https://doi.org/10.2147/PRBM.S213587

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Mei-chun Cheung


Yin Zhang,1,* Bin Pi,2,* Xianlin Xu,1 Ying Li,3 Xiangfan Chen,3 Ningxi Yang4

1Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, People’s Republic of China; 2Department of Orthopedics, Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China; 3School of Health Science, Wuhan University, Wuhan, Hubei, People’s Republic of China; 4College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Ningxi Yang
College of Humanities and Social Sciences, Harbin Engineering University, No. 145 Nantong Street, Harbin, Heilongjiang, People’s Republic of China
Tel +86-18819268616
Fax +86 451-82569608
Email yangningxi@bjmu.edu.cn

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.

Keywords: IBDA, narrative medicine, online patient mutual assistance group, health education

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