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A Study on the Quality of life of the Patients with Crohn's Disease  

Kim, Yu-Na (Department of Nursing, Samsung Medical Center)
Kim, Kyung-Hee (Department of Nursing. Chung-Ang University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.17, no.4, 2010 , pp. 557-565 More about this Journal
Abstract
Purpose: This study was conducted to investigate the factors influencing the quality of life among the patients with Crohn's disease. Method: Data were collected from 97 Crohn's disease patients between September 17 and October 20 in 2009. The collected data were analyzed by SPSS program. Results: There were significant differences in the participants' quality of life depending on their age, economic status, pain, diarrhea, weight loss, Crohn's disease activity index (CDAI), and use of medications such as antidiarrhotica, steroid, and analgesics. The results also showed the correlations between the participants' qualities of life and thier pain, CDAI, anxiety, depression, perceived health condition, and of body image. Finally, the factors affecting the quality of life in patients with Crohn's disease included anxiety, perceived health state, pain, and CDAI. The explanatory power of these factors was 79.5%. Conclusion: The results imply that controlling the patients' pain and providing emotional support for anxiety reduction are crucial. In a similar vein, tailored nursing interventions considering individual patients' conditions are believed to help the patients positively perceive their disease. A future research, can conduct further investigations of these factors from more diverse perspectives, which is expected to promote more effective nursing strategies for Crohn's disease patients.
Keywords
Patients; Crohn Disease; Quality of Life;
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1 Park, H. J., & Lim, S. Y. (2009). Frequency of irritable bowel syndrome, entrance examination stress, mental health, and quality of life among adolescent women. Journal of Korean Academy of Fundamentals of Nursing, 16, 171-180.   과학기술학회마을
2 Cho, J. S. (1992). The relation between self esteem and adolescents' body image, physical attractiveness, the distortion of body image. Unpublished master's thesis, Busan University, Busan.
3 Chung, K. M., Kim, H. S., Park, S. Y., Lim, S. R., Ryang, D. Y., Jeong, H. K., et al. (2008). The changes in incidence of Crohn's disease and intestinal tuberculosis in Korea. The Korean Journal of Gastroenterology, 52, 351-358.
4 Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 115-159.
5 Cohen, R. D. (2002). The quality of life in patients with Crohn's disease. Alimentary Pharmacology Therapeutics, 16, 1603-1609.   DOI   ScienceOn
6 Edwards, J. T., Radford-Smith, G. L., & Florin, T. H. J. (2001). Chronic narcotic use in inflammatory bowel disease patients: Prevalence and clinical characteristics. Journal of Gastroenterology and Hepatology, 16, 1235-1238.   DOI   ScienceOn
7 Guyatt, G., Mitchell, A., Irvine, E. J., Singer, J., Williams, N., Goodacre, R., et al. (1989). A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology, 96, 804-810.
8 Oh, P. J. (2009). Correlation between mental adjustment to cancer and anxiety. Journal of Korean Oncology Nursing, 9, 23-30.   과학기술학회마을
9 Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depression scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
10 Park, E. S., Kim, S. I., Lee, P. S., Khim, S. Y., Lee, S. J., Park, Y. J., et al. (2001). A structural model based on Pender's model for quality of life of chronic gastric disease. Journal of Korean Academy of Nursing, 31, 107-125.
11 Park, Y. R., & Son, Y. J. (2009). Relationship of satisfaction with appearance, self-esteem, depression, and stress to health related quality of life in women across the lifespan. Journal of Korean Academy of Fundamentals of Nursing, 16, 353-361.   과학기술학회마을
12 Sainsbury, A., & Heatley, R. V. (2005). Review article: Psychosocial factors in the quality of life of patients with inflammatory bowel disease. Alimentary Pharmacology and Therapeutics, 21, 499-508.   DOI   ScienceOn
13 Ye, B. D., Jang, B. I., Jeen, Y. T., Lee, K. M., Kim, J. S., & Yang, S. K. (2009). Diagnostic guideline of Crohn's disease. The Korean Journal of Gastroenterology, 53, 161-176.
14 Shin, I. S. (2005). The factors that influence the quality of life in cancer patients. Unpublished master's thesis, Kyunghee University, Seoul.
15 Timmer, A., Kemptner, D., Takses, A., Klebl, F., & Jockel, K. H. (2009). A survey-based index was validated for measuring disease activity in inflammatory bowel disease. An evaluation study. Journal of Clinical Epidemiology, 62, 771-778.   DOI   ScienceOn
16 Yang, S. K., Yun, S., Kim, J. H., Park, J. Y., Kim, H. Y., Kim, Y. H., et al. (2008). Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: A KASID study. Inflammatory Bowel Diseases, 14, 542-549.   DOI   ScienceOn
17 Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.   DOI   ScienceOn
18 Hashimoto, H., Green, J., Iwao, Y., Sakurai, T., Hibi, T., & Fukuhara, S. (2003). Reliability, validity, and responsiveness of the Japanese version of the Inflammatory Bowel Disease Questionnaire. Journal of Gastroenterology, 38, 1138-1143.   DOI   ScienceOn
19 Irvine, E. J. (1996). Measuring quality of life: A review. Scandinavian Journal of Gastroenterology, 31(suppl 221), 5-7.
20 Kang, H. S. (2008). Related factors on quality of life in male bladder cancer Patients. Unpublished master's thesis, Kosin University, Busan.
21 Kim, K. M. (2004). A study of influencing factors on self-esteem in adolescents. Unpublished master's thesis, Kyunghee University, Seoul.
22 Kim, S. H. (2004). Symptom experience, functional status and overall quality of life in patients with liver cirrhosis. Unpublished master's thesis, Yonsei University, Seoul.
23 Lee, S. H. (2002, April). Digestive diseases and quality of life: Quality of life in inflammatory bowel disease. Paper presented at the meeting of the Korean Society of Gastroenterology, Seoul, Korea.
24 Kim, W. H., Cho, Y. S., Yoo, H. M., Park, I. S., Park, E. C., & Lim, J. G. (1999). Quality of life in Korean patients with inflammatory bowel disease: ulcerative colitis, Crohn's disease and intestinal behcet's diseases. International Journal of Colorectal Disease, 14, 52-57.   DOI   ScienceOn
25 Lawton, M. P., Moss, M., Fulcomer, M., & Kleban, M. H. (1982). A research and service oriented multilevel assessment instrument. Journal of Gerontology, 37, 91-99.   DOI   ScienceOn
26 Lee, P. S. (2008). A study on self-esteem, social support and quality of life in ostomates. Nursing Science, 20(2), 37-49.
27 Lim, S. W. (2003). A study on health-related quality of life among patients with chronic pain. Unpublished master's thesis, Inje University, Gimhae.
28 Mendelson, B. K., & White, D. R. (1982). Relation between body-esteem and self-esteem of obese and normal children. Perceptual and Motor Skills, 54, 899-905.   DOI   ScienceOn
29 Bernklev, T., Jahnsen, J., Aadland, E., Sauar, J., Schulz, T., Lygren, I., et al. (2004). Health-related quality of life in patients with inflammatory bowel disease five years after the initial diagnosis. Scandinavian Journal of Gastroenterology, 39, 365-373.   DOI   ScienceOn
30 Best, W. R., Becktel, J. M., Singleton, J. W., & Kern, F. J. (1976). Development of a Crohn's disease activity index. National cooperative crohn' disease study. Gastroenterology, 70, 439-444.