IBD: meta-synthesis highlights daily challenges

  • Byron C & al.
  • J Clin Nurs
  • 20 Oct 2019

  • International Clinical Digest
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Takeaway

  • Physical symptoms of IBD present daily challenges for patients, threatening their psychological and social well-being and reducing their QoL.

Why this matters

  • A new review of research on how IBD symptoms affect QoL may help clinicians support patients in managing the challenges of living with the disease.

Study design

  • Researchers analyzed 11 qualitative studies (N=565; Crohn’s disease, 356; ulcerative colitis, 200; not specified, 9), using Sandelowski and Barroso's meta-synthesis framework and PRISMA guidelines for systematic reviews.
  • Funding: None.

Key results

  • Thematic analysis showed 3 common themes related to living with IBD:
    • Unpredictability related to physical symptoms and flare-ups, treatments, future health, relationships, social life, and educational and professional pursuits.
    • Emotional turmoil stemming from effects on psychological well-being and lack of support from family and friends.
    • Striving to maintain a normal life through a positive outlook, symptom-management strategies, and support from various sources.

Limitations

  • The meta-synthesis excluded studies focusing on 1 specific challenge and was limited to those published in English.