ArticleBMJ open2025
Home-based enteral nutrition self-management challenges in young and middle-aged patients with Crohn's disease: a qualitative study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Factors Affecting the Adherence to Partial Enteral Nutrition Combined with the Crohn's Disease Exclusion Diet in Crohn's Disease Adult Patients.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
3 authors.
Funding
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Abstract
objectivesTo explore the challenges faced by young and middle-aged patients with Crohn's disease (CD) in managing home enteral nutrition (HEN) and to identify strategies to improve their self-management and treatment adherence.
designA qualitative phenomenological study.
settingThe study was conducted at a comprehensive tertiary hospital in Jiangsu, China, with a focus on patients undergoing long-term HEN treatment for CD.
participants14 participants, aged 18-60 years, diagnosed with CD, and receiving HEN. Inclusion criteria required participants to be capable of clear self-expression and to provide voluntary consent. Exclusion criteria included cognitive impairment, mental illness or other major health conditions unrelated to CD.
interventionsData were collected through semistructured interviews, exploring participants' self-management challenges with HEN. OUTCOMES: 14 valid interviews were included for analysis. Two main themes were identified: subjective challenges, including psychological burden, self-management confidence and disease perception bias, and objective challenges, including social restrictions, economic burden and insufficient support systems.
conclusionsYoung and middle-aged patients with CD face significant subjective and objective challenges in managing HEN, which impact their physical and psychological well-being. Targeted interventions are needed to address these difficulties and improve self-management support.
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