الفهرس 
Introductionيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Inflammatory bowel disease is a chronic inflammatory gastrointestinal disorder includes two classifications, which are ulcerative colitis and Crohn’s disease characterized by episodes of recurrent acute attacks. It is well known that, it needs prolonged treatment lead to significant negative physical, psychological, financial effects, and have a disruptive impact on individual’s quality of life. The goals of IBD management is reducing period of flare up, maintain period of remission and improve quality of life. The nurse has an important role in helping patients with IBD to deal with the disease according to their life style through health teaching and certain nursing interventions. Hence the nurse should firstly assess their health related behaviors.
The aim of this study was
To identifed health related behaviors among patients with inflammatory bowel disease.
Materials and method:
• Research design: The study followed descriptive design.
• Setting: The study was carried out in Gastrointestinal Department and endoscopic unit at Alexandria Main University hospital, and the endoscopic unit at Alexandria Research Institute Hospital.
• The subjects: A convenience sample of 70 adult patients with IBD from both sexes was selected from the above mentioned setting according to the following criteria:
1. Patients diagnosed with inflammatory bowel disease (ulcerative colitis or Crohn’s colitis).
2. Adult with age ranged from 18-60 year.
3. Able to communicate verbally.
4. Willing to participate in the study.
• Tool of the study: In order to fulfill the aim of the study, one tool was used for data collection ”Health related behaviors among inflammatory bowel disease patient’s interview schedules”.
This tool was developed by researcher after review of relevant literature.
Part I: Biosociodemographic data: it was divided into two parts:
- Socio-demographic data
- Clinical data
Part II: Health related behaviors among inflammatory bowel disease patient’s interview schedules.
• Data collection:
A convenience sample of seventy adult patients with IBD who met inclusion criteria of the subject were recruited from Gastrointestinal Department and endoscopic unit at Alexandria Main University hospital and the endoscopic unit at Alexandria Research Institute Hospital. Then every patient interviewed individually once by the researcher to collect data, each interview lasted about 30-45 minutes.
The main results of the study:
• The majority of studied patients (75.7%) were in the age group of (18 ->40) years.
• The percentages of male of studied patients equal female (50%).
• Slightly more than three quarter studied patients (75.7%) come from urban area.
• Married represented the highest percent (55.7%) of studied patients.
• 40%of the subject had secondary education.
• The majority of studied patients (78.6%) had no history of previous health complain.
• 33.3%of the subject whom had previous health complaints suffered from cardiovascular disease.
• Nearly one third (29.1%) of studied patients had previous surgery which, they operated with appendectomy and tonsillectomy and (22.9%).operated with pills and fissure.
• The majority of studied patients (78.1%) had no family history of IBD.
• Slightly more than half of studied patients (57.1%) diagnosed with UC and CD which were (42.9%).
• The highest percentages of studied patients (78.6%, 74.3, 71.4%, 65.7%, 60%, and 47.1 respectively) suffered from diarrhea, abdominal pain, and rectal bleeding and weight loss and 67.2% started complains from 5-10 years.
• Mostly of the studied subject (88.6%) received medication for IBD which the majority of them (80.6%) received it more than 6months.
• 68% of the studied subject had regular follow up for disease and the majority of them (70%) followed instructions to it.
• The majority of studied patients (88.6%) had relapse of disease while, more than half of them (51.6%) relapsed three times &more /year for many days.
• Two third (60%) of studied patients were working while, (52%) had muscular work and the highest percent (59.5%) of them work from 6-10hours.
• Most studied subject (90.5%) had an effect on their work from disease which, half of them (50%) taken extra vacation.
• The majority of studied patients (82.9%, 85.7% respectively) did not have outdoor activities walking or strenuous sport.
• There was a statistical significant correlation between age and occurrence of disease (p=.001*).
• There was a statistical significant correlation between urban area and occurrence of IBD (p=.042*).
• There was a statistical significant correlation between marriage and occurrence of IBD (p=0.015*).
• There was a statistical significant correlation between level of education and IBD diagnosis (p =0.005*).
• There was a statistical significant negative correlation between score of health related behavior and physical health activity domain (p=.001*).
• There was statistically significant positive correlation between score of health related behavior score and eating habits domain (p=.013*).
• There was a statistical significant positive correlation between health related behavior score and smoking habits domain (p= 0.001*).
• There was a statistical significant positive correlation between score of health related behavior and personal hygiene domain (p=.013*).
• There was a statistical significant positive correlation between score of health related behavior and recreational activities domain (p=0.010*).
• There was a highly statistical significant positive correlation between score of health related behavior and medication intake domain (p=.001*).
• There was a highly statistically significant positive correlation between score of health related behavior and compliance with periodic checkup (p=.001*).
• There was statistically significant positive correlation between score of health related behavior and recreational activities domain (p=0.001*).
• There was statistically significant positive correlation between total scores of health related behaviors and health related behavior domains.
Recommendations
Recommendations for patients:
• The study recommends that adult patients, particularly individuals with young age group should be aware of disease nature and more positive health related behaviors.
• Considering the high prevalence psychological stress among IBD patients and their inability to manage it, the importance of providing psychological consultation as well as psychological management to patients and their family.
• Educational programs should be developed and implemented for patients with IBD in order to increase their knowledge and update them with most information about disease (definitions, causes, risk factors, signs and symptoms, treatment options, diagnosis, complication).In addition; to health related behaviors practices as (exercise, diet, rest, smoking cession, dealing with stress, and compliance with therapeutic regimen.
• Provide patients with chances to participate in therapeutic plan of self-care rather than remaining passive recipient
Recommendations for administrators and nurses:
• Colored illustrated booklet should be available and distributed to each patients with IBD about correct health related behaviors to be followed
• Nurses should receive updated educational program about health related behavior and its effect on IBD.
• Develop guidelines for the nurses whom are working in medical surgical departments and gastrointestinal endoscopy units related management of IBD in the light of health related behaviors.
Suggestions for further studies:
• Study the effect of health teaching program on patients’ knowledge among IBD patients self care practices.
• Study factors that are involved in patients compliance with therapeutic regimen
• Study the effect of stress management programs related on IBD patient’s during period of remission and relapse.