ORIGINAL PAPER
Assessment of the level of knowledge of patients from selected Warsaw hospitals about Crohn’s disease
More details
Hide details
Publication date: 2013-10-25
Medical Studies 2013;29(3):219-224
KEYWORDS
ABSTRACT
Introduction: Crohn’s disease constitutes one of the most serious diagnostic-therapeutic problems of contemporary gastroenterology and appropriate lifestyle may prevent symptoms of this disease.
Aim of the research: To assess the level of patient knowledge of Crohn’s disease.
Material and methods: The study enrolled 100 patients from three Warsaw hospitals (53 women). Mean age of the study population was 34.6 years (min. 18, max. 60; SD = 5.690). The voluntary and anonymous questionnaire study used a questionnaire developed by the authors (32 questions). Statistical analysis of the study results was carried out in the StatSoft Statistica 10.0 program, using the Mann-Whitney U test. The significance level was established at p < 0.05.
Results: The study group of patients had basic knowledge of Crohn’s disease. A majority of the study participants (over 60%) knew the key factors responsible for the development of non-specific inflammatory bowel disease, 64% of them knew the effects of immunosuppressive therapy, and 77% of the patients correctly indicated the group of drugs used in the therapy; however, detailed knowledge of the disease significant for further treatment and its influence on the quality of life was insufficient and required supplementation. Differences among women and men were statistically insignificant (p = NS).
Conclusions: Studies on patient knowledge of Crohn’s disease are rarely published in Polish and world scientific literature and therefore there is a need for continuation of studies. Detailed knowledge of patients about Crohn’s disease was insufficient. Therefore, information campaigns and actions as well as continuous education of patients performed by members of interdisciplinary therapeutic teams are justified. The level of knowledge of Crohn’s disease is not gender-related. The study results may be used in practice for development of educational programmes for patients with this disease.
REFERENCES (30)
1.
Bartnik W. Wytyczne postępowania w nieswoistych chorobach zapalnych jelit. Prz Gastroenterol 2007; 2: 215–229.
2.
Kosiarska M, Łapińska J, Siemianów-Wejchert J. Objawy pozajelitowe nieswoistych zapaleń jelit. Gastroenterol Pol 2009; 16: 475–480.
3.
Wyszykowski M, Rydzewska G. Nadzór endoskopowy w nieswoistych chorobach zapalnych jelit. Prz Gastroenterol 2011; 6: 279–283.
4.
Kosiara M, Łapińska J, Siamianów-Wejchert J. Objawy pozajelitowe nieswoistych zapaleń jelit. Gastroenterol Pol 2009; 16: 475–480.
5.
Paradowska A. Oral mucosa at Crohn’s disease. Gastroenterol Pol 2009; 15: 309–311.
6.
Radwan P, Radwan-Kwiatek K, Skrzydło-Radomańska B. Niedokrwistość w nieswoistych zapaleniach jelit – etiopatogeneza, rozpoznawanie i leczenie. Prz Gastroenterol 2010; 5: 315–320.
7.
Neubauer K, Paradowski L. Leczenie podtrzymujące remisję w nieswoistych zapaleniach jelit. Gastroenterol Pol 2010; 17: 129–132.
8.
Paradowski L, Neubauer K, Reszczyńska M. Zmiany w konsensusie ECCO 2010 dotyczącym postępowania w chorobie Leśniowskiego-Crohna. Gastroenterol Pol 2010; 17: 123–126.
9.
Kargulewicz A, Stankowiak-Kulpa H. Rola leczenia żywieniowego w chorobie Leśniowskiego-Crohna. Gastroenterol Pol 2010; 4: 234–245.
10.
Domżał-Magrowska D, Talar-Wojnarowska R, Kotynia J. Skuteczność i bezpieczeństwo terapii biologicznej w przebiegu choroby Leśniowskiego-Crohna – doświadczenia własne. Prz Gastroenterol 2011; 6: 304–309.
11.
Bednarz W, Olewiński R, Głód M. Surgical treatment of Crohn’s disease. Gastroenterol Pol 2010; 17: 261–266.
12.
Froch B, Zwolińska-Wcisło M, Bętkowska-Korpała B. Dynamika reakcji emocjonalnych u chorych na nieswoiste zapalenia jelit. Prz Gastroenterol 2009; 4: 141–146.
13.
Lickiewicz B, Zwolińska-Wcisło M, Lickiewicz J. Znaczenie cech osobowości w procesie adaptacji do choroby u pacjentów z nieswoistymi zapaleniami jelit. Prz Gastroenterol 2010; 5: 157–163.
14.
Radwan P, Radwan-Kwiatek K, Kwiatek M. Wpływ nieswoistych zapaleń jelit na płodność oraz przebieg ciąży i porodu. Prz Gastroenterol 2008; 3: 295–301.
15.
Baczewska-Mazurkiewicz D, Rydzewska G. Problemy żywieniowe pacjentów z nieswoistymi chorobami zapalnymi jelit. Prz Gastroenterol 2011; 6: 69–77.
16.
Prescha A, Pieczyńska J, Biernat K. Nutritional status assessment of patients with inflammatory bowel disease. Gastroenterol Pol 2010; 17: 25–31.
17.
. Banasiewicz T, Borycka-Kiciak K, Dobrowolska-Zachwieja A. Kliniczne aspekty zastosowania kwasu masłowego w postępowaniu dietetycznym w chorobach jelit. Prz Gastroenterol 2010; 5: 329–334.
18.
Eaden JA, Abrams K, Mayberry JF. The Crohn and Colitis Knowledge Score: test for measuring patient knowledge in inflammatory bowel disease. Am J Gastroenterol 1999; 94: 3560–3566.
19.
Perek M, Cepuch G. Poziom wiedzy i jakość życia młodzieży chorej na nieswoiste zapalenia jelit. Pielęgniarstwo XXI wieku 2011; 2: 130–137.
20.
Hawkey GM, Hawkey CJ. Effect of information leaflets on knowledge in patients with inflammatory bowel disease. Gut 1989; 30: 1641–1646.
21.
Andrzejewska J, Talarska T, Michalak M. Quality of life in patients with Crohn’s disease and ulcerative colitis. Comparative analysis. Prz Gastroenterol 2009; 4: 251–255.
22.
Jakubowska-Burek J, Warmuz-Stangierska I, Kaczmarek E. Quality of life estimation by Polish and American inflammatory bowel disease patients – pilot study. Prz Gastroenterol 2011; 6: 388–400.
23.
Wiercińska-Drapało A, Jaroszewicz J, Flisiak R. Epidemiological characteristics of inflammatory bowel disease in North-Eastern Poland. World J Gastroenterol 2005; 11: 2630–2633.
24.
Andrzejewska J, Talarska T. Jakość życia w nieswoistych zapaleniach jelit. Analiza i walidacja nowego narzędzia badawczego. Prz Gastroenterol 2009; 4: 88–92.
25.
Mittermaier C, Dejaco C, Waldhoer T. Impact of depressive mood on relapse in patients with inflammatory bowel disease: a prospective 18-month follow-up study. Psychosom Med 2004; 66: 79–84.
26.
Heinrich G, Hersbach P. Question on life satisfaction (FLZM) – a short questionnaire for assessing subjective quality of life. Eur J Psychol Assess 2000; 16: 150–159.
27.
Russel M, Boclar U, Nagrl N. Pedictors of disease- related concers and other aspect of HRQL in outpatients with inflammatory bowel disease. Eur J Gastroenterol Hepatol 2004; 16: 1273–1280.
28.
Marcus SB, Strople JA, Neighbors K. Fatique and health- related quality of life in pedaiatric inflammatory bowel disease. Clin Gastroenterol Heaptol 2009; 7: 554–561.
29.
Drossman DA, Leserman J, Li. Z. The rating form of IBD patient concerns: a new measure of health status. Psychosom Med 1991; 53: 701–712.
30.
Belling R, McLaren S, Woods L. Specialist nursing for inflammatory bowel disease (Review). The Cochrane Library 2009/4. John Wiley and Sons Ltd. 2009.