DOI QR코드

DOI QR Code

Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease

크론병 환자의 신체상, 자아존중감 및 건강 관련 삶의 질

  • 이영진 (서울아산병원) ;
  • 오의금 (연세대학교 간호대학.간호정책연구소)
  • Received : 2013.10.16
  • Accepted : 2014.07.27
  • Published : 2014.08.31

Abstract

Purpose: The purpose of this study was to describe the degrees of body image, self esteem and Health Related Quality Of Life (HRQOL), and to identify factors related to these variables in patients with Crohn's disease. Methods: A descriptive cross sectional survey design was used. The 148 participants were the patients with Crohn's disease, recruited conveniently from one metropolitan hospital located in Seoul, Korea. The collected data were analyzed with SPSS/WIN program. Results: Patients with severe illness activity reported significantly lower body images than those of the others. Education levels and working states affected self-esteem positively, while the number of operations and illness activity affected self-esteem negatively. Hospitalization and illness activity affected HRQOL negatively. Body image, self esteem, and HRQOL were positively correlated to each other with statistical significance. Illness activity was a common factor to affect body image, self esteem, and HRQOL. Body image was an influential factor on HRQOL as well as illness activity in patients with Crohn's disease. Conclusion: As a result, this study suggested a necessity for developing an intervention study to lower the illness activity and heighten the body image among the patients with Crohn's disease.

Keywords

References

  1. Ahn, J. H. (1996). A Study on body image and self esteem for the Hemodialysis patient. Unpublished master's thesis, Ewha Womans University, Seoul.
  2. Bernell, O., Lapidus, A., & Hellers, G. (2000). Risk factors for surgery and postoperative recurrence in Crohn's disease. Annals of Surgery, 231(1), 38-45. https://doi.org/10.1097/00000658-200001000-00006
  3. Casellas, F., Lopez-Vivancos, J., Badia, X., Vilaseca, J., & Malagelada, J. R. (2001). Influence of inflammatory bowel disease on different dimensions of quality of life. European Journal of Gastroenterology and Hepatology, 13(5), 567-572. https://doi.org/10.1097/00042737-200105000-00017
  4. Cho, O. H., Yoo, Y. S., & Yang, S. K. (2012). Depression and risk factors in patients with Crohn's disease. Journal of Korean Academy of Nursing, 42(2), 207-216. https://doi.org/10.4040/jkan.2012.42.2.207
  5. Fitts, W. H., & Roid, G. H. (1964). Tennessee self concept scale. Nashville, TN: Counselor Recordings and Tests.
  6. Guyatt, G., Mitchell, A., Irvine, E. J., Singer, J., Williams, N., Goodacre, R., et al. (1989). A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology, 96(3), 804-810. https://doi.org/10.1016/S0016-5085(89)80080-0
  7. Jung, K. S., & Park, G. J. (2007). Relationships among body image, self-esteem, and health promotion behavior in mastectomy patients. Asian Oncology Nursing, 7(1), 36-46.
  8. Jeon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11(1), 107-130.
  9. Kim, W. H., Cho, Y. S., Yoo, H. M., Park, I. S., Park, E. C., & Lim, J. G. (1999). Quality of life in Korean patients with inflammatory bowel diseases: Ulcerative colitis, Crohn's disease and intestinal Behcet's disease. International Journal of Colorectal Disease, 14(1), 52-57. https://doi.org/10.1007/s003840050183
  10. Kim, Y. N. (2010). A study on the quality of life of the patients with Crohn's disease. Unpublished master's thesis, Chung-Ang University, Seoul.
  11. Lakatos, P. L. (2006). Recent trends in the epidemiology of inflammatory bowel diseases: Up or down? World Journal of Gastroenterology, 12(38), 6102-6108. https://doi.org/10.3748/wjg.v12.i38.6102
  12. Lee, S. A. (2010). Stress and health-related quality of life in patients with inflammatory bowel disease. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Lindfred, H., Saalman, R., Nilsson, S., & Reichenberg, K. (2008). Inflammatory bowel disease and self-esteem in adolescence. Acta Pediatrica, 97(2), 201-205. https://doi.org/10.1111/j.1651-2227.2007.00605.x
  14. Mackner, L. M., Crandall, W. V., & Szigethy, E. M. (2006). Psychosocial functioning in pediatric inflammatory bowel disease. Inflammatory Bowel Diseases, 12(3), 239-244. https://doi.org/10.1097/01.MIB.0000217769.83142.c6
  15. Muller, K. R., Prosser, R., Bampton, P., Mountifield, R., & Andrews, J. M. (2010). Female gender and surgery impair relationships, body image, and sexuality in inflammatory bowel disease: Patient perceptions. Inflammatory Bowel Diseases, 16(4), 657-663. https://doi.org/10.1002/ibd.21090
  16. Osgood, C. E. (1957). The measurement of meaning(No. 47). IL: University of Illinois Press.
  17. Pallis, A. G., & Mouzas, I. A. (2000). Instruments for quality of life assessment in patients with inflammatory bowel disease. Digestive and Liver Disease, 32(8), 682-688. https://doi.org/10.1016/S1590-8658(00)80330-8
  18. Park, J. B., Yang, S. K., Myung, S. J., Byeon, J. S., Lee, Y. J., Lee, G. H., et al. (2004). Clinical characteristics at diagnosis and course of Korean patients with Crohn's disease. The Korean Journal of Gastroenterology, 43(1), 8-17.
  19. Rogenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
  20. Ryu, M. K., Kim, Y. H., Hyun, J. G., Moon, W., Lee, K. S., Lee, S. S., et al. (2001). Clinical investigations of Crohn's disease in Korea. The Korean Journal of Medicine, 60(1), 46-50.
  21. Sainsbury, A., & Heatley, R. V. (2005). Review article: Psychosocial factors in the quality of life of patients with inflammatory bowel disease. Alimentary Pharmacology and Therapeutics, 21(5), 499-508. https://doi.org/10.1111/j.1365-2036.2005.02380.x
  22. Sohn, S. K., Lee, M. H., & Song, M. S. (2001). Relationship between body image and self-esteem in patients with chronic renal failure. Journal of Korean Academy of Fundamentals of Nursing, 8(2), 160-171.
  23. Stuart, G. W. (2012). Principles and Practice of Psychiatric Nursing (10th ed). St. Louis: Mosby Elsevier.
  24. Taft, T. H., Keefer, L., Leonhard, C., & Nealon-Woods, M. (2009). Impact of perceived stigma on inflammatory bowel disease patient outcomes. Inflammatory Bowel Diseases, 15(8), 1224-1232. https://doi.org/10.1002/ibd.20864
  25. Watanabe, T., Sasaki, I., Sugita, A., Fukushima, K., Futami, K., Hibi, T., et al. (2012). Interval of less than 5 years between the first and second operation is a risk factor for a third operation for Crohn's disease. Inflammatory Bowel Disease, 18(1), 17-24. https://doi.org/10.1002/ibd.21671
  26. Waters, B. M., Jensen, L., & Fedorak, R. N. (2005). Effects of formal education for patients with inflammatory bowel disease: A randomized controlled trial. Canadian Journal of Gastroenterology, 19(4), 235-244. https://doi.org/10.1155/2005/250504
  27. Yammamoto, T., Fazio, V. W., & Tekkis, P. P. (2007). Safety and efficacy of strictureplasty for Crohn's disease: A systematic review and meta-analysis. Disease of the Colon & Rectum, 50(11), 1968-1986. https://doi.org/10.1007/s10350-007-0279-5
  28. Yang, S. K., Yun, S., Kim, J. H., Park, J. Y., Kim, H. Y., Kim, Y. H., et al. (2008). Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: A KASID study. Inflammatory Bowel Diseases, 14(4), 542-549. https://doi.org/10.1002/ibd.20310
  29. Ye, B. D., Jang, B. I., Jeen, Y. T., Lee, K. M., Kim, J. S., Yang, S. K., et al. (2009). Diagnostic guideline of Crohn's disease. The Korean Journal of Gastroenterology, 53(3), 161-176.
  30. Zutshi, M., Hull, T. L., & Hammel, J. (2007). Crohn's disease: A patient's perspective. International Journal of Colorectal Disease, 22(12), 1437-1444. https://doi.org/10.1007/s00384-007-0332-9

Cited by

  1. 난임여성의 자아존중감, 신체상과 우울에 미치는 영향요인 vol.15, pp.10, 2017, https://doi.org/10.14400/jdc.2017.15.10.537
  2. 임부의 자아존중감, 신체상 및 태아애착행위에 미치는 영향요인 vol.16, pp.9, 2014, https://doi.org/10.14400/jdc.2018.16.9.197
  3. Body image, self-esteem, and quality of life in children and adolescents with inflammatory bowel disease in a tertiary hospital in South Korea vol.27, pp.2, 2014, https://doi.org/10.4094/chnr.2021.27.2.181
  4. Influence of Resilience and Social Support on Body Image of Patients in an Acute Stage Following Traffic Accidents vol.28, pp.2, 2014, https://doi.org/10.7739/jkafn.2021.28.2.156
  5. 뇌졸중 환자의 일상생활 수행능력, 신체상이 삶의 질에 미치는 영향: 대인관계 매개효과 중심 vol.28, pp.2, 2014, https://doi.org/10.5953/jmjh.2021.28.2.183