QUALITY OF LIFE IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE IN SULAIMANI CITY, KURDISTAN REGION OF IRAQ

Volume 14 , Issue 1 , March 2024 , Pages 153-170

Authors

Hawaar Kamal Asaad 1 ; Mohammed Omer Mohammed 2 ; Ahmed Mohammed Amin Ahmed 3

1 Rozhhalat Emergency Hospital, Hawler General Directorate of Health, Ministry of Health, Kurdistan Region, Iraq.

2 Department of Clinical Sciences, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

3 College of Health and Medical Technology, Sulaimani Polytechnic University, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10461

Keywords

Abstract

Background
Crohn’s disease (CD) and ulcerative colitis (UC) are grouped under the term infl ammatory bowel disease (IBS)
and are defi ned as a persistent infl ammation of the gastrointestinal tract. These diseases affect the quality of
life (QoL).
Objectives
This study aims to analyze how infl ammatory bowel disease impacts the quality of life among patients
attending the Teaching Hospital for Gastroenterology and Hepatology in Sulaimani City.
Materials and Methods
This is a prospective cross-sectional study using the direct interviewing method. The quality of life of one
hundred twenty-one ambulatory patients with infl ammatory bowel disease was assessed. The sample included
(49) patients with Crohn’s disease, (72) with ulcerative colitis. The questionnaire consisted of (41) items
divided into four categories: Demographic Information (13 questions), Clinical Characteristics (10 questions),
Investigations (13 questions), and Food Frequency (5 questions). The 16 questions are also used to assess quality
of life based on the World Health Organization 2012. Data were analyzed, and P values≤ 0.05 were deemed
as signifi cant.
Results
Quality of life was higher among patients with ulcerative colitis than Crohn’s. Most patients managed to keep
their personal and professional lives largely unaffected, and those without surgical operations had higher
quality of life. In the physical capacity domain, the UC has a mean score of (2.27±2.36), and the CD has a mean
of (2.25±2.34). The mean of the psychological domain was (2.20±2.32) among UC and (2.18±2.30) among CD.
The mean level of independence domain was (1.96±2.05) and (1.90±1.97) among UC and CD, respectively.
Regarding social relationships and environment domains, patients with ulcerative colitis had a higher quality
of life than those with Crohn’s disease; the mean of the social relationship domain was (2.10±1.43) in UC and
(2.01±2.09) in CD, the mean of the environment domain was (2.10±1.43) UC and (2.03±2.10) CD respectively.
Conclusion
This study shows that compared to the age-and sex-matched sample, QoL among patients with (UC) is better
than (CD) in all six domains. Medical professionals need to ask about infl ammatory bowel disease-related
emotional issues. The clinical evaluation of patients with infl ammatory bowel disease can be expanded using
questionnaires to assess quality of life.

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  • Published at21 March 2024

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