Next Article in Journal
Safety and Efficacy of a New Synthetic Material Based on Monetite, Silica Gel, PS-Wallastonite, and a Hydroxyapatite Calcium Deficient: A Randomized Comparative Clinic Trial
Previous Article in Journal
Functional and Structural Reliability of Optic Nerve Head Measurements in Healthy Eyes by Means of Optical Coherence Tomography Angiography
Open AccessArticle

Gastrointestinal Symptoms of and Psychosocial Changes in Inflammatory Bowel Disease: A Nursing-Led Cross-Sectional Study of Patients in Clinical Remission

1
Department of Molecular and Clinical Medicine, The Sahlgrenska Academy at the University of Gothenburg, The Wallenberg Laboratory, Bruna Straket 16, SE-413 45 Gothenburg, Sweden
2
University Medical Hospital “Mater Domini”, Viale Europa, 88100 Catanzaro, Italy
3
School of Nursing, University “Magna Graecia”, Viale Europa, 88100 Catanzaro, Italy
4
Department of Biomedical Sciences for Health, University of Milan, 20122 Milano, Italy
5
Department of Clinical and Experimental Medicine, University “Magna Graecia”, Viale Europa, 88100 Catanzaro, Italy
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(1), 45; https://doi.org/10.3390/medicina56010045
Received: 9 December 2019 / Revised: 14 January 2020 / Accepted: 15 January 2020 / Published: 20 January 2020
Background and Objectives: Nursing management in Inflammatory Bowel Disease (IBD) is focused on global patient care. Starting from basic knowledge of diagnostic and therapeutic management, nurses can assess the impact of IBD on patients’ quality of life not only at the physical level, but also at the psychological, social, and emotional levels. The aim of this study was to evaluate the impact of gastrointestinal symptoms on psychosocial changes in IBD patients in remission through nursing-led Patient-Reported Outcomes. Materials and Methods: We performed a cross-sectional study of 109 IBD patients in clinical and endoscopic remission. Specialist nurses invited patients to complete questionnaires on gastrointestinal symptoms and quality of life through the Patient-Reported Outcomes Measurement Information System (PROMIS). Results: We found that the gastrointestinal symptoms that the patients reported had a significant impact on the analyzed aspects of health. More specifically, belly pain, diarrhea, and bloating were associated with depressive symptoms (p < 0.001), anxiety (p < 0.001), fatigue (p < 0.001), and sleep disturbances (p < 0.001). Moreover, these symptoms also significantly affected patients’ social dimension in terms of satisfaction with participation in social roles (p < 0.001, p < 0.05, and p < 0.001 for belly pain, diarrhea, and bloating, respectively) and physical functions (p < 0.001). The results were virtually the same in a multivariable analysis adjusted by age, gender, body mass index (BMI), and disease duration. Conclusions: Even during remission, gastrointestinal symptoms are the main factors that influence quality of life in IBD patients. This exploratory study highlights the need to adopt validated questionnaires in clinical practice, and demonstrates that PROMIS is a valid, objective, and standardized instrument that can help nursing staff to better define the consequences of the disease in a patient’s daily life. View Full-Text
Keywords: nurse–patient relationship; patient-centered care; questionnaire; quality of life; psychosocial nursing nurse–patient relationship; patient-centered care; questionnaire; quality of life; psychosocial nursing
Show Figures

Figure 1

MDPI and ACS Style

Mancina, R.M.; Pagnotta, R.; Pagliuso, C.; Albi, V.; Bruno, D.; Garieri, P.; Doldo, P.; Spagnuolo, R. Gastrointestinal Symptoms of and Psychosocial Changes in Inflammatory Bowel Disease: A Nursing-Led Cross-Sectional Study of Patients in Clinical Remission. Medicina 2020, 56, 45.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop