Dietary and Supplemental Therapy in Crohn's Disease: Promoting Self-Care Through Knowledge

Sunday, 30 July 2017

Jennifer Mary Senior, DNP
Gastro Florida/South University College of Nursing, Pinellas Park, FL, USA

Abstract

Background and Purpose: Crohn’s disease affects millions of people worldwide. It is a complex inflammatory condition of the gastrointestinal tract and requires a high knowledge level in both the patient and provider for successful management. Many research studies are done on pharmaceutical options to treat Crohn’s disease, but few studies detail the impact of nutritional deficiencies. The purpose of the project was to increase knowledge levels in patients with Crohn’s disease regarding the latest dietary and supplemental therapies showing promise to support their disease state while promoting self-care and improving well-being. Additionally, the project demonstrates to other healthcare professionals the importance of evaluating and educating patients in a meaningful, effective way.

Methods: The clinical improvement project began with an extensive review of the literature related to dietary and supplemental therapies for Crohn’s disease. The results were compiled into an educational session. The project utilized a quantitative pre-test, post-test survey method. Participants’ knowledge levels on 5 key topics of fiber, probiotics, vitamin D, other vitamins and minerals, and specific diets were tested before and after the evidence-based educational session. A small qualitative component highlighting the impact of the gain in knowledge on participants’ lives after the educational session was captured on a follow-up survey.

Conclusions: A statistically significant raise in knowledge level was found following the educational session (p<0.0001). Pre- to post-test scores rose by 21%. Data analysis revealed participants' age, gender, level of education, and disease duration did not impact learning. Qualitative reports cited improved knowledge of diet, vitamins, and better disease management.

Implications for Practice: Creating an evidence-based educational session from a comprehensive literature review is effective at raising patients’ knowledge levels. This knowledge improves patients’ abilities to engage in self-care and improves their quality of life. The methods utilized in this clinical improvement project can be applied to any chronic disease state.