关键词: 炎症性肠病, 饮食, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate and synthesize qualitative studies on dietary experience of patients with inflammatory bowel disease，and to provide a reference for healthcare professionals to carry out dietary intervention. Methods A comprehensive search was conducted across the Cochrane Library，Web of Science，PubMed，Embase，CINAHL，CNKI，Wanfang Database，VIP Database and SinoMed for qualitative studies on the dietary experiences of patients with inflammatory bowel disease. The search period was from database inception to November 2024. The quality of the included literature was evaluated using the Australian Joanna Briggs Institute Center for Evidence-based Health Care Qualitative Assessment criteria for Qualitative Research（2016），and the results were integrated by integrating methods. Results A total of 10 studies were included；40 research results were extracted；15 categories were summarized. The final synthesis included 4 integrated results，including multifaceted considerations in food choice，barriers to dietary management，empirical strategies for dietary management，and positive transformations resulting from dietary management. Conclusion Patients with inflammatory bowel disease have multifaceted experiences related to diet. Healthcare professionals should place greater emphasis on dietary guidance，enhance patients’ knowledge and skills in dietary self-management，support patients’ adaptation to dietary changes and the development of individualized coping strategies，and integrate multiple resources to improve patients’ dietary experience.

Key words: Inflammatory Bowel Disease, Diet, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing