Raczkowska Aneta, Ławiński Michał, Gradowska Aleksandra, Zielińska-Borkowska Urszula
Pol Przegl Chir. 2014 Dec 18;86(9):410-7. doi: 10.2478/pjs-2014-0073.
One of the elements of treatment considering inflammatory bowel diseases is nutritional therapy. The duration of the above-mentioned depends on the prevalence of such symptoms as fever, bowel movements, length of the functioning gastrointestinal tract, stoma and intestinal fistula presence. Nutritional therapy is an essential element of successful treatment alongside pharmacological, surgical, and biological therapy, as well as other methods. Crohn's disease and ulcerative colitis considered as chronic diseases, lead towards physical and biopsychosocial disability, being responsible for the reduction in the quality of life. The aim of the study was to determine the quality of life after surgical procedures in case of patients diagnosed with Crohn's disease and ulcerative colitis, subjected to natural and parenteral nutrition.
The study group comprised 52 patients from the Department of Gastroenterology, Military Medical Institute, and Department of Surgery and Clinical Nutrition, Clinical Hospital in Warsaw. The study was performed between October, 2011 and April, 2012. The World Health Organization Quality of Life Instrument - Bref (WHOQOL-BREF) questionnaire was used to deter-mine the patients' quality of life.
A lower quality of life was observed in case of patients subjected to parenteral nutrition, poor education, disease symptoms exacerbation, in the majority-rural inhabitants. The quality of life does not depend on gender, type of disease, family status, and additional medical care.
考虑炎症性肠病的治疗要素之一是营养治疗。上述治疗的持续时间取决于诸如发热、排便、胃肠道功能长度、造口和肠瘘存在等症状的发生率。营养治疗是成功治疗的重要要素，与药物治疗、手术治疗、生物治疗以及其他方法并列。克罗恩病和溃疡性结肠炎被视为慢性病，会导致身体和生物心理社会残疾，从而降低生活质量。本研究的目的是确定诊断为克罗恩病和溃疡性结肠炎的患者在接受自然营养和肠外营养的手术后的生活质量。
研究组包括来自军事医学研究所胃肠病科、华沙临床医院外科和临床营养科的52名患者。研究于2011年10月至2012年4月进行。使用世界卫生组织生活质量简表（WHOQOL-BREF）问卷来确定患者的生活质量。
观察到接受肠外营养、教育程度低、疾病症状加重的患者以及大多数农村居民的生活质量较低。生活质量不取决于性别、疾病类型、家庭状况和额外的医疗护理。
