Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.
Abd Elkhalek Mekky, E., Moustafa Ragheb, M., Ahmed Mohamed Hassan, H., Tolba Fathy, A. (2025). Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.. EKB Journal Management System, 6(2), 105-126. doi: 10.21608/jnsbu.2025.443201
Essam Abd Elkhalek Mekky; Marwa Moustafa Ragheb; Hayam Ahmed Mohamed Hassan; Ashgan Tolba Fathy. "Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.". EKB Journal Management System, 6, 2, 2025, 105-126. doi: 10.21608/jnsbu.2025.443201
Abd Elkhalek Mekky, E., Moustafa Ragheb, M., Ahmed Mohamed Hassan, H., Tolba Fathy, A. (2025). 'Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.', EKB Journal Management System, 6(2), pp. 105-126. doi: 10.21608/jnsbu.2025.443201
Abd Elkhalek Mekky, E., Moustafa Ragheb, M., Ahmed Mohamed Hassan, H., Tolba Fathy, A. Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.. EKB Journal Management System, 2025; 6(2): 105-126. doi: 10.21608/jnsbu.2025.443201

Effect of Educational Guidelines for Ulcerative Colitis Patients on their Adherence to Treatment Regimen and Clinical Outcomes.

Journal of Nursing Science Benha University
Volume 6, Issue 2, July 2025, Pages 105-126    PDF (934.37 K)
DOI: 10.21608/jnsbu.2025.443201
Authors
Essam Abd Elkhalek Mekky1; Marwa Moustafa Ragheb2; Hayam Ahmed Mohamed Hassan3; Ashgan Tolba Fathy3
1Clinical Instructor at Nursing Technical Institute, Faculty of Nursing, Zagazig University, Egypt
2Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt
3Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt.
Abstract
            Background: Ulcerative colitis has no cure and is a lifelong disorder with a significant impact on both physical and mental health. Educational guidelines focus on increasing the patient knowledge of UC and making them more familiar with the disease. Research aim: Was to evaluate the effect of educational guidelines for ulcerative colitis patients on their adherence to treatment regimen and clinical outcomes. Research design: Quasi- experimental design was utilized. Setting: This study was conducted at inpatient and outpatient clinic of liver department and gastrointestinal system at Benha University Hospital, Egypt. Subjects: A convenient sample of all available adult patients with ulcerative colitis disease (70 patients) who were admitted to the previous setting. Tools: Three tools for data collection were used as follows: (I) structured interviewing questionnaire. (II) Eight- items Morisky Medication Adherence Scale. (III) Tool III: Mayo Score to assess clinical health outcomes. Results: The study showed that statistically significant improvement in the total adherence to treatment regimen for studied patients from low adherence pre guidelines among 71.4% of them to high adherence after 1 month and 3 months post educational guidelines among (72.9% & 68.6% respectively), while, 24.3% of studied patients had severe clinical outcomes pre guidelines compared to (80% & 91.4% respectively) 1 month and 3 months post educational guidelines  of the studied patients had normal clinical outcomes. Conclusion: Implementation of educational guidelines had a negative effect on improving ulcerative colitis patients' adherence to treatment regimen and clinical outcomes. Recommendation: The study should be replicated on a large sample from different geographical distribution to generalize the findings.
Keywords
Educational guidelines; ulcerative colitis; patients' adherence; treatment regimen; patients' outcomes
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