- Fecal Incontinence
|A Randomized Trial Comparing Standard Treatment and Stress-Relieving Therapies to Improve Irritable Bowel Syndrome Symptoms
J Nurs Care Qual. 2023 Jun 2. doi: 10.1097/NCQ.0000000000000725. Online ahead of print.
1Outer Banks Family Medicine, Kitty Hawk, North Carolina (Dr Lancsek); Albemarle Gastroenterology Associates, Elizabeth City, North Carolina (Dr Faber); School of Professional Nursing, Old Dominion University, Virginia Beach, Virginia (Dr Rutledge); Sentara Healthcare, Norfolk, Virginia (Drs Maduro and Zimbro); and Sentara Obici Hospital, Suffolk, Virginia (Dr Morgan).
Background: Abdominal pain is stressful, accounting for a large proportion of emergency and primary care visits. Clinical workups for irritable bowel syndrome (IBS) are often without abnormal findings and symptoms can be severe, diminishing patients' IBS-related quality of life (IBS-QOL).
Purpose: The efficacy of stress-relieving therapies to manage IBS symptoms was explored.
Methods: Participants were randomly assigned to standard care or an intervention group (ie, walking, music, and essential oils). The IBS-QOL, gastrointestinal (GI) distress, and general health questionnaires were completed at baseline and 6-week visits.
Results: The intervention explained 20% of the variance for IBS-QOL, 19% for GI distress, and 27% for general health, after controlling for baseline scores. IBS-QOL and general health were improved, with GI distress minimized for the walking and essential oils groups.
Conclusions: Adding walking and essential oils to an established IBS treatment regimen can positively impact health and well-being.