The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome

Background & Aims: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders that significantly affects patients' quality of life. This study aimed to determine the effect of written expression on the severity of gastrointestinal symptoms in patients with IBS.  Mat...

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Main Authors: Marzieh Borjian Borujeni, Mehrnoosh Inanlou, Mohammad Heidari, Mehdi Nikkhah, Shima Haghani, Alice Khachian
Format: Article
Language:fas
Published: Iran University of Medical Sciences 2021-12-01
Series:نشریه پرستاری ایران
Subjects:
Online Access:http://ijn.iums.ac.ir/article-1-3375-en.html
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author Marzieh Borjian Borujeni
Mehrnoosh Inanlou
Mohammad Heidari
Mehdi Nikkhah
Shima Haghani
Alice Khachian
author_facet Marzieh Borjian Borujeni
Mehrnoosh Inanlou
Mohammad Heidari
Mehdi Nikkhah
Shima Haghani
Alice Khachian
author_sort Marzieh Borjian Borujeni
collection DOAJ
description Background & Aims: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders that significantly affects patients' quality of life. This study aimed to determine the effect of written expression on the severity of gastrointestinal symptoms in patients with IBS.  Materials & Methods: This clinical trial study was conducted in 2019 on 71 patients with IBS who were referred to the gastrointestinal clinics of Firoozgar and Rasoul Akram hospitals in Tehran, were selected using a continuous sampling method based on inclusion criteria and randomly (permuted block randomization) assigned to two control and intervention groups. A questionnaire on demographic characteristics and symptom severity index (SI-IBS) was completed by both groups. A white booklet with a particular format was given to each participant to express their emotions in writing in the intervention group. A weekly written expression of the patient's feelings for 15-30 min was done at home for one month. After one month, the SI-IBS questionnaire was completed again by both groups. Finally, the questionnaires were analyzed using SPSS v. 16 software. Results: After the intervention, the severity of gastrointestinal symptoms in the experimental group decreased significantly compared to before the intervention (P= 0.016). However, there was no statistically significant difference between the mean scores of gastrointestinal symptoms in the experimental and control groups one month after the intervention (P= 0.438). Conclusion: Execution of written expression in this study did not cause a statistically significant difference in the score of gastrointestinal symptoms in patients with irritable bowel syndrome but was associated with a decrease in the severity of gastrointestinal symptoms in patients in the experimental group. This non-pharmacological intervention can be considered a practical and easy method and pharmacological treatment for patients with this syndrome.
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spelling doaj.art-60cb6bc88f7c4f0ebddb4ad29e9465532022-12-22T03:25:06ZfasIran University of Medical Sciencesنشریه پرستاری ایران2008-59312021-12-0134133215The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel SyndromeMarzieh Borjian Borujeni0Mehrnoosh Inanlou1Mohammad Heidari2Mehdi Nikkhah3Shima Haghani4Alice Khachian5 Department of Medical Surgical, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Department of Pediatric and Psychiatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Department of Adults and Geriatric Nursing, Community-Oriented Nursing Midwifery Research Center, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran. Department of Gastrointestinal, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran. Department of Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran. Department of Medical-Surgical, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Background & Aims: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders that significantly affects patients' quality of life. This study aimed to determine the effect of written expression on the severity of gastrointestinal symptoms in patients with IBS.  Materials & Methods: This clinical trial study was conducted in 2019 on 71 patients with IBS who were referred to the gastrointestinal clinics of Firoozgar and Rasoul Akram hospitals in Tehran, were selected using a continuous sampling method based on inclusion criteria and randomly (permuted block randomization) assigned to two control and intervention groups. A questionnaire on demographic characteristics and symptom severity index (SI-IBS) was completed by both groups. A white booklet with a particular format was given to each participant to express their emotions in writing in the intervention group. A weekly written expression of the patient's feelings for 15-30 min was done at home for one month. After one month, the SI-IBS questionnaire was completed again by both groups. Finally, the questionnaires were analyzed using SPSS v. 16 software. Results: After the intervention, the severity of gastrointestinal symptoms in the experimental group decreased significantly compared to before the intervention (P= 0.016). However, there was no statistically significant difference between the mean scores of gastrointestinal symptoms in the experimental and control groups one month after the intervention (P= 0.438). Conclusion: Execution of written expression in this study did not cause a statistically significant difference in the score of gastrointestinal symptoms in patients with irritable bowel syndrome but was associated with a decrease in the severity of gastrointestinal symptoms in patients in the experimental group. This non-pharmacological intervention can be considered a practical and easy method and pharmacological treatment for patients with this syndrome.http://ijn.iums.ac.ir/article-1-3375-en.htmlirritable bowel syndromewritten expressionseveritygastrointestinal symptoms
spellingShingle Marzieh Borjian Borujeni
Mehrnoosh Inanlou
Mohammad Heidari
Mehdi Nikkhah
Shima Haghani
Alice Khachian
The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
نشریه پرستاری ایران
irritable bowel syndrome
written expression
severity
gastrointestinal symptoms
title The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
title_full The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
title_fullStr The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
title_full_unstemmed The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
title_short The Effect of Written Expression on Severity of Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome
title_sort effect of written expression on severity of gastrointestinal symptoms in patients with irritable bowel syndrome
topic irritable bowel syndrome
written expression
severity
gastrointestinal symptoms
url http://ijn.iums.ac.ir/article-1-3375-en.html
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