J. Jpn. Acad. Nurs. Sci. 32(3): (2012)
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1 J. Jpn. Acad. Nurs. Sci., Vol. 32, No. 3, pp , 2012 Development and Effectiveness of a Dietary Education Program for Patients with Crohns Disease Maya Nunotani, Yayoi Kamakura, Junko Fukada, Yuki Kumazawa Key wordscrohns disease, education program, reinforcement Abstract PurposeTo develop a dietary education program for patients with Crohns disease CDaiming to maintain remission and improve their satisfaction with meals, and to examine the effectiveness of the program. MethodThe core of the program consisted of self-monitoring by patients and feedback of evaluation by healthcare providers. The developed program comprised three periods such as baseline, intervention, and follow-up; each period lasted for 8 weeks total, 24 weeks. Participants were randomly assigned to the experimental group who entered the education program n10or control group n11. Both groups filled out questionnaires to measure outcomes every 4 weeks, in total 7 times. ResultsIn the experimental group the frequency with which patients tried food increased significantly during the intervention period but decreased significantly during follow-up p0.01. The health condition of the experimental group did not become worse. There were no significant differences in participants satisfaction with meals between the two groups and for each period. ConclusionThis program helped CD patients to increase the frequency with which they tried food maintaining health condition. The results suggest that the program should incorporate devices to maintain these effects Department of Nursing Sciences, Faculty of Health Care, Tenri Health Care University2 School of Nursing & Health, Aichi Prefectural University nunotani.maya@tenriyorozu-u.ac.jp
2 , , TNF TNF- Siegel et al Fletcher & Schneider2006Jamieson et al.2007 elimination diet Jones et al.1985 J. Jpn. Acad. Nurs. Sci., Vol. 32, No. 3,
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4 AB AB A B AB 1990 IOIBD C CRPWBCPLT TPAlbHb J. Jpn. Acad. Nurs. Sci., Vol. 32, No. 3,
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10 IBD Younge & Norton2007IBD IBD QOL Nightingale et al.2000smith et al.2002 AB p Fletcher P. C., Schneider M. A. 2006: Is there any food I can eat? Living with inflammatory bowel disease and/or irritable bowel syndrome, Clin. Nurse Spec., 205, Guyatt G., Mitchell A., Irvine J. E., et al. 1989: A new measure of health status for clinical trials in inflammatory bowel disease, Gastroenterology, 96, Q&A Jamieson A. E., Fletcher P. C., Schneider M. A. 2007: Seeking control through the determination of diet: a qualitative investigation of women with irritable bowel syndrome and inflammatory bowel disease, Clin. Nurse Spec., 213, Jones V. A., Workman E., Freeman A. H., et al. 1985: Crohns disease: maintenance of remission by diet, Lancet, 22, Miltenberger R. G. 2008Behavior Modification: Principles and Procedures 4 th ed., 86 87, Wadaworth, USA TNF /12/15http:// htm. Nesari M., Zakerimoghadam M., Rajab A., et al. 2010: Effect of telephone follow-up on adherence to a diabetes therapeutic regimen, Japan Journal of Nursing Science, J. Jpn. Acad. Nurs. Sci., Vol. 32, No. 3,
11 72, Nightingale A., Middleton W., Middleton S., et al. 2000: Evaluation of the effectiveness of a specialist nurse in the management of inflammatory bowel disease, Eur. J. Gastroenterol. Hepatol., 12, Polzien K., Lakicic J., Tate D., et al. 2007: The efficacy of a technology-based system in a short-term behavioral weight loss intervention, Obesity, 154, Scala J Siegel C. A., Hur C., Korzenik J. R., et al. 2006: Risks and benefits of infliximab for the treatment of Crohns disease, Clin. Gastroenterol. Hepatol., 48, Skinner B. F. 1969: Contingencies of Reinforcement: A Theoretical Analysis, 3 28, Appleton-Century-Crofts, New York. Smith G., Watson R., Roger D., et al. 2002: Impact of a nurse-led counseling service on quality of life in patients with inflammatory bowel disease, J. Adv. Nurs., 382, Younge L., Norton C. 2007: Contribution of specialist nurses in managing patients with IBD, Br. J. Nurs., 164,
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