Determinants of Quality of Life of Patients with Ulcerative Colitis Following Ileal Pouch Anal Anastomosis Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/160550
Type:
Presentation
Title:
Determinants of Quality of Life of Patients with Ulcerative Colitis Following Ileal Pouch Anal Anastomosis Surgery
Abstract:
Determinants of Quality of Life of Patients with Ulcerative Colitis Following Ileal Pouch Anal Anastomosis Surgery
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Griffin, Mary
P.I. Institution Name:Frances Payne Bolton School of Nursing
Title:Case Western Reserve University
Contact Address:10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216.368.1794
Ileal pouch anal anastomosis (IPAA) is the surgery of choice for ulcerative colitis (UC) patients. The determinants of quality of life of patients following IPAA have not been addressed. The purpose of this study was to examine the quality of life of individuals following IPAA and its relationship to social support and self-esteem. Roger's Science of Unitary Human Beings provided the framework for this study. Quality of life was measured using the Cleveland Global Quality of Life Scale (CGQL), the Ratings Form of Inflammatory Bowel Disease Patient Concerns (RFIPC) and the Medical Outcomes Study Short Form Survey (SF36). Rosenberg's Self-Esteem Scale measured self-esteem. The Duke-UNC Functional Social Support Questionnaire measured social support. Data were collected by mailed questionnaire and database review from 585 patients who had undergone IPAA between January 1989 and December 1999. Multiple regression analysis determined the relationship of key variables to quality of life. Quality of life was good with a mean for the CGQL of .782. The RFIPC had a mean of 42.935 indicating some patient concerns in this group. The SF36 scores were similar to the reported norms from the General US population. Self-esteem was the most important predictor of quality of life. High self-esteem was related to high quality of life with each of the quality of life instruments. Although, social support predicted quality of life when examined independently of self-esteem, it had little impact when self-esteem was considered. Quality of life is a multifaceted concept that is influenced by the impact of UC as a disease and the effects of IPAA as a surgical intervention. Both self-esteem and social support are significant determinants of QOL following IPAA. However, self-esteem makes the greater impact. Prospective evaluation of QOL following IPAA is warranted with interventions aimed at improving self-esteem in this important group of patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeterminants of Quality of Life of Patients with Ulcerative Colitis Following Ileal Pouch Anal Anastomosis Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160550-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Determinants of Quality of Life of Patients with Ulcerative Colitis Following Ileal Pouch Anal Anastomosis Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Griffin, Mary</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Frances Payne Bolton School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216.368.1794</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mtq2@po.cwru.edu</td></tr><tr><td colspan="2" class="item-abstract">Ileal pouch anal anastomosis (IPAA) is the surgery of choice for ulcerative colitis (UC) patients. The determinants of quality of life of patients following IPAA have not been addressed. The purpose of this study was to examine the quality of life of individuals following IPAA and its relationship to social support and self-esteem. Roger's Science of Unitary Human Beings provided the framework for this study. Quality of life was measured using the Cleveland Global Quality of Life Scale (CGQL), the Ratings Form of Inflammatory Bowel Disease Patient Concerns (RFIPC) and the Medical Outcomes Study Short Form Survey (SF36). Rosenberg's Self-Esteem Scale measured self-esteem. The Duke-UNC Functional Social Support Questionnaire measured social support. Data were collected by mailed questionnaire and database review from 585 patients who had undergone IPAA between January 1989 and December 1999. Multiple regression analysis determined the relationship of key variables to quality of life. Quality of life was good with a mean for the CGQL of .782. The RFIPC had a mean of 42.935 indicating some patient concerns in this group. The SF36 scores were similar to the reported norms from the General US population. Self-esteem was the most important predictor of quality of life. High self-esteem was related to high quality of life with each of the quality of life instruments. Although, social support predicted quality of life when examined independently of self-esteem, it had little impact when self-esteem was considered. Quality of life is a multifaceted concept that is influenced by the impact of UC as a disease and the effects of IPAA as a surgical intervention. Both self-esteem and social support are significant determinants of QOL following IPAA. However, self-esteem makes the greater impact. Prospective evaluation of QOL following IPAA is warranted with interventions aimed at improving self-esteem in this important group of patients.</td></tr></table>en_GB
dc.date.available2011-10-26T23:03:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:03:07Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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