Health-related quality of life among inflammatory bowel disease patients
Keywords:
Quality of Life, Inflammatory Bowel DiseaseAbstract
Background: Inflammatory bowel disease (IBD) is a group of chronic disorders: Crohn’s disease and ulcerative colitis that result in inflammation or ulceration (or both) of the bowel. Both disorders have striking similarities but also several differences. Approximately 10% to 15% of patients with IBD have characteristics of both disorders and cannot be definitively diagnosed with either disorder and are classified as having indeterminate colitis. The prevalence of IBD in the United States has increased in the past century; it is estimated that 1.3% of adults are diagnosed with IBD (CDC, 2019).
Aim: Study aims to assess health-related quality of life among Inflammatory Bowel Disease patients.
Methodology: A descriptive study design was conducted at Al-Najaf city in the southern region of Iraq in Al-Najaf Al-Ashraf Health Directorate/ Specialized Hospital for Gastrointestinal and Liver Disease and Surgery from February 20th, 2023, to May 21th, 2023, in order to assess Health-related quality of life among Inflammatory Bowel Disease patients. The methodological strategies for data collection used an assessment questionnaire survey
Results: As the study shows, that the total health-related quality of life of patients with inflammatory bowel disease is moderate.
Conclusion: The study concludes that the level of health-related quality of life for patients who suffer from inflammatory bowel disease is less than the ideal, in addition, patients' age affect their health-related quality of life.
Recommendations: Further research should be carried out to improve and explore effective methods to improve the health-related quality of life for patients with inflammatory bowel disease, besides, since the nurses still with the patients 24 hours daily, the health management should be activated and to increase nurse's roles in health education process that improve the patients' knowledge regarding improving their quality of life.
References
Agrawal M, Cohen-Mekelburg S, Kayal M, Axelrad J, Galati J, Tricomi B, et al. Disability in inflammatory bowel disease patients is associated with race, ethnicity and socio-economic factors. Alimentary Pharmacology and Therapeutics. 2019;49(5):564-571. https://doi.org/10.1111/apt.15107.
Barello S, Guida E, Leone S, Previtali E, Graffigna G. Does patient engagement affect IBD patients’ health-related quality of life? Findings from a cross-sectional study among people with inflammatory bowel diseases. Health and Quality of Life Outcomes. 2021;19(1):1-9. https://doi.org/10.1186/s12955-021-01724-w
Cohen BL, Zoëga H, Shah SA, Leleiko N, Lidofsky S, Bright R, et al. Fatigue is highly associated with poor health-related quality of life, disability and depression in newly-diagnosed patients with inflammatory bowel disease, independent of disease activity. Alimentary Pharmacology and Therapeutics. 2014;39(8):811-822. https://doi.org/10.1111/apt.12659
Hanlin F, Kaminga AC, Peng Y, Feng T, Wang T, Wu X, et al. Associations between disease activity, social support and health-related quality of life in patients with inflammatory bowel diseases: The mediating role of psychological symptoms. BMC Gastroenterology. 2020;20(1):1-8. https://doi.org/10.1186/s12876-020-1166-y
Iglesias-Rey M, Barreiro-De Acosta M, Caamaño-Isorna F, Rodríguez IV, Ferreiro R, Lindkvist B, et al. Psychological factors are associated with changes in the health-related quality of life in inflammatory bowel disease. Inflammatory Bowel Diseases. 2014;20(1):92-102. https://doi.org/10.1097/01.MIB.0000436955.78220.bc
Janice L Hinkle, Kerry H Cheever, Kristen J Overbaugh. No TitleSUDDARTH’S, BRUNNER & OF, TEXTBOOK Medical-Surgical Nursing. In wolters kuwer (15th editi, Vol. 15th, Issue 3729), 2022.
Kalafateli M, Triantos C, Theocharis G, Giannakopoulou D, Koutroumpakis E, Chronis A, et al. Health-related quality of life in patients with inflammatory bowel disease: a single-center experience, 2013, 243-248.
Kitahata S, Furukawa S, Miyake T, Shiraishi K, Tange K, Hashimoto Y, et al. Association between socioeconomic status and mucosal healing in Japanese patients with ulcerative colitis: A cross-sectional study. BMJ Open Gastroenterology. 2022;9(1):1-7. https://doi.org/10.1136/bmjgast-2022-001000
Knowles SR, Keefer L, Wilding H, Hewitt C, Graff LA, Mikocka-Walus A. Quality of Life in Inflammatory Bowel Disease: A Systematic Review and Meta-analyses - Part II. Inflammatory Bowel Diseases. 2018;24(5):966-976. https://doi.org/10.1093/ibd/izy015
Lovén Wickman U, Yngman-Uhlin P, Hjortswang H, Riegel B, Stjernman H, Hollman Frisman G. Self-Care among Patients with Inflammatory Bowel Disease. Gastroenterology Nursing. 2016;39(2):121-128. https://doi.org/10.1097/SGA.0000000000000120
Luo D, Zhou M, Sun L, Lin Z, Bian Q, Liu M, et al. Resilience as a Mediator of the Association Between Perceived Stigma and Quality of Life Among People with Inflammatory Bowel Disease. Frontiers in Psychiatry. 2021;12(August):1-10. https://doi.org/10.3389/fpsyt.2021.709295
Matos R, Lencastre L, Rocha V, Torres S, Vieira F, Barbosa MR, et al. Quality of life in patients with inflammatory bowel disease: the role of positive psychological factors. Health Psychology and Behavioral Medicine. 2021;9(1):989-1005. https://doi.org/10.1080/21642850.2021.2007098
Mitropoulou MA, Fradelos EC, Lee KY, Malli F, Tsaras K, Christodoulou NG, et al. Quality of Life in Patients With Inflammatory Bowel Disease: Importance of Psychological Symptoms. Cureus, 2022, 14(8). https://doi.org/10.7759/cureus.28502
Moradkhani A, Beckman LJ, Tabibian JH. Health-related quality of life in inflammatory bowel disease: Psychosocial, clinical, socioeconomic, and demographic predictors. Journal of Crohn’s and Colitis. 2013;7(6):467-473. https://doi.org/10.1016/j.crohns.2012.07.012
Pallis AG, Vlachonikolis IG, Mouzas IA. Assessing health-related quality of life in patients with inflammatory bowel disease, in Crete, Greece. BMC Gastroenterology. 2012;2:4-11. https://doi.org/10.1186/1471-230X-2-1
Xu Y, Liu T, Jiang Y, Zhao X, Meng F, Xu G, et al. Psychosocial Adaptation Among Inflammatory Bowel Disease Patients and Associated Factors: A Cross-Sectional Study. Psychology Research and Behavior Management. 2022;15(August):2157-2167. https://doi.org/10.2147/PRBM.S376254
Zhang CK, Hewett J, Hemming J, Grant T, Zhao H, Abraham C, et al. The influence of depression on quality of life in patients with inflammatory bowel disease. Inflammatory Bowel Diseases. 2013;19(8):1732-1739. https://doi.org/10.1097/MIB.0b013e318281f395.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Muntadher Salah Alnaffakh, Hawra'a Ghannam Alnassar, Mahmoud Azeez Alkindy, Ali Naji Mousa Al-Nejm
This work is licensed under a Creative Commons Attribution 4.0 International License.