Experiences of food avoidance behavior in patients with inflammatory bowel disease:a qualitative study
10.3761/j.issn.0254-1769.2025.11.007
- VernacularTitle:炎症性肠病患者回避饮食体验的质性研究
- Author:
Qingyu WANG
1
;
Meijing ZHOU
;
Yang LEI
;
Sha LI
;
Junyi GU
;
Zheng LIN
;
Qiugui BIAN
;
Jiefeng YANG
;
Lichen TANG
;
Jiali CHEN
;
Hantian CHENG
Author Information
1. 212002 镇江市第一人民医院心内科
- Publication Type:Journal Article
- Keywords:
Inflammatory Bowel Disease;
Roy Adaptation Theory;
Dietary;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(11):1323-1329
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study applies Roy adaptation theory to deeply explore the experience of food avoid-ance behavior in patients with inflammatory bowel disease(IBD),offering insights for developing dietary management strategies.Methods A descriptive qualitative research method was employed.By purposive sampling,24 IBD pa-tients hospitalized in the gastroenterology department of a tertiary hospital in Nanjing from July 2022 to December 2024 were selected for semi-structured interviews.Data were analyzed using a directed content analysis approach.Results This study identified 4 main themes and 11 sub-themes,encompassing overattribution leading to inappro-priate avoidance(recurrent symptoms triggering overattribution,disease staging triggering inappropriate avoidance),negative self-perception leading management struggles(illness fear diminishing self-efficacy,disease trauma eroding self-identity,knowledge deficiency constraining self-determination),functional impairment intensifying role challenges(role internalization undermining social function,social roles relinquishing dietary management),and external con-straints amplifying practical difficulties(family and friend oversight heightening dietary stress,healthcare gaps foster-ing practical helplessness,traditional beliefs restricting dietary exploration,economic hardship limiting balanced nu-trition).Conclusion The interplay of overattribution,negative self-perception,functional impairment,and external constraints in IBD patients hinders their ability to adapt to disease fluctuations,ensnaring them in the adaptive predicament of food avoidance behavior.Healthcare professionals should comprehensively address these factors by fostering accurate perceptions,enhancing psychological support,guiding effective coping strategies,and optimizing ex-ternal resources,thereby improving patients' overall adaptive capacity and promoting their recovery.
