关键词:
Dietary
Inflammatory Bowel Disease
Nursing Care
Qualitative Research
Roy Adaptation Theory
摘要:
Objective This study applies Roy adaptation theory to deeply explore the experience of food avoidance 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 patients hospitalized in the gastroenterology department of a tertiary hospital in Nanjing from July 2022 to December 2024 were seleeted for semi-struetured interviews. Data were analyzed using a direeted 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 funetion, social roles relinquishing dietary management), and external con-straints amplifying practical difficulties (family and friend oversight heightening dietary stress,healtheare 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 aecurate pereeptions, enhancing psychological support, guiding effective coping strategies, and optimizing external resources,thereby improving patients' Overall adaptive capacity and promoting their recovery. Copyright 2025 by the Chinese Nursing Association.