Nursing Care and Education in Inflammatory Bowel Diseases

Öznur ADADIOĞLUa
aSakarya University Faculty of Health Sciences, Department of Nursing, Division of Internal Medicine Nursing, Sakarya, Türkiye

Adadıoğlu Ö. Nursing care and education in inflammatory bowel diseases. In: Oğuz S, ed. Nursing Care and Education in Gastrointestinal System Diseases. 1st ed. Ankara: Türkiye Klinikleri; 2024. p.82-90.

ABSTRACT
Inflammatory bowel disease (IBD) is an uncontrolled inflammation of the intestinal mucosa, including ulcerative colitis and Crohn’s disease, which is idiopathic, chronic, with periods of relapse (exacerbation) and remission (recovery). In adults and older patients, symptoms such as fatigue, weakness, abdominal pain, loss of appetite, weight loss and frequent urge to use the toilet adversely affect the patient’s professional life and labor productivity and reduce the quality of life in periods when the disease is not under full control. For this reason, nurses should provide comprehensive training to patient’s education on regular medical check-ups, maintaining a healthy and balanced diet, taking regular medication, exercising and developing plans to reduce stress. In addition, patients should receive interventions for nursing diagnoses pain, diarrhea, malnutrition, anxiety, ineffective health management, ineffective individual coping, lack of information, sexual dysfunction, risk of impaired skin integrity, fatigue, impaired body image, risk of fluid volume deficiency, risk of bleeding.

Keywords: Colitis, ulcerative; Crohn’s disease; inflammatory bowel diseases; nursing

Referanslar

  1. McDowell C, Haseeb M, Farooq U. Inflammatory Bowel,Disease (IBD). StatPearls. 2020 Retrieved from [Link]
  2. Gajendran M, Loganathan P, Jimenez G, Catinella AP, Ng N, Umapathy C, et al. A comprehensive review and update on ulcerative colitis. Disease-a-month. 2019;65(12):1-37. [Crossref]  [PubMed]
  3. Segal JP, LeBlanc JF, Hart AL. Ulcerative colitis: an update. Clinical Medicine. 2021;21(2):135 [Crossref]  [PubMed]  [PMC]
  4. Candido FRDC, Radice S, Spinelli A. Surgical Management. In: Sturm A, White L, eds. Inflammatory Bowel Disease Nursing Manual. Springer International Publishing; 2019. p. 173-88 [Crossref]
  5. Ng SC, Shi HY, Hamidi N, Underwood FE, Tang W, Benchimol EI, et al. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies. The Lancet. 2017;390(10114):2769-78. [Crossref]  [PubMed]
  6. Buran T. İnflamatuvar Barsak Hastalığında Epidemiyoloji, Prevalans ve İnsidans. Turkiye Klinikleri Journal of Gastroenterohepatology Special Topics. 2017;10(1):15-7.
  7. Yücel İ. Ulcerative Colitis and Nursing. Health and Technology Journal. 2023; 1(5):455-60. [Crossref]
  8. Fıocchı C. Etıopathogenesıs of Inflammatory Bowel Dısease. In: Cardozo WS, Sobrado CW, eds. Inflammatory Bowel Disease 2nd Edition River Publishers; 2016. p. 17-47
  9. Guan Q. A comprehensive review and update on the pathogenesis of inflammatory bowel disease. J Immunol Res. 2019;7247238. [Crossref]  [PubMed]  [PMC]
  10. Marek JF. Management of Patients with Intestinal and Rectal Disorders. In: Hinkle JL, Cheever KH, Overbaugh KJ, eds. Textbook of Medical-Surgical Nursing. 15th Edıtıon Wolters Kluwer; 2022. p.3480-613
  11. Harding MM. Lower Gastrointestinal Problems. In: Harding MM, Kwong J, Roberts D, Hagler D, Reinisch C, eds. Lewis's medical-surgical nursing. Eleventh Edition. Amsterdam, The Netherlands: Elsevier Health Sciences; 2020.
  12. Thoguluva Chandrasekar V, Venu N. So what is Crohn's disease and ulcerative colitis? Pathophysiology of Crohn's disease and ulcerative colitis. In: Stein DJ, Shaker R, eds. Inflammatory bowel disease: A point of care clinical guide, Springer; 2015 p. 15-23. [Crossref]
  13. Harding MM. Lower Gastrointestinal Problems. In: Kwong J, Roberts D, Hagler D, Reinisch, C, eds. Lewis's Medical-Surgical Nursing in Canada-E-Book: Assessment and Management of Clinical Problems. Elsevier Health Sciences; 2022
  14. Davis SC, Robinson BL, Vess J, Lebel JS. Primary care management of ulcerative colitis. The Nurse Practitioner. 2018;43(1):11-9. [Crossref]  [PubMed]
  15. Cromar K. Concepts of Care for Patients with Inflammatory Intestinal Disorders. In: Ignatavicius DD, Workman ML, Rebar CR, Heimgartner NM. Study Guide for Medical-Surgical Nursing-E-Book: Concepts for Interprofessional Collaborative Care. Elsevier Health Sciences, 2020 p. 3237-308.
  16. Yıldırım B. İnflamatuvar bağırsak Hastalığı'nda klinik, tanı, seyir, tedavi ve görüntülemeden beklentiler. Trd Sem 2022;10(3):254-64. [Crossref]
  17. Seyedian SS, Nokhostin F, Malamir MD. A review of the diagnosis, prevention, and treatment methods of inflammatory bowel disease. Journal of medicine and life. 2019;12(2):113 [Crossref]  [PubMed]  [PMC]
  18. Gajendran M, Loganathan P, Catinella AP, Hashash JG. A comprehensive review and update on Crohn's disease. Disease-a-month. 2018;64(2):20-57. [Crossref]  [PubMed]
  19. Kucharzik T, Koletzko S, Kannengiesser K, Dignass A. Ulcerative colitis-Diagnostic and therapeutic algorithms. Deutsches Ärzteblatt International. 2020; 117(33-34):564. [Crossref]  [PubMed]  [PMC]
  20. de Barros JR, Rivera-Sequeiros A, Baima JP, Renosto FL, Saad-Hossne R, Sassaki LY. The Impact of an Educational Intervention on Inflammatory Bowel Disease for Nurses in Brazil. Open Journal of Nursing. 2020;10(12):1178-85. [Crossref]
  21. Altınok N, Akyar İ. İnflamatuar Bağırsak Hastalığı ve Bakım Yönetimi. Özer S, editör. Olgu Senaryolarıyla Iç Hastalıkları Hemşireliği: 1. Baskı. İstanbul: İstanbul Tıp Kitabevleri; 2019. p. 435-42
  22. Uran BÖ, Yıldırım Y. Yeni Bir Uzmanlık Alanı: İnflamatuar Barsak Hastalıkları Hemşireliği. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2016;1(2):27-33.
  23. Gümüş M, Yaz ŞB, Şenol S. Ülseratif Kolitin pediatrik bakımı ve kavram haritası. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2020;9(3):318-23. [Crossref]
  24. Doenges ME, Moorhouse MF, Murr AC. Gastrointestinal Disorders. Nursing care plans: Guidelines for individualizing client care across the life span. 10 Th Edition FA Davis. 2019. p. 352-68.
  25. Akay B, Adadıoğlu Ö. Diyare. Oğuz S, Ünver V, Çamcı G, Vildan K, editörler. Semptom yönetmi ve hemşirelik İstanbul: İstanbul Tıp kitabevleri; 2023. p. 153-67
  26. Rosso C, Aaron AA, Armandi A, Caviglia GP, Vernero M, Saracco GM, et al. Inflammatory bowel disease nurse-practical messages. Nursing Reports. 2021;11(2):229-41. [Crossref]  [PubMed]  [PMC]
  27. Ok E. Anksiyete. Oğuz S, Ünver V, Çamcı G, Vildan K, editörler. Semptom yönetimi ve hemşirelik İstanbul: İstanbul Tıp kitabevleri; 2023. p. 22-39
  28. Ford C, Medcalf L, Kent A. Sex and Intimacy. In: Sturm A, White L, eds. Inflammatory Bowel Disease Nursing Manual. Springer International Publishing; 2019. p. 369-75. [Crossref]
  29. Saridi M, Toska A, Mantzouranis G, Albani E, Fousekis FS, Katsanos, KH. Sexual Dysfunction in Inflammatory Bowel Disease: A Nursing Approach. International Journal of Health Sciences and Research. 2018;8(7):366.
  30. Uran, BÖ. Güncel Kılavuz Önerileriyle İnflamatuar Barsak Hastalıklarında Semptom Yönetimi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2020;46(1):101-11. [Crossref]
  31. Yıldırım F, Ünver V. Yorgunluk. Oğuz S, Ünver V, Çamcı G, Vildan K, editörler. Semptom yönetimi ve hemşirelik İstanbul: İstanbul Tıp kitabevleri; 2023. p. 496-514.
  32. Magro F, Pita I. Patient Priorities. In: Sturm A, White L, eds. Inflammatory Bowel Disease Nursing Manual, Springer International Publishing; 2019. p.257-69. [Crossref]
  33. Balcı S. İnflamatuar Bağırsak Hastalığının Cinsel Fonksiyon ve Beden İmajına Etkisi. Gazi Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi. 2022.
  34. Farraye FA, Melmed GY, Lichtenstein GR, Kane SV. ACG clinical practice guideline: Preventive care in inflammatory bowel disease. The American Journal of Gastroenterology. 2017;112:241-58. [Crossref]  [PubMed]
  35. Bing XU, Miao LIU, Hairong HU, Zhang J, Huang Y, Ling TANG. Expert consensus on diagnosis and treatment of ulcerative colitis with integrated traditional Chinese and Western medicine: A nursing perspective. Journal of Integrative Nursing. 2023;5(1):1-7. [Crossref]