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Mohsenizadeh SM, Manzari ZS, Vossoughinia H, Ebrahimipour H. Explaining the Disease Management Experiences of Patients With Inflammatory Bowel Disease: A Qualitative Study. Gastroenterol Nurs 2022; 45:52-58. [PMID: 35108242 DOI: 10.1097/sga.0000000000000595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 01/13/2021] [Indexed: 11/25/2022] Open
Abstract
Inflammatory bowel disease is an unpredictable, chronic, recurrent gastrointestinal disorder with a wide range of social, physical, and psychological problems experienced by patients. The identification of these concerns is important to provide better healthcare. The purpose of this study was to understand the experiences and concerns of these patients. This study was conducted using a qualitative content analysis approach. The participants were 20 inflammatory bowel disease patients. Data were collected through unstructured interviews with purposive sampling and continued until data saturation. Data were comparatively analyzed continuously and simultaneously with data collection. Data analysis revealed two themes of "tension due to possible recurrence" and "fear of decline and deterioration." The integration of these concepts suggested that patients experience "sinking into the marsh of recurrence" as a major concern that disrupts their successful management of inflammatory bowel disease. Identifying the concerns of inflammatory bowel disease patients regarding their cultural and social context is of paramount importance. The integration of such concerns into treatment can improve patients' coping abilities and improve their quality of life.
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Affiliation(s)
- Seyed Mostafa Mohsenizadeh
- Seyed Mostafa Mohsenizadeh, PhD, is Student in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Zahra Sadat Manzari, PhD, is Associate Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Hassan Vossoughinia, MD, is Associate Professor, Department of Gastroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Science, Mashhad, Iran
- Hossein Ebrahimipour, PhD, is Associate Professor, Social Determinants of Health Research Center, Department of Health Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Sadat Manzari
- Seyed Mostafa Mohsenizadeh, PhD, is Student in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Zahra Sadat Manzari, PhD, is Associate Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Hassan Vossoughinia, MD, is Associate Professor, Department of Gastroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Science, Mashhad, Iran
- Hossein Ebrahimipour, PhD, is Associate Professor, Social Determinants of Health Research Center, Department of Health Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hassan Vossoughinia
- Seyed Mostafa Mohsenizadeh, PhD, is Student in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Zahra Sadat Manzari, PhD, is Associate Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Hassan Vossoughinia, MD, is Associate Professor, Department of Gastroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Science, Mashhad, Iran
- Hossein Ebrahimipour, PhD, is Associate Professor, Social Determinants of Health Research Center, Department of Health Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hossein Ebrahimipour
- Seyed Mostafa Mohsenizadeh, PhD, is Student in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Zahra Sadat Manzari, PhD, is Associate Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Hassan Vossoughinia, MD, is Associate Professor, Department of Gastroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Science, Mashhad, Iran
- Hossein Ebrahimipour, PhD, is Associate Professor, Social Determinants of Health Research Center, Department of Health Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
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Abstract
Exercise can have significant effects on gastrointestinal diseases. Regular, moderate exercise can impart beneficial effects for the intestinal microbiome, irritable bowel syndrome symptoms, and inflammatory bowel disease. High-intensity training or prolonged endurance training, on the other hand, can have negative effects on these same entities. Female athletes report a higher prevalence of irritable bowel syndrome and celiac disease, and furthermore, have gastrointestinal symptoms modulated by the menstrual cycle. Management of gastrointestinal problems in the athletic population is widespread and includes training adjustments, dietary measures, and medicine management of symptoms.
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Affiliation(s)
- Barry Kent Diduch
- Department of Sports Medicine, James Madison University, 261 Bluestone Drive MSC 2301, Harrisonburg, VA 24401, USA.
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