Life Experiences with Coeliac Disease among Patients Referred to Iranian Coeliac Society
Subject Areas : Journal of Family Centered Health Care
Narges Sadeghi
1
,
Reyhaneh Alsadat Hesami
2
,
Fatemeh Rafiei
3
1 - Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
2 - Isfahan University of Medical Sciences, Isfahan, Iran.
3 - Alzahra Isfahan Medical Education Center, Isfahan, Iran
Keywords: Coeliac Disease, Life Experiences, Phenomenology,
Abstract :
Introduction: During the last two decades, the rate of diagnosing coeliac disease has increased significantly in Iran. The present study aims to describe the life experiences with coeliac disease among the patients referred to the Iranian Coeliac Society in 2017. Methods: In the present descriptive phenomenology, 19 patients with coeliac disease referred to the Iranian Coeliac Society, were selected as participants by purposeful sampling method. The data were collected through in-depth interviews with an average of 45 minutes for each session at the coeliac center. The sampling process continued until the data saturation was achieved. The nine-step Colaizzi method was used to analyze the data. Results: Based on the results, eight issues such as psychological distress, fighting with disease, disease ambiguity, challenging diets, disease non-acceptance, social isolation, the tendency towards spirituality, disease acceptance efforts, and four other categories such as fear, anxiety, despair, stress and mental instability, and 11 subcategories were identified as life experiences with Coeliac disease. About living with coeliac disease, 8 themes were extracted from the patients’ experiences. Conclusion: Since the findings help nurses understand the life experiences of coeliac patients, they can provide appropriate nursing care based on the patient’s needs through the research result. Keywords: Coeliac Disease, Life Experiences, Phenomenology
1. Calado J, Verdelho Machado M. Celiac disease revisited. GE-Portuguese Journal of Gastroenterology. 2022;29(2):111-24.
2. Sollid LM, Tye-Din JA, Qiao S-W, Anderson RP, Gianfrani C, Koning F. Update 2020: nomenclature and listing of celiac disease–relevant gluten epitopes recognized by CD4+ T cells. Immunogenetics. 2020;72:85-8.
3. Singh P, Arora A, Strand TA, Leffler DA, Catassi C, Green PH, et al. Global prevalence of celiac disease: systematic review and meta-analysis. Clinical gastroenterology and hepatology. 2018;16(6):823-36. e2.
4. Machado MV. New Developments in celiac disease treatment. International Journal of Molecular Sciences. 2023;24(2):945.
5. Leonard MM, Sapone A, Catassi C, Fasano A. Celiac disease and nonceliac gluten sensitivity: a review. Jama. 2017;318(7):647-56.
6. Mohammadibakhsh R, Sohrabi R, Salemi M, Mirghaed MT, Behzadifar M. Celiac disease in Iran: a systematic review and meta-analysis. Electronic physician. 2017;9(3):3883.
7. Zarkadas M, Dubois S, MacIsaac K, Cantin I, Rashid M, Roberts K, et al. Living with coeliac disease and a gluten‐free diet: a C anadian perspective. Journal of Human Nutrition and Dietetics. 2013;26(1):10-23.
8. Taghdir M, Honar N, Mazloomi SM, Sepandi M, Ashourpour M, Salehi M. Dietary compliance in Iranian children and adolescents with celiac disease. Journal of Multidisciplinary Healthcare. 2016:365-70.
9. Jacobsson LR, Hallert C, Milberg A, Friedrichsen M. Coeliac disease–women's experiences in everyday life. Journal of clinical nursing. 2012;21(23-24):3442-50.
10. Asgari MR, Mohammadi E, Khoshknab MF, Tamadon MR. Hemodialysis patients' perception from nurses' role in their adjustment with hemodialysis: a qualitative study. Koomesh. 2011;12(4).
11. Momennasab M, Moattari M, Abbaszade A, Shamshiri B. Spiritual experience of heart attack patients: A qualitative study. Journal of qualitative research in health sciences. 2013;2(4):284-97.
12. Gray JR, Grove SK, Sutherland S. Burns and grove's the practice of nursing research-E-book: Appraisal, synthesis, and generation of evidence: Elsevier Health Sciences; 2016.
13. Wilson A. A guide to phenomenological research. Nursing Standard (2014+). 2015;29(34):38.
14. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011.
15. Sheikhian MR, Bonab SM, Raad S, Ganji A. Relationship between Behavioral Disorders and Quality of Life in Patients with Celiac Disease. Govaresh. 2015;20(3):161-8.
16. Sainsbury K, Mullan B, Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. Journal of psychosomatic research. 2013;75(2):135-41.
17. de Lorenzo CM, Xikota JC, Wayhs MC, Nassar SM, de Souza Pires MM. Evaluation of the quality of life of children with celiac disease and their parents: a case–control study. Quality of Life Research. 2012;21:77-85.
18. Saletu B, Anderer P, Saletu-Zyhlarz G. EEG topography and tomography (LORETA) in diagnosis and pharmacotherapy of depression. Clinical EEG and neuroscience. 2010;41(4):203-10.
19. Heikkilä K, Pearce J, Mäki M, Kaukinen K. Celiac disease and bone fractures: a systematic review and meta-analysis. The Journal of Clinical Endocrinology & Metabolism. 2015;100(1):25-34.
20. Cheng J, Brar PS, Lee AR, Green PH. Body mass index in celiac disease: beneficial effect of a gluten-free diet. Journal of clinical gastroenterology. 2010;44(4):267-71.
21. Guandalini S, Assiri A. Celiac disease: a review. JAMA pediatrics. 2014;168(3):272-8.
22. Samasca G, Sur G, Lupan I, Deleanu D. Gluten-free diet and quality of life in celiac disease. Gastroenterology and hepatology from bed to bench. 2014;7(3):139.
23. Kalroozi F, Dadgari F, Zareiyan A. Patients’ satisfaction from health care group in patient’s bill of right observance. Journal of Military Medicine. 2010;12(3):143-8.
24. Barzegar N, Saliminia A, Danesh E, Nooripour R. The Comparison Between Big Five Personality and Early Maladaptive Schemas in Patients with Celiac and Normal People. Journal of Arak University of Medical Sciences. 2015;17(10):12-22.
25. yaghobi h. The comparison of cognitive behavior therapy and Islamic based spiritual religion psychotherapy on reducing of student's overt anxiety. Journal of research in behavioural sciences. 2012;10(2):0-.