Clinical characteristics and nursing diagnoses of pediatric patients hospitalized with inflammatory bowel disease: a single-center retrospective study in South Korea.

Sung-Yoon Jo, Kyung-Sook Bang
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Abstract

Purpose: This study aimed to identify clinical characteristics of South Korean pediatric inflammatory bowel disease (IBD) in a children's hospital over the past 5 years, with a specific focus on comparing the features observed between Crohn's disease (CD) and ulcerative colitis (UC). Additionally, it aimed to examine the nursing diagnoses given to patients.

Methods: This retrospective study analyzed the medical records of Korean pediatric patients under 18 years of age who were diagnosed with IBD and hospitalized at a children's hospital in Seoul, South Korea, from January 2017 to December 2021.

Results: The number of pediatric patients diagnosed with IBD steadily increased. This finding was particularly prominent for CD patients, the majority of whom were male. Pediatric patients with CD had significantly higher rates of abdominal pain and perianal lesions, while pediatric patients with UC had a higher rate of bloody stool. Laboratory findings indicated that CD patients had higher levels of inflammatory markers and lower albumin levels than UC patients. The nursing diagnoses given during hospitalization mostly related to safety and protection, physical comfort, and gastrointestinal function.

Conclusion: This study provides insights into Korean pediatric IBD patients, enabling early detection and the development of nursing intervention strategies. From a comprehensive perspective, nursing care should not only address patients' physical needs but also their psychosocial needs.

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韩国儿童炎症性肠病住院患者的临床特点和护理诊断:一项单中心回顾性研究
目的:本研究旨在确定韩国儿童医院过去5年儿童炎症性肠病(IBD)的临床特征,特别关注克罗恩病(CD)和溃疡性结肠炎(UC)的特征比较。此外,本研究旨在探讨给予病人的护理诊断。方法:本回顾性研究分析了2017年1月至2021年12月在韩国首尔一家儿童医院诊断为IBD并住院的18岁以下韩国儿科患者的医疗记录。结果:诊断为IBD的儿科患者数量稳步增加。这一发现在乳糜泻患者中尤为突出,其中大多数为男性。患有乳糜泻的儿童患者腹痛和肛周病变的发生率明显更高,而患有UC的儿童患者则有更高的便血发生率。实验室结果表明,乳糜泻患者的炎症标志物水平高于UC患者,白蛋白水平低于UC患者。住院期间的护理诊断多与安全防护、身体舒适、胃肠功能有关。结论:本研究为韩国儿童IBD患者提供了见解,有助于早期发现和制定护理干预策略。从综合的角度来看,护理不仅要满足患者的身体需求,还要满足患者的社会心理需求。
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来源期刊
Child Health Nursing Research
Child Health Nursing Research Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
7 weeks
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