• KSAN
  • Contact us
  • E-Submission

Korean J Adult Nurs : Korean Journal of Adult Nursing

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

Original Article

Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease

Young Jin Lee1, Eui Geum Oh2
Korean Journal of Adult Nursing 2014;26(4):383-392.
Published online: August 31, 2014

1Asan Medical Center, Seoul

2College of Nursing · Nursing Policy Research Institute, Yonsei University, Seoul, Korea

Corresponding author: Lee, Young Jin Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-5372, Fax: +82-2-3010-5400, E-mail: hygiene2@hanmail.net
• Received: October 16, 2013   • Accepted: July 27, 2014

Copyright © 2014 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 29 Views
  • 0 Download
  • 4 Crossref
next

Full Article

Download PDF Download PDF
  • Purpose
    The purposeof this studywas to describe thedegreesof body image, self esteem andHealth Related Quality Of Life (HRQOL), and to identify factors related to these variables in patients with Crohn's disease.
  • Methods
    A descriptive cross sectional survey design was used. The 148 participants were the patients with Crohn's disease, recruited conveniently from one metropolitan hospital located in Seoul, Korea. The collected data were analyzedwith SPSS/WIN program.
  • Results
    Patients with severeillnessactivityreported significantly lower bodyimages than those of the others. Educationlevelsand working statesaffectedself-esteempositively, while thenumber of operations and illnessactivity affected self-esteemnegatively. Hospitalizationand illnessac-tivityaffected HRQOL negatively. Body image, self esteem, and HRQOLwerepositivelycorrelated to each other with statistical significance. Illnessactivity was acommonfactor to affect body image, self esteem, andHRQOL. Body image was an influential factor on HRQOL as well as illness activity in patients with Crohn's disease.
  • Conclusion
    Asa result, this study suggesteda necessity for developing aninterventionstudytolower the illness activity and heighten the body image among the patients with Crohn's disease.
  • Key Words: Crohn disease; Body image; Self concept; Quality of life
Table 1.
Body Image, Self Esteem and Health related Quality of Life according to the Characteristics of the Subjects (N=148)
Variables Characteristics (M±SD) Categories n (%) Body image Self esteem Health related quality of life
M±SD t or F (p) M±SD t or F (p) M±SD t or F (p)
General characteristics Gender Male 99 (66.9) 63.1±12.4 0.12 31.2±5.1 0.66 159.5±32.7 0.62
Female 49 (33.1) 62.9±10.9 (.907) 30.6±4.8 (.513) 155.8±37.1 (.534)
Age (year) (30.3±8.1) 20 ＜ 3 (2.0) 46.3±8.5 2.05 27.7±5.0 0.82 169.7±39.0 0.36
20~29 80 (54.1) 64.3±12.8 (.090) 31.3±5.1 (.514) 157.4±35.8 (.838)
30~39 45 (30.4) 62.0±10.8   30.6±5.1   158.3±31.6  
40~49 15 (10.1) 61.5±8.0   32.0±4.5   155.6±37.8  
50 ≥ 5 (3.4) 67.2±9.8   29.0±3.7   173.4±17.8  
Education High school ≤ 51 (34.5) 62.7±13.6 -0.22 29.7±5.5 -2.15 155.7±36.9 -0.68
College ≥ 97 (65.5) 63.2±10.9 (.829) 31.6±4.5 (.035) 159.7±32.7 (.500)
Marital status Single 100 (67.6) 63.6±12.2 0.87 31.1±4.9 0.45 159.0±33.0 0.36
Married 48 (32.4) 61.8±11.1 (.385) 30.7±5.2 (.655) 156.8±36.8 (.721)
Occupational status Unemployed 69 (46.6) 61.5±12.6 -1.45 29.9±5.3 -2.37 152.8±34.4 -1.83
Employed 79 (53.4) 64.3±11.1 (.148) 31.9±4.4 (.019) 163.1±33.4 (.070)
Monthly income (10,000 won) 149 ≤ 85 (57.4) 62.3±11.9 -0.88 30.5±4.8 -1.40 156.0±32.9 -0.96
150 ≥ 63 (42.6) 64.0±11.9 (.382) 31.6±5.1 (.163) 161.4±35.8 (.340)
Illness related characteristics Hospitalization Inpatient 33 (22.3) 61.4±12.0 -0.89 30.1±5.1 -1.08 137.2±26.2 -4.24
Outpatient 115 (77.7) 63.5±11.9 (.374) 31.2±4.9 (.282) 164.3±33.9 (＜.001)
Duration since diagnosis (year) (6.8±4.2) 5 ＜ 63 (42.6) 64.0±11.6 0.41 30.7±4.7 0.12 158.2±32.8 0.41
5~9 58 (39.2) 62.3±12.9 (.666) 31.1±5.0 (.888) 156.0±35.2 (.668)
10 ≥ 27 (18.2) 62.2±10.6   31.2±5.5   163.3±35.7  
Experience of operation No 52 (35.1) 63.9±10.3 0.68 31.8±4.4 1.55 159.4±30.7 0.32
Yes 96 (64.9) 62.5±12.7 (.498) 30.5±5.2 (.124) 157.7±36.0 (.753)
Number of operations (N=96) (2.1±1.3) 1~2a 67 (69.8) 63.8±12.1 1.89 30.9±4.9 3.47 159.0±36.0 0.35
3~4b 21 (21.9) 61.5±13.9 (.157) 30.9±5.2 (.035) 157.0±38.9 (.706)
c 5 ≥ 8 (8.3) 54.9±12.6   26.0±6.3 a,b＞c† 147.8±30.8  
Ostomy No 138 (93.2) 63.1±11.9 0.14 30.9±5.0 -0.22 158.1±33.9 -0.22
Yes 10 (6.8) 62.5±12.3 (.887) 31.3±4.9 (.830) 160.6±39.3 (.826)
Illness activity: CDAI (124.9±94.9) 150 ＜ a 104 (70.3) 66.2±10.9 12.77 31.8±4.8 6.38 170.1±28.2 32.95
150~219b 17 (11.5) 56.1±11.5 (＜.001) 30.1±5.0 (.002) 143.3±28.2 (＜.001)
220~449c 27 (18.2) 55.9±11.1 a＞b, c† 28.2±4.7 a＞c† 122.1±30.1 a＞b＞c†

CDAI=Crohn's Disease Activity Index.

†Scheffe test. ́

Table 2.
Scores of Body Image, Self Esteem, and Health related Quality of Life (N=148)
Variables Total score Range Possible range
M±SD
Body image 63.0±11.9 34~91 19~95
Self esteem 31.0±5.0 17~40 10~40
Health related quality of life 158.3±34.2 61~220 32~224
Table 3.
Correlations among Body Image, Self Esteem, and Health related Quality of Life (N=148)
Variables Body image Self esteem Health related quality of life
r (p) r (p) r (p)
Body image 1    
Self esteem .65 1  
  (.001) ＜    
Health related .59 .47 1
quality of life (.001) ＜ (.001) ＜  
Table 4.
Factors Influencing on Body Image, Self Esteem, and Health related Quality of Life with Crohn's Disease (N=148)
Variables Categories β t p Adj. R2 F p
Body image Illness activity -.44 -5.90 .001 ＜ .19 34.81 .001 ＜
Self esteem Illness activity -.39 -4.23 .001 ＜ .16 13.65 .001 ＜
  Education .24 2.63 .010 .21    
Health related quality of life Illness activity -.43 -6.58 .001 ＜ .36 70.60 .001 ＜
  Body image .40 6.01 .001 ＜ .49    

Adj. R2=Adjusted R square.

  • Ahn J. H.. 1996;A Study on body image and self esteem for the Hemodialysis patient Unpublished master's thesis, Ewha Womans University, Seoul..
  • Bernell O., Lapidus A., Hellers G.. 2000;Risk factors for sur-geryandpostoperativerecurrenceinCrohn'sdisease. Annals of Surgery. 231(1):38–-45.
  • Casellas F., Lopez-Vivancos J., Badia X., Vilaseca J., Malage-lada J. R.. 2001;Influence of inflammatory bowel disease on different dimensions of quality of life. European Journal of Gastroenterology and Hepatology. 13(5):567–-572.
  • Cho O. H., Yoo Y. S., Yang S. K.. 2012;Depression and risk factors in patients with Crohn's disease. Journal of Korean Academy of Nursing. 42(2):207–-216.
  • Fitts W. H., Roid G. H.. 1964. Tennessee self concept scale. Nashville, TN: Counselor Recordings and Tests.
  • Guyatt G., Mitchell A., Irvine E. J., Singer J., Williams N., Goo-dacre R., et al. 1989;A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology. 96(3):804–-810.
  • Jung K.S., Park G. J.. 2007;Relationshipsamongbodyimage, self-esteem, and health promotion behavior in mastectomy patients. Asian Oncology Nursing. 7(1):36–-46.
  • Jeon B. J.. 1974;Self-esteem: A test of its measurability. Yonsei Nonchong. 11(1):107–-130.
  • Kim W. H., Cho Y. S., Yoo H. M., Park I. S., Park E. C., Lim J. G.. 1999;Quality of life in Korean patients with inflammatory bowel diseases: Ulcerative colitis, Crohn's disease and intestinal Behcet's disease. International Journal of Colorectal Disease. 14(1):52–-57.
  • Kim Y.N.. 2010;Astudyonthequalityof lifeof thepatients with Crohn's disease Unpublished master's thesis, Chung-Ang University, Seoul..
  • Lakatos P. L.. 2006;Recent trends in theepidemiologyof inflammatory bowel diseases: Up or down? World Journal of Gastroenterology. 12(38):6102–-6108.
  • Lee S. A.. 2010;Stress and health-related quality of life in patients with inflammatory bowel disease Unpublished master's thesis, Ewha Womans University, Seoul..
  • Lindfred H., Saalman R., Nilsson S., Reichenberg K.. 2008;Inflammatory bowel disease and self-esteem in adolescence. Acta Pediatrica. 97(2):201–-205.
  • Mackner L.M., Crandall W.V., Szigethy E.M.. 2006;Psychosocial functioning in pediatric inflammatory bowel disease. Inflammatory Bowel Diseases. 12(3):239–-244.
  • Muller K.R., Prosser R., Bampton P., Mountifield R., Andrews J.M.. 2010;Femalegenderandsurgeryimpair relationships, body image, and sexuality in inflammatory bowel disease: Patient perceptions. Inflammatory Bowel Diseases. 16(4):657–-663.
  • Osgood C. E.. 1957. The measurement of meaning. (No. 47)..IL: University of Illinois Press.
  • Pallis A.G., Mouzas I.A.. 2000;Instrumentsforquality of life assessment in patients with inflammatory bowel disease. Digestive and Liver Disease. 32(8):682–-688.
  • Park J. B., Yang S. K., Myung S. J., Byeon J. S., Lee Y. J., Lee G. H., et al. 2004;Clinical characteristics at diagnosis and course of Koreanpatients withCrohn's disease. The Korean Journal of Gastroenterology. 43(1):8–-17.
  • Rogenberg M.. 1965;Societyandtheadolescentself-image Princeton, NJ: Princeton University Press..
  • Ryu M. K., Kim Y. H., Hyun J. G., Moon W., Lee K. S., Lee S. S., et al. 2001;Clinical investigations of Crohn's disease in Korea. The Korean Journal of Medicine. 60(1):46–-50.
  • Sainsbury A., Heatley R. V.. 2005;Review article: Psychosocial factors inthequalityof lifeof patientswith inflammatory bowel disease. Alimentary Pharmacology and Therapeutics. 21(5):499–-508.
  • Sohn S. K., Lee M. H., Song M. S.. 2001;Relationship between body image and self-esteem in patients with chronic renal failure. Journal of Korean Academy of Fundamentals of Nursing. 8(2):160–-171.
  • Stuart G. W.. 2012. Principles and Practice of Psychiatric Nursing. 10th ed. St. Louis: Mosby Elsevier.
  • Taft T. H., Keefer L., Leonhard C., Nealon-Woods M.. 2009;Impact of perceived stigma on inflammatory bowel disease patient outcomes. Inflammatory Bowel Diseases. 15(8):1224–-1232.
  • Watanabe T., Sasaki I., Sugita A., Fukushima K., Futami K., Hibi T., et al. 2012;Interval of less than 5 years between the first and secondoperation is arisk factor for athirdope-ration for Crohn's disease. Inflammatory Bowel Disease. 18(1):17–-24.
  • Waters B. M., Jensen L., Fedorak R. N.. 2005;Effects of formal education for patients with inflammatory bowel disease: A randomized controlled trial. Canadian Journal of Gastroenterology. 19(4):235–-244.
  • Yammamoto T., Fazio V. W., Tekkis P. P.. 2007;Safety and efficacy of strictureplasty for Crohn's disease: A systematic review and meta-analysis. Disease of the Colon & Rectum. 50(11):1968–-1986.
  • Yang S.K., Yun S., Kim J.H., Park J.Y., Kim H.Y., Kim Y.H., et al. 2008;Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: A KASID study. Inflammatory Bowel Diseases. 14(4):542–-549.
  • Ye B. D., Jang B. I., Jeen Y. T., Lee K. M., Kim J. S., Yang S. K., et al. 2009;Diagnostic guideline of Crohn's disease. The Korean Journal of Gastroenterology. 53(3):161–-176.
  • Zutshi M., Hull T. L., Hammel J.. 2007;Crohn's disease: A patient's perspective. International Journal of Colorectal Disease. 22(12):1437–-1444.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
      Yaki Yang
      Healthcare.2024; 12(17): 1779.     CrossRef
    • Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial
      Young Jin Lee, Hae Won Kim, Yeon Hee Kim, Suk-Kyun Yang, Ji-Yeon Kim
      Journal of Korean Academy of Nursing.2024; 54(3): 386.     CrossRef
    • Influence of Resilience and Social Support on Body Image of Patients in an Acute Stage Following Traffic Accidents
      Jihye Shin, Jieun Cha
      Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 156.     CrossRef
    • Body image, self-esteem, and quality of life in children and adolescents with inflammatory bowel disease in a tertiary hospital in South Korea
      Da Jeong Kum, Kyung-Sook Bang
      Child Health Nursing Research.2021; 27(2): 181.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease
    Korean J Adult Nurs. 2014;26(4):383-392.   Published online August 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.4.383
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease
    Korean J Adult Nurs. 2014;26(4):383-392.   Published online August 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.4.383
    Close

    Related articles

    Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease
    Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease

    Body Image, Self Esteem and Health related Quality of Life according to the Characteristics of the Subjects (N=148)

    Variables Characteristics (M±SD) Categories n (%) Body image Self esteem Health related quality of life
    M±SD t or F (p) M±SD t or F (p) M±SD t or F (p)
    General characteristics Gender Male 99 (66.9) 63.1±12.4 0.12 31.2±5.1 0.66 159.5±32.7 0.62
    Female 49 (33.1) 62.9±10.9 (.907) 30.6±4.8 (.513) 155.8±37.1 (.534)
    Age (year) (30.3±8.1) 20 ＜ 3 (2.0) 46.3±8.5 2.05 27.7±5.0 0.82 169.7±39.0 0.36
    20~29 80 (54.1) 64.3±12.8 (.090) 31.3±5.1 (.514) 157.4±35.8 (.838)
    30~39 45 (30.4) 62.0±10.8   30.6±5.1   158.3±31.6  
    40~49 15 (10.1) 61.5±8.0   32.0±4.5   155.6±37.8  
    50 ≥ 5 (3.4) 67.2±9.8   29.0±3.7   173.4±17.8  
    Education High school ≤ 51 (34.5) 62.7±13.6 -0.22 29.7±5.5 -2.15 155.7±36.9 -0.68
    College ≥ 97 (65.5) 63.2±10.9 (.829) 31.6±4.5 (.035) 159.7±32.7 (.500)
    Marital status Single 100 (67.6) 63.6±12.2 0.87 31.1±4.9 0.45 159.0±33.0 0.36
    Married 48 (32.4) 61.8±11.1 (.385) 30.7±5.2 (.655) 156.8±36.8 (.721)
    Occupational status Unemployed 69 (46.6) 61.5±12.6 -1.45 29.9±5.3 -2.37 152.8±34.4 -1.83
    Employed 79 (53.4) 64.3±11.1 (.148) 31.9±4.4 (.019) 163.1±33.4 (.070)
    Monthly income (10,000 won) 149 ≤ 85 (57.4) 62.3±11.9 -0.88 30.5±4.8 -1.40 156.0±32.9 -0.96
    150 ≥ 63 (42.6) 64.0±11.9 (.382) 31.6±5.1 (.163) 161.4±35.8 (.340)
    Illness related characteristics Hospitalization Inpatient 33 (22.3) 61.4±12.0 -0.89 30.1±5.1 -1.08 137.2±26.2 -4.24
    Outpatient 115 (77.7) 63.5±11.9 (.374) 31.2±4.9 (.282) 164.3±33.9 (＜.001)
    Duration since diagnosis (year) (6.8±4.2) 5 ＜ 63 (42.6) 64.0±11.6 0.41 30.7±4.7 0.12 158.2±32.8 0.41
    5~9 58 (39.2) 62.3±12.9 (.666) 31.1±5.0 (.888) 156.0±35.2 (.668)
    10 ≥ 27 (18.2) 62.2±10.6   31.2±5.5   163.3±35.7  
    Experience of operation No 52 (35.1) 63.9±10.3 0.68 31.8±4.4 1.55 159.4±30.7 0.32
    Yes 96 (64.9) 62.5±12.7 (.498) 30.5±5.2 (.124) 157.7±36.0 (.753)
    Number of operations (N=96) (2.1±1.3) 1~2a 67 (69.8) 63.8±12.1 1.89 30.9±4.9 3.47 159.0±36.0 0.35
    3~4b 21 (21.9) 61.5±13.9 (.157) 30.9±5.2 (.035) 157.0±38.9 (.706)
    c 5 ≥ 8 (8.3) 54.9±12.6   26.0±6.3 a,b＞c† 147.8±30.8  
    Ostomy No 138 (93.2) 63.1±11.9 0.14 30.9±5.0 -0.22 158.1±33.9 -0.22
    Yes 10 (6.8) 62.5±12.3 (.887) 31.3±4.9 (.830) 160.6±39.3 (.826)
    Illness activity: CDAI (124.9±94.9) 150 ＜ a 104 (70.3) 66.2±10.9 12.77 31.8±4.8 6.38 170.1±28.2 32.95
    150~219b 17 (11.5) 56.1±11.5 (＜.001) 30.1±5.0 (.002) 143.3±28.2 (＜.001)
    220~449c 27 (18.2) 55.9±11.1 a＞b, c† 28.2±4.7 a＞c† 122.1±30.1 a＞b＞c†

    CDAI=Crohn's Disease Activity Index.

    †Scheffe test. ́

    Scores of Body Image, Self Esteem, and Health related Quality of Life (N=148)

    Variables Total score Range Possible range
    M±SD
    Body image 63.0±11.9 34~91 19~95
    Self esteem 31.0±5.0 17~40 10~40
    Health related quality of life 158.3±34.2 61~220 32~224

    Correlations among Body Image, Self Esteem, and Health related Quality of Life (N=148)

    Variables Body image Self esteem Health related quality of life
    r (p) r (p) r (p)
    Body image 1    
    Self esteem .65 1  
      (.001) ＜    
    Health related .59 .47 1
    quality of life (.001) ＜ (.001) ＜  

    Factors Influencing on Body Image, Self Esteem, and Health related Quality of Life with Crohn's Disease (N=148)

    Variables Categories β t p Adj. R2 F p
    Body image Illness activity -.44 -5.90 .001 ＜ .19 34.81 .001 ＜
    Self esteem Illness activity -.39 -4.23 .001 ＜ .16 13.65 .001 ＜
      Education .24 2.63 .010 .21    
    Health related quality of life Illness activity -.43 -6.58 .001 ＜ .36 70.60 .001 ＜
      Body image .40 6.01 .001 ＜ .49    

    Adj. R2=Adjusted R square.
    Table 1. Body Image, Self Esteem and Health related Quality of Life according to the Characteristics of the Subjects (N=148)

    CDAI=Crohn's Disease Activity Index.

    Scheffe test. ́

    Table 2. Scores of Body Image, Self Esteem, and Health related Quality of Life (N=148)

    Table 3. Correlations among Body Image, Self Esteem, and Health related Quality of Life (N=148)

    Table 4. Factors Influencing on Body Image, Self Esteem, and Health related Quality of Life with Crohn's Disease (N=148)

    Adj. R2=Adjusted R square.

    Table 1.

    Table 2.

    Table 3.

    Table 4.

    Korean J Adult Nurs : Korean Journal of Adult Nursing

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Society of Adult Nursing.
    TOP