Application of an ITHBC-Based Self-Management Intervention Program for Inflammatory Bowel Disease Patients

Abstract

To explore the effectiveness of an ITHBC-based self-management intervention program for patients with inflammatory bowel disease (IBD), Eighty IBD patients who visited the Gastroenterology Department of a tertiary hospital in mainland China between July and December 2024 were enrolled. Participants were numbered sequentially based on their admission order and randomly assigned to either the control group (n=40) or the intervention group (n=40) using a random number table. The control group received standardized clinical pathway treatment and routine nursing care, while the experimental group received care based on the IBD self-management intervention protocol. The study compared the effects of these two interventions on patients' self-management capabilities, clinical symptom relief, and readmission rates. Results showed that Pre-intervention scores on the IBD Self-Management Behavior Scale exerted no significant difference between groups (P > 0.05); In Post-intervention, the experimental group demonstrated significantly higher scores than the control group (P < 0.05); Pre-intervention SCS-IBD scores showed no significant difference between groups (P > 0.05); In Post-intervention, trial group SCS-IBD scores were significantly lower than control group scores (P < 0.05). The rehospitalization rate in the intervention group was significantly lower than that in the control group after the intervention (P < 0.05). In Conclusion, the IBD self-management intervention program based on the ITHBC theory not only effectively improved self-management behaviors in IBD patients but also efficiently alleviated clinical symptoms and reduced rehospitalization rates, which fully validated the effectiveness of the theoretical model and provided a reference paradigm for the theoretical construction of subsequent chronic disease intervention programs in the near future.