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N009. The effects of IBD nurse consultations on patient's compliance

A. Hindhede, OUH - Odense University Hospital & Svendborg Hospital, IBD Outpatient Clinic, Nyborg, Denmark

Background

Several patients have in connection with flair ups of their Inflammatory Bowel Disease (IBD) expressed lack of knowledge about their medical treatment given for IBD. Some patients admit that they have not taken all of the prescribed medication.

According to N-ECCO statement 4B: “Further recearch is needed to assess the impact of IBD specialist nursing interventions. To achieve this, the Advanced IBD Nurse needs to participate in and conduct research activities appropiate to their role [EL 5].”

Therefore an investigation of the effect of nurse consultations were conducted at our IBD Outpatient Clinic.

Purpose: To investigate if nurse consultations change compliance for the patients.

Methods

Nine new diagnosed patients with IBD, included from June - September 2013, at IBD outpatient clinic, OUH-Odense University Hospital & Svendborg Hospital, Denmark. The intervention consisted of one nurse consultation lasting 45 minutes.

The patients filled out a questionnaire before the nurse consultation and another within 14 days after the consultation. The questions consisted of knowledge of the patients medical treatment, understanding importance of treatment, if they had any influence in choice of their medicine, how the medicine was taken, if they had any challenges in taking medicine, if the patients thought the nurse could help them with medicine problems, and if the nurse consultation had changed their understanding of how to administer their medicine.

Results

The difference in the answers from the questionnaire before and after the consultation were small, but the trend are consistent positive due to nurse consultations.

The patients do fell informed of their medical treatment after the consultation and they have achieved knowledge of the importance of the medical treatment.

The patients did not feel that they had any influence in choice of their medicine, but after the consultation it changed some patients understanding. The nurse consultation has changed their understanding of how to administer their medicine.

Conclusion

The patients felt positive towards the nurse consultation. After the consultation the patients felt informed of their medical treatment and they achieved knowledge of the medical treatment. The consultation gave them influence in choice of their medicine.