Document Type : Original Article


1 Department of Medical‑Surgical Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Gastroenterology and Hepatology, Ghaem Hospital, Mashhad University of Medicine Science, Mashhad, Iran

3 Department of Health Sciences, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran


BACKGROUND: Patients with inflammatory bowel disease (IBD) experience wide range of physical
and psychological problems experience. The use of strategies to improve disease management by
patients is of has special importance in solving these problems. The aim of present study was to
discover the strategies and behaviors of patients to manage their disease.
MATERIALS AND METHODS: The present study was conducted with a qualitative research approach
and a qualitative content analysis method. The research participants included 20 patients with IBD
referred to gastrointestinal wards in 2020 in Mashhad. Data were collected through unstructured
interviews and purposeful sampling method and continued until data saturation. Data analysis was
performed continuously and simultaneously with data collection and comparatively.
RESULTS: Data analysis provided five themes of “Improving self‑efficacy and problem‑solving skills,”
“Coexistence with disease,” “Reviewing and modifying of interactions,” “Adjusting job and professional
conditions” and “Commitment to self‑care.” The combination of these concepts indicated that is the
main theme in disease management for these patients.
CONCLUSIONS: Reconstruction of individual, social, and professional life can improve self‑regulation
and problem‑solving skills in these patients and make them a sense of control on their lives and


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