Factors promoting and hindering resilience in youth with inflammatory bowel disease: A descriptive qualitative study.
Lili You, Siyao Wang, Yangyang Wang and 5 others
PMID 38629398WHAT IT FOUND
Youth with inflammatory bowel disease identified acceptance, strict self-management, and family support as key to resilience.
Stigma, economic pressure, and lack of understanding hindered it. These themes guide nursing interventions but do not prove efficacy.
Key findings
01Personal factors promoting resilience included acceptance of illness, strict self-management, previous treatment experience, and life goals.
02Environmental factors promoting resilience included family support, medical support, and peer encouragement.
03Hindering factors included stigma, lack of communication, negative cognition, societal incomprehension, economic pressure, and academic or employment pressure.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small (10 participants) and recruited from a single hospital in China, limiting generalisability to other cultures or healthcare systems. Participants were interviewed only once, so resilience factors could not be observed over time; findings rely on retrospective memory. The study did not quantify depression, pain, or resilience levels, so it cannot establish causal links between these factors and clinical outcomes.
Declared interests
The study was supported by Fundamental Research Funds for the Central Universities. All authors declared no financial or other relationships.
The easy way to misread this
Do not interpret these themes as evidence that specific nursing interventions increase resilience. The study describes patients' perceptions of factors that help or hinder them, but it did not test any treatment or measure outcomes, so it cannot prove that acting on these themes will improve patient resilience.