Does a Coeliac School increase psychological well‐being in women suffering from coeliac disease, living on a gluten‐free diet?

Journal of Clinical Nursing - Tập 21 Số 5-6 - Trang 766-775 - 2012
Lisa Ring Jacobsson1,2,3,4, Maria Friedrichsen1,2,3,4, Anne Göransson1,2,3,4, Claes Hallert1,2,3,4
1Anne Göransson, PhD, Lecturer, Department of Medical and Health Science, Division of Social Medicine and Public Health Science, Linköping University, Linköping
2Authors: Lisa Ring Jacobsson, MSc, RN, Lecturer, Department of Social and Welfare Studies, Linköping University
3Claes Hallert, PhD, MD, Medical Doctor, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden
4Maria Friedrichsen, PhD, RN, Associate Professor, Department of Social and Welfare Studies, Linköping University, Norrköping

Tóm tắt

Aim and objective.  To assess the effects of an active method of patient education on the psychological well‐being of women with coeliac disease in remission.Background.  Despite remission with a gluten‐free diet, adults with coeliac disease and especially women experience a subjective poor health. Self‐management education seems to be promising tool to help patients suffering from coeliac disease to cope with their disorder.Design.  A randomised controlled trial.Methods.  A total of 106 women, ≥20 years, with confirmed coeliac disease, who had been on a gluten‐free diet for a minimum of five years. The intervention group (n = 54) underwent a 10‐session educational programme, ‘Coeliac School’, based on problem‐based learning. The controls (n = 52) received information regarding coeliac disease sent home on a regular basis. The primary outcomes were psychological general well‐being measured with a validated questionnaire.Results.  Participants in the Coeliac School reported a significant improvement in psychological well‐being at 10 weeks, whereas the controls given usual care reported a worsening in psychological well‐being. After six months, a significant improvement remained for the index of vitality.Conclusions.  Patient education increased psychological well‐being in women with coeliac disease. There is a need to refine the methods of patient education to make the effects of well‐being more pronounced over time.Relevance to clinical practice.  Patient education using problem‐based learning promotes self‐management in coeliac disease by improving the well‐being of patients who have been struggling with the gluten‐free diet for years.

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Journal of Clinical Nursing

Tập 21 Số 5-6

766-775

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