Exploring individuals’ experiences of having an ileostomy and Crohn's disease and following dietary advice

Andrew Morris, Bethan Leach

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    Background
    Dietary advice for individuals with an ileostomy centres on providing a balanced, nutritious diet, but may not take into account the underlying pathology for the ileostomy, for example, Crohn's disease (CD). The study explores the suitability of such advice for individuals with CD and an ileostomy.

    Method
    A phenomenological study design used in-depth, semi-structured interviews with six adults with CD and an ileostomy; the interviews were recorded and transcribed verbatim. Thematic analysis and member checking were undertaken.

    Results
    Dietary advice was deemed difficult to follow as it did not match with an individual's real-life situation, for example, adverse food reactions. These experiences affected compliance with advice, resulting in adaptation to a diet that could be followed inside and outside the home.

    Conclusion
    Health professionals must adapt healthy-eating advice to account for the underlying pathology of an ileostomy. Practical and emotional support around following dietary advice may need to be offered.
    Original languageEnglish
    Pages (from-to)36-41
    JournalGastrointestinal Nursing
    Volume13
    Issue number7
    DOIs
    Publication statusPublished - 2 Sep 2015

    Keywords

    • Crohn's disease
    • Diet
    • Ileostomy
    • Patient-centered care
    • Gastroenterology

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