Self-Care Among Patients With Inflammatory Bowel Disease

Wickman, Ulrica Lovén; Yngman-Uhlin, Pia; Hjortswang, Henrik; Riegel, Bárbara; Stjernman, Henrik; Frisman, Gunilla Hollman

doi:10.1097/sga.0000000000000120

Cited by 22 publications

(18 citation statements)

References 27 publications

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“…A previous study revealed that physical activity could be useful for mitigating IBD symptoms and that low to medium intensity training had a positive effect on the psychological condition and improved the quality of life. It is necessary to find and evaluate the duration and intensity of physical activity for each individual IBD patient, which will have a positive effect on keeping the disease in remission ( 43 ). There are still no defined guidelines related to physical activity that could be recommended to all IBD patients, even though numerous studies have shown a beneficial and useful effect on the development and course of these diseases.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Daily Physical Activity on the Activity of Inflammatory Bowel Diseases in Therapy-Free Patients

Holik

Včev

Milostić-Srb

et al. 2019

ACC

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SUMMARYIt has been suggested that various environmental factors play a very important role in the etiology of inflammatory bowel diseases (IBDs) and that they have a significant effect on the course of these diseases. The aim of this study was to investigate the effect of daily physical activity on the activity of IBDs in therapy-free patients. This cross-sectional population based study was conducted in eastern Croatia from January to June 2016. The study included 312 patients, mean age 49.9±15.0 years, 53.2% of males and 46.8% of females; there were 63.4% of ulcerative colitis (UC) and 36.6% of Crohn’s disease (CD) patients. Sociodemographic characteristics of patients, data on their daily physical activity and type of therapy taken were collected through a specifically designed and validated questionnaire, while the activity of UC and CD was evaluated using the Mayo index and Harvey-Bradshaw index. The study showed that 24.0% of patients were not taking therapy. Daily physical activity was connected to IBD in study patients when taking both diseases collectively (Fisher exact test; p<0.001), as well as to the inactivity of CD (Fisher exact test; p=0.001) and UC (Fisher exact test; p=0.006), when observing each disease separately. Daily physical activity was connected to the inactivity of IBDs in patients not taking therapy. It is necessary to educate all IBD patients about the importance of physical activity in order to control their disease.

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Section: Discussionmentioning

confidence: 99%

The Effect of Daily Physical Activity on the Activity of Inflammatory Bowel Diseases in Therapy-Free Patients

Holik

Včev

Milostić-Srb

et al. 2019

ACC

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“…Resilient patients used a variety of methods to rebound from IBD. Our participants actively sought disease information [37]. The more knowledge the patients learned is, the easier it is to accept and manage IBD [38].…”

Section: Discussionmentioning

confidence: 99%

“I can fight it!”: A qualitative study of resilience in people with inflammatory bowel disease

Luo

Zheng

Shang

et al. 2019

International Journal of Nursing Sciences

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Objectives This study aimed to understand the resilience experiences in patients with inflammatory bowel disease (IBD) and develop the resilience framework for them. Methods Semistructured interviews were conducted with 15 patients with IBD who were purposefully recruited from the gastroenterology department of two hospitals in Jiangsu, China to gain diversity in the demographic and clinical characteristics. The data were analyzed using a directed content analysis approach based on the Kumpfer's resilience framework. Results The resilience framework for patients with IBD was formed from the analysis. This framework was composed of four themes, as follows: (1) complicated factors in the environment, (2) change the environment into a protective one, (3) personality traits, and (4) resilience-related coping. Conclusions The resilience framework for patients with IBD can effectively characterize the resilience experience of patients during the disease and assist healthcare professionals to understand how patients recover from the disease. More quantitative studies are needed to further explore the influencing factors of resilience and improve resilience in patient with inflammatory Bowel Disease.

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“…Furthermore, studies report that limited dietary guidance is provided to this population . Consequently, patients pursue advice from alternative health practitioners and various sources on the internet, many of which provide conflicting and misinformed dietary and supplement advice . The aim of this study is to describe the food avoidance patterns in IBD outpatients and specifically a) whether restriction is different in active disease versus remission; b) which foods are commonly avoided; and c) where patients obtain dietary information.…”

Section: Exploring Food Avoidance Behaviors In Outpatients With Inflamentioning

confidence: 99%

Nutrition

Marsh

Kinneally

Lord

et al. 2017

J of Gastro and Hepatol

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Introduction: Bariatric surgery (BS) using restrictive and malabsorptive techniques remains the most effective treatment option for morbid obesity. Intestinal failure (IF) and decompensated chronic liver disease (CLD) are rare post-operative complications of BS. We reviewed a cluster of three post-bariatric surgery patients presenting to our center with IF and decompensated CLD to identify perioperative factors that may be associated with these life-threatening complications. Methods: A retrospective review of referrals to our IF unit in 2016 was performed to identify patients with a history of BS. Patient demographics, anthropometry, nutritional indices, liver function and investigations, nutritional management, and outcomes were reviewed. Results: Three of 10 patients who commenced home parenteral nutrition (HPN) at our institute in 2016 presented with IF and decompensated CLD following BS. All patients were female (aged 49-60 years) with co-existing liver failure (two non-alcoholic steatohepatitis [NASH] and one hepatitis C virus [HCV]). All operative procedures were malabsorptive: jejunoileal bypass (n = 2) and biliopancreatic diversion (n = 1). The mean body mass index at surgery was 44 kg/m 2 . Mean time between BS and liver disease diagnosis was 9.6 years; development of decompensated CLD occurred on average 2.3 years later, and referral to our service with rapid weight loss and IF arose on average 2.4 years thereafter. At presentation, patients exhibited severe malnutrition, sarcopenia, and micronutrient deficiencies. Parenteral nutrition and vitamin/mineral supplementation were implemented in each patient. All patients underwent diet modification and medical therapy to enhance enteral absorption, and two of three patients remain HPN-dependent. Postulated mechanisms for decompensated CLD and IF are the following: (i) malabsorption from BS resulted in rapid weight loss and progression to cirrhosis in patients already suffering NASH-or HCV-related liver fibrosis; (ii) the increased energy demands of liver disease precipitated liver decompensation due to malabsorption; and (iii) IF developed as patients were unable to meet their CLD-driven energy demands. Conclusion: IF and decompensated CLD are rare but life-threatening complications of malabsorptive BS. The risk of these complications likely relates to the degree of pre-operative fibrosis. Such patients should be monitored closely post-operatively, as CLD and IF can occur many years after surgery. Management options should be tailored to the severity of CLD and degree of malnutrition. Early diagnosis may avert liver disease progression via "prophylactic" reversal surgery alone in well patients. In malnourished patients with advanced liver disease, total parenteral nutrition followed by reversal surgery may be required. Liver transplant and reversal should only be reserved for those with irreversible liver disease. Background and Aim: The use of home parenteral nutrition (HPN) for patients with intestinal failure (IF) varies widely among countries. Robust...

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Self-Care Among Patients With Inflammatory Bowel Disease

Cited by 22 publications

References 27 publications

The Effect of Daily Physical Activity on the Activity of Inflammatory Bowel Diseases in Therapy-Free Patients

The Effect of Daily Physical Activity on the Activity of Inflammatory Bowel Diseases in Therapy-Free Patients

“I can fight it!”: A qualitative study of resilience in people with inflammatory bowel disease

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