Challenges of living with and managing inflammatory bowel disease: A meta-synthesis of patients' experiences

dc.contributor.authorByron, Clodagh
dc.contributor.authorCornally, Nicola
dc.contributor.authorBurton, Aileen
dc.contributor.authorSavage, Eileen
dc.date.accessioned2021-09-06T13:34:03Z
dc.date.available2021-09-06T13:34:03Z
dc.date.issued2019-10-20
dc.date.updated2021-09-06T13:22:11Z
dc.description.abstractAims and objectives: To examine qualitative studies which reported on patients' challenges of living with and managing inflammatory bowel disease (IBD). Background: There is a growing body of qualitative research focusing on the subjective experiences of patients with IBD. This research points to the daily challenges that patients experience which can relate to their physical and psychological health, as well as their social well-being, and may impact negatively on their lives. To date, there has been little attempt to synthesise these studies, and little is known about how patients manage the challenges they experience. Design: A meta-synthesis was conducted, based on guidelines developed by Sandelowski and Barroso (Handbook for synthesizing qualitative research, Springer, New York, NY, 2007) and PRISMA (Int J Surg, 8, 2009, 336). Methods Searches were conducted within the CINAHL, MEDLINE, PsycINFO, Psychology and Behavioural Sciences Collection and SocINDEX databases to locate qualitative and mixed methodology studies. The retrieved articles were screened against predetermined inclusion criteria. Quality appraisal was assessed using the Joanna Briggs Institute critical appraisal tool for qualitative research (Int J Evid Based Healthc, 13, 2015, 179). Results: Thematic analysis resulted in three themes: the unpredictability of living with IBD, the emotional turmoil of living with IBD and striving to maintain a normal life in managing IBD. Conclusion: The greatest challenges for patients identified in this meta-synthesis were the physical symptoms associated with IBD. These impacted negatively on their psychological and social well-being and reduced their quality of life. There is a notable gap in research on patient experiences of managing the challenges identified in everyday life and to what extent they receive support from healthcare professionals. Relevance to clinical practice: The results of this meta-synthesis offer insights into how the physical challenges of living with IBD, particularly in relation to symptoms, impact adversely on patients' psychological and social well-being. These insights are clinically relevant to healthcare professionals as a basis for supporting patients to manage their challenges.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationByron, C., Cornally, N., Burton, A. and Savage, E. (2019) 'Challenges of living with and managing inflammatory bowel disease: A meta-synthesis of patients' experiences', Journal of Clinical Nursing, 29(3-4), pp. 305-319. doi: 10.1111/jocn.15080en
dc.identifier.doi10.1111/jocn.15080en
dc.identifier.eissn1365-2702
dc.identifier.endpage319en
dc.identifier.issn0962-1067
dc.identifier.issued3-4en
dc.identifier.journaltitleJournal of Clinical Nursingen
dc.identifier.startpage305en
dc.identifier.urihttps://hdl.handle.net/10468/11835
dc.identifier.volume29en
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.rights© 2019, John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Byron, C., Cornally, N., Burton, A. and Savage, E. (2019) 'Challenges of living with and managing inflammatory bowel disease: A meta-synthesis of patients' experiences', Journal of Clinical Nursing, 29(3-4), pp. 305-319, doi: 10.1111/jocn.15080, which has been published in final form at: https://doi.org/10.1111/jocn.15080 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.subjectColitisen
dc.subjectUlcerativeen
dc.subjectCrohn's diseaseen
dc.subjectInflammatory bowel diseasesen
dc.subjectMeta-synthesisen
dc.subjectPatient experiencesen
dc.subjectQualitative researchen
dc.titleChallenges of living with and managing inflammatory bowel disease: A meta-synthesis of patients' experiencesen
dc.typeArticle (peer-reviewed)en
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