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

Andrew Morris, Bethan Leach

Research output: Contribution to journalArticle

1 Citation (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
JournalGastrointestinal Nursing
Volume13
Issue number7
Publication statusPublished - 2 Sep 2015

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Ileostomy
Crohn Disease
Interviews
Pathology
Diet
Food

Keywords

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

Cite this

Exploring individuals’ experiences of having an ileostomy and Crohn's disease and following dietary advice. / Morris, Andrew; Leach, Bethan.

In: Gastrointestinal Nursing, Vol. 13, No. 7, 02.09.2015.

Research output: Contribution to journalArticle

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AB - BackgroundDietary 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.MethodA 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.ResultsDietary 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.ConclusionHealth 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.

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