# The Lived Experience of Adults With Inflammatory Bowel Disease in Rural Areas: Phenomenological Study

**Authors:** Vincenzo Bosco, Caterina Mercuri, Patrizia Doldo, Rita Nocerino, Assunta Guillari, Michele Virgolesi, Teresa Rea, Vincenza Giordano, Silvio Simeone

PMC · DOI: 10.1111/nhs.70058 · Nursing & Health Sciences · 2025-02-10

## TL;DR

This study explores the unique challenges faced by rural Italian adults with inflammatory bowel disease, highlighting the need for tailored healthcare solutions.

## Contribution

The study provides novel insights into the lived experiences of rural IBD patients in Italy using a phenomenological approach.

## Key findings

- Rural IBD patients face economic hardship and social isolation beyond disease management.
- Tailored interventions are needed to bridge healthcare gaps for rural IBD patients.
- Communication strategies can help overcome the challenges of rural living for IBD patients.

## Abstract

Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, is a chronic gastrointestinal condition with a multifactorial etiology. It significantly impacts patients' quality of life, particularly, in rural areas where access to specialized care is limited. Challenges such as increased travel costs, social isolation, and restricted healthcare access are recognized, but their specific impact on rural Italian patients remains underexplored. This study aims to fill this gap. Using Cohen's hermeneutic phenomenological approach, in‐depth interviews were conducted with 17 IBD patients from rural areas. Thematic analysis identified key patterns and themes. Two main themes emerged: “challenges of rural living,” including economic concerns and social isolation, and “communication that bridges distances.” Rural IBD patients face unique challenges extending beyond disease management, with economic hardship and social isolation being prominent. These findings highlight the need for tailored interventions to bridge healthcare gaps and improve the quality of life for rural patients, offering novel insights into their lived experiences in Italy.

## Linked entities

- **Diseases:** Inflammatory bowel disease (MONDO:0005265), Crohn's disease (MONDO:0005011), ulcerative colitis (MONDO:0005101)

## Full-text entities

- **Diseases:** Crohn's disease (MESH:D003424), gastrointestinal condition (MESH:D005767), IBD (MESH:D015212), ulcerative colitis (MESH:D003093)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

53 references — full list in the complete paper: https://tomesphere.com/paper/PMC11810439/full.md

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Source: https://tomesphere.com/paper/PMC11810439