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Perceptions and Behaviors of Patients with Inflammatory Bowel Disease during the COVID-19 Crisis

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Author(s)
Yoo Jin LeeKyeong Ok KimMin Cheol KimKwang Bum ChoKyung Sik ParkByeong Ik Jang
Keimyung Author(s)
Lee, Yoo JinCho, Kwang BumPark, Kyung Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Gut Liver
Issued Date
2022
Volume
16
Issue
1
Keyword
Inflammatory bowel diseasesCOVID-19PerceptionMedication adherence
Abstract
Background/Aims:
This study aimed to investigate the perceptions and behaviors of patients with inflammatory bowel disease (IBD) during the early coronavirus disease 2019 (COVID-19) pandemic in the major epidemic area in Korea.

Methods:
Between April and May 2020, a cross-sectional survey was performed at two tertiary hospitals in Daegu, South Korea, on patients' experiences, coping strategies and perceptions.

Results:
Most of the 544 patients participating in the survey strictly adhered to personal protection guidance against COVID-19. In the early COVID-19 crisis, many patients canceled or postponed hospital visits (57.5%) and rescheduled biologics administrations (26.4%). Although 13.6% utilized telemedicine, the frequency of individuals leaving their homes remained unchanged. Although 50.4% were concerned about their susceptibility to COVID-19, 72.2% adhered to their treatment for IBD. In patients taking biologics or Janus kinase inhibitors, 86.8% disagreed that they should discontinue their medication as a preventative measure against COVID-19, but 21.9% actually discontinued their medications. Of those with discordance between the perception of IBD drug adherence and active behaviors, 5.4% of all and 39.4% of biologics or Janus kinase inhibitors withheld drugs specifically due to fear of COVID-19. Only 7% of all patients discussed drug safety with their physicians. The level of concern for COVID-19 depended on the type of drug used.

Conclusions:
Patients with IBD showed concerns about the increased risk of COVID-19 due to IBD or their medications, and a considerable number of patients withheld their medications without consulting medical staff. Enhanced active communications with patients with IBD and appropriate health-related education should be provided.
Keimyung Author(s)(Kor)
이유진
조광범| 박경식
Publisher
School of Medicine (의과대학)
Citation
Yoo Jin Lee et al. (2022). Perceptions and Behaviors of Patients with Inflammatory Bowel Disease during the COVID-19 Crisis. Gut Liver, 16(1), 81–91. doi: 10.5009/gnl210064
Type
Article
ISSN
2005-1212
Source
https://www.gutnliver.org/journal/view.html?pn=vol&uid=1855&vmd=Full#n
DOI
10.5009/gnl210064
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44003
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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