Effect of educational program on improving psychological status and quality of life among patients with ulcerative colitis

Document Type : Original Article

Authors

1 Lecturer of Psychiatric Nursing, Faculty of Nursing, Menoufia University

2 Lecturer of medical surgical Nursing Faculty of Nursing, Menoufia University

3 Lecturer of Psychiatric Nursing ,Faculty of Nursing, Menoufia University

10.12816/0029247

Abstract

Background: Anxiety and depression rates among inflammatory bowel disease (IBD)
patients are higher than in the general population even in remission (when symptoms are
settled. Previous studies have suggested that the prolonged effect of pain, anxiety, distress
and depression have detrimental effects on quality of life (QoL). Aim of the study: was to
evaluate the effect of educational program on improving psychological status and quality of
life and to determine the relation between psychological status and quality of life among
patients with ulcerative colitis. Subjects & Methods: Research design: A quasiexperimental
research design was used. Setting the study was conducted at medical
department in Menoufia University hospital and Shebin El-kom teaching hospital. Sample a
purposive sample of 50 diagnosed patients were included. Tools of data collection: socio
demographic characteristic structured interview schedule, Quality of life scale, Hospital
anxiety and depression scale and Pre-post knowledge questionnaire. Results: The results
revealed that, 56% were in age group 40-60 years, the majority of studied patients (76%)
were male. 60% had secondary education. There was highly statistically significant difference
between pre and post intervention program regarding depression and anxiety score levels.
Also there were highly statistically significant difference between pre and post intervention
program regarding all dimensions of quality of life .there was highly statically significant
negative relationship between quality of life, depression and anxiety (.000) i.e., when
depression and anxiety increased, quality of life deteriorated Conclusion: Implementation of
educational program have a positive effect on increasing knowledge and improving
psychological status and quality of life level of patients with ulcerative colitis. Also, a negative
relation was found between quality of life and psychological status. Recommendations:
educational program to increasing knowledge and improving psychological status and quality
of life level of patients with ulcerative colitis should be conducted in all health service.

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