Napolitano Daniele, Bozzetti Mattia, Lo Cascio Alessio, De Stefano Giuseppe, Orgiana Nicoletta, Lopetuso Loris Riccardo, D'Onofrio Antonio Maria, Camardese Giovanni, Papa Alfredo, Scaldaferri Franco, Cocchieri Antonello, Bartoli Davide
Department of Biomedicine and Prevention, Tor Vergata University, 00133 Rome, Italy.
CEMAD IBD Unit, Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.
J Clin Med. 2025 May 30;14(11):3868. doi: 10.3390/jcm14113868.
Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), significantly affects patients' quality of life. Resilience and self-care are vital for disease management, yet their relationship with IBD remains underexplored. This study investigates how self-care behaviours influence resilience in patients with IBD, taking into account sociodemographic and clinical factors. : This was a multicentre observational study. Data were collected during routine outpatient visits between April and June 2024. Participants (≥18 years) with an IBD diagnosis for at least 12 months were recruited. Data were collected using validated instruments, including the Connor-Davidson Resilience Scale (CD-RISC-25), the Self-Care of Chronic Illness Inventory (SC-CII), and sociodemographic and clinical questionnaires. Disease activity was assessed using the Mayo Score (UC) and the Harvey-Bradshaw Index (CD). Descriptive, correlational, and regression analyses explored variable relationships. This study was conducted as part of the N-ECCO Research Grant initiative. : A total of 401 participants (CD: 196, UC: 205) were enrolled, with equal gender distribution (50.1% male). The descriptive analysis of self-care levels showed a mean score of 72.6 ( = 12.5) for self-care maintenance, 81.0 ( = 18.2) for self-care monitoring, and 70.5 ( = 18.4) for self-care management. The UC patients had higher self-care management scores than the CD patients ( = 0.002). The median resilience score was 45, and self-care management positively predicted resilience ( = 0.041, < 0.001). Disease severity negatively affected resilience and self-care, particularly in severe cases ( = -8.334, < 0.001). The females reported higher resilience and self-care monitoring scores than the men. : Resilience and self-care are interrelated and crucial in IBD management. Enhancing resilience through personalised nursing interventions and integrating psychological and educational support may improve self-care and clinical outcomes.
炎症性肠病（IBD），包括克罗恩病（CD）和溃疡性结肠炎（UC），会显著影响患者的生活质量。恢复力和自我护理对疾病管理至关重要，但它们与IBD的关系仍未得到充分探索。本研究探讨自我护理行为如何影响IBD患者的恢复力，并考虑了社会人口学和临床因素。：这是一项多中心观察性研究。数据收集于2024年4月至6月的常规门诊就诊期间。招募了IBD诊断至少12个月的参与者（≥18岁）。使用经过验证的工具收集数据，包括康纳-戴维森恢复力量表（CD-RISC-25）、慢性病自我护理量表（SC-CII）以及社会人口学和临床问卷。使用梅奥评分（UC）和哈维-布拉德肖指数（CD）评估疾病活动度。描述性、相关性和回归分析探索了变量之间的关系。本研究是作为N-ECCO研究资助计划的一部分进行的。：共纳入401名参与者（CD：196名，UC：205名），性别分布均衡（男性占50.1%）。自我护理水平的描述性分析显示，自我护理维持的平均得分为72.6（=12.5），自我护理监测的平均得分为81.0（=18.2），自我护理管理的平均得分为70.5（=18.4）。UC患者的自我护理管理得分高于CD患者（=0.002）。恢复力得分中位数为45，自我护理管理对恢复力有正向预测作用（=0.041，<0.001）。疾病严重程度对恢复力和自我护理有负面影响，尤其是在严重病例中（=-8.334，<0.001）。女性报告的恢复力和自我护理监测得分高于男性。：恢复力和自我护理相互关联，在IBD管理中至关重要。通过个性化护理干预增强恢复力，并整合心理和教育支持，可能会改善自我护理和临床结局。
