关键词: 炎症性肠病；克罗恩病；溃疡性结肠炎；青少年；成年初期；自我管理；循证护理学

Abstract: Objective: To evaluate and summarize the evidence related to self-management interventions for adolescents with Inflammatory Bowel Disease (IBD) with the aim of providing a basis for clinical practice. Methods: A systematic search was conducted for domestic and international guidelines, clinical decisions, expert consensus, recommended practices, evidence summaries, systematic reviews, and randomized controlled trials, on improving self-management in adolescents with IBD, and the quality of the included literature was evaluated and evidence was extracted, the content of the evidence was refined and the strength of the evidence recommendation was determined through an expert meeting. Results: Totally 21 literatures were included, including 4 guidelines, 2 clinical decisions, 4 expert consensus, 8 systematic reviews, 3 randomized controlled studies, and 31 pieces of evidence were summarized in 4 areas: principles of intervention, role management, disease management, and psychological management. Conclusion: The evidence for self-management interventions for adolescents with IBD summarized in this study can help clinical providers take a comprehensive and effective approach to improving their ability of self-management.

Key words: Inflammatory Bowel Disease; Crohn's disease; colitis, ulcerative; adolescent; emerging adulthood; self-management; evidence-based nursing