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312621

Effect of Health Maintenance Program Related to Ulcerative Colitis on Selected Patient’s Outcomes during Remission Phase

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Last updated: 26 Dec 2024

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Abstract

Ulcerative colitis is a relapsing and remitting inflammatory bowel disease that causes a significant patient's morbidity through its effect on overall quality of life. Purpose: To evaluate the effect of health maintenance program related to ulcerative colitis on selected patient's outcomes during remission phase. Setting: Medical outpatient clinics at the National Liver Institute, Menoufia Governorate, Egypt. Sampling: A purposive sample of 150 adult patients had ulcerative colitis were selected and assigned alternatively into two equal groups (study and control): 75 patients for each group. Instruments: Four instruments were used; Structured interview questionnaire, Simple clinical colitis activity index, Fatigue severity scale and The RAND 36-item health survey. Results: There was a statistically significant reduction in simple clinical colitis activity index for study group from (2.27±0.24 to 2.02±0.07) post program compared to control group.  The mean score of fatigue severity decreased   post program from (43.57±10.29 to 24.24±7.49 in study group compared to control group from (42.78±7.36 to 43.02±7.61). Additionally, total mean score of quality of life was significantly improved post program in the study group compared to control group. Furthermore, after 3 months of implementing program there was a significant improvement in weight, BMI and total calories among the study group compared to control group. Conclusion: Health maintenance program had a significant positive effect on reducing mean score of ulcerative colitis symptoms and fatigue, additionally improving quality of life of patients with ulcerative colitis. Recommendations: A supervised health education and maintenance program that includes medication adherence, nutritional guidelines with recommended diet, and stress reduction techniques should be offered in the outpatient clinics to cope with ulcerative colitis.

DOI

10.21608/menj.2023.312621

Keywords

Maintenance program, Remission Phase and Ulcerative Colitis

Authors

First Name

Hanady

Last Name

Shehata

MiddleName

Sh.

Affiliation

Assistant Professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

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First Name

Hanaa

Last Name

El-Sayad

MiddleName

E.

Affiliation

Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

Email

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City

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Orcid

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First Name

Hanan

Last Name

El-Bready

MiddleName

G.

Affiliation

Lecturer of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

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City

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Orcid

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First Name

Nehad

Last Name

Elsaid

MiddleName

Badr Abdelaty

Affiliation

Lecturer of Public health and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.

Email

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City

-

Orcid

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First Name

Maimona

Last Name

Al Khalifa

MiddleName

Abd El Wahed

Affiliation

Therapeutic Nutrition Department, National Liver Institute, Menoufia University, Egypt.

Email

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City

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Orcid

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First Name

Asmaa

Last Name

Abd Elhy

MiddleName

Hamed

Affiliation

Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

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-

City

-

Orcid

-

First Name

Seham

Last Name

Abd Elalem

MiddleName

Mohamed

Affiliation

Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

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Volume

8

Article Issue

2

Related Issue

42387

Issue Date

2023-06-01

Receive Date

2023-08-14

Publish Date

2023-06-01

Page Start

215

Page End

233

Print ISSN

2735-3974

Online ISSN

2735-3982

Link

https://menj.journals.ekb.eg/article_312621.html

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https://menj.journals.ekb.eg/service?article_code=312621

Order

312,621

Type

Original Article

Type Code

1,480

Publication Type

Journal

Publication Title

Menoufia Nursing Journal

Publication Link

https://menj.journals.ekb.eg/

MainTitle

Effect of Health Maintenance Program Related to Ulcerative Colitis on Selected Patient’s Outcomes during Remission Phase

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Article

Created At

26 Dec 2024