Format

Send to:

Choose Destination
See comment in PubMed Commons below
Eur J Gastroenterol Hepatol. 2000 Sep;12(9):967-73.

Evaluation of the effectiveness of a specialist nurse in the management of inflammatory bowel disease (IBD).

Author information

  • 1Department of Gastroenterology, Addenbrooke's NHS Trust, Cambridge, UK.

Abstract

OBJECTIVE:

To determine the effect of a specialist nurse on the management outcome of patients with inflammatory bowel disease (IBD).

DESIGN:

Audit of the management of a cohort of patients in the year prior to the employment of the specialist nurse and the year immediately after.

SUBJECTS:

339 patients, both male and female, with either Crohn's disease or ulcerative colitis, resident in the Cambridge health district.

SETTING:

Addenbrooke's Hospital NHS Trust Outpatient Centre.

MAIN OUTCOME MEASURE:

Health status was measured by blood tests (C-reactive protein, albumin and haemoglobin) throughout the year, symptom indices, number of clinic attendances, admissions to hospital and length of stay. Quality of life was measured via a postal questionnaire.

RESULTS:

Hospital visits were reduced from 1377 to 853 (38% reduction) and in-patient length of stay measured in bed-days from 516 to 417 (19% reduction). The number of patients in remission increased from 63 to 69%. Patient satisfaction improved in key areas, in particular, access to information on IBD and advice on avoidance of illness and maintaining health. Of a total of 251 calls to the telephone helpline, only 19 patients were referred for a medical opinion and five patients required hospital admission.

CONCLUSION:

The IBD nurse specialist is a valuable and cost-effective member of the gastroenterology team.

PMID:
11007131
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk