Effect of Self- Management Instruction on Quality of Life and Pain among Adult Patients with Irritable Bowel Syndrome

Dalia Hafez, Mohamed Adel Elbasiony, Walaa Zahran
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Abstract

: Irritable bowel syndrome is a functional gastrointestinal disorder causing changes in stool frequency or form and abdominal pain. Treatment of irritable bowel syndrome through lifestyle modification plays an essential role in relieving anxiety, tension, alleviating symptoms of irritable bowel syndrome, and improving quality of life. So, the aim was to evaluate the effect of self-management instruction on quality of life and pain among adult patients with irritable bowel syndrome. Subjects & Method, a quasi-experimental research design was applied. 60 patients were divided into two equivalent groups: a study group who attended educational sessions and a control group who received hospital care only. Three tools had been used in this research: tool I: Structured interview that was divided into three parts. Part I: Socio-demographic data, Part II: Living habits data, Part III: Knowledge questionnaire related to irritable bowel syndrome. Tool II: Numerical Pain Rating Scale: to assess pain level, and Tool III: The irritable bowel syndrome-quality of life questionnaire. Results, illustrated there were a significant difference into knowledge level, pain level and quality of life after implementing educational sessions. Conclusion, educational sessions have an important role in improving patients' knowledge, quality of life and reducing pain level. Recommendation, Self management instructions should be applied along with pharmacological therapy for patients with irritable bowel syndrome.
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自我管理指导对成年肠易激综合征患者生活质量和疼痛的影响
:肠易激综合征是一种功能性胃肠道疾病,会导致大便次数或形态改变以及腹痛。通过改变生活方式治疗肠易激综合征对缓解焦虑、紧张,减轻肠易激综合征症状,提高生活质量起着至关重要的作用。因此,本研究旨在评估自我管理指导对成年肠易激综合征患者生活质量和疼痛的影响。研究对象和方法:采用准实验研究设计。60 名患者被分为两组:参加教育课程的研究组和仅接受医院护理的对照组。本研究使用了三种工具:工具一:结构化访谈,分为三个部分。第一部分:社会人口数据;第二部分:生活习惯数据;第三部分:肠易激综合征相关知识问卷。工具二:数字疼痛评分量表:评估疼痛程度;工具三:肠易激综合征生活质量问卷。结果表明,实施教育课程后,知识水平、疼痛程度和生活质量都有显著差异。结论:教育课程对提高患者的知识水平、生活质量和减轻疼痛程度具有重要作用。建议:在对肠易激综合征患者进行药物治疗的同时,还应进行自我管理指导。
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