Background/Objectives: 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. Methods: 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. Results: 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 (SD = 12.5) for self-care maintenance, 81.0 (SD = 18.2) for self-care monitoring, and 70.5 (SD = 18.4) for self-care management. The UC patients had higher self-care management scores than the CD patients (p = 0.002). The median resilience score was 45, and self-care management positively predicted resilience (β = 0.041, p < 0.001). Disease severity negatively affected resilience and self-care, particularly in severe cases (β = -8.334, p < 0.001). The females reported higher resilience and self-care monitoring scores than the men. Conclusions: 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.

Keywords: Crohn’s disease; inflammatory bowel disease; resilience; self-care; ulcerative colitis.

背景/目的：炎症性肠病（IBD），包括克罗恩病（CD）和溃疡性结肠炎（UC），显著影响患者的生活质量。韧性与自我照顾对于疾病管理至关重要，但它们与 IBD 的关系仍然未被充分探索。本研究旨在探讨自我照顾行为如何影响 IBD 患者的韧性，并考虑社会人口学及临床因素。方法：这项研究是一项多中心观察性研究。数据于 2024 年 4 月至 6 月在常规门诊就诊期间收集。参与者（≥18 岁）需至少确诊 IBD 一年，才能被纳入本研究。使用包括康纳-戴维森韧性量表 (CD-RISC-25)、慢性疾病自我照顾量表 (SC-CII) 和社会人口学及临床问卷等经过验证的工具收集数据。疾病活动性通过梅奥评分（UC）和哈维-布拉德肖指数（CD）进行评估。描述性分析、相关性分析和回归分析探究了变量之间的关系。本研究作为 N-ECCO 研究基金计划的一部分而开展。结果：共有 401 名参与者（CD：196，UC：205）被纳入研究，男女比例均衡 (50.1% 的男性)。自我照顾水平的描述性分析显示，在自我照顾维护方面平均得分为 72.6 (SD=12.5)，在自我照顾监测方面平均得分是 81.0 (SD=18.2)，而在自我照顾管理方面平均得分为 70.5 (SD=18.4)。UC 患者的自我照顾管理水平比 CD 患者高（p=0.002）。韧性的中位数得分是 45，而自我照顾管理对韧性有积极的预测作用（β=0.041，pβ=-8.334，p结论：韧性与自我照顾在 IBD 管理中相互关联且至关重要。通过个性化的护理干预来增强韧性，并结合心理和教育支持可以改善自我照顾能力及临床结果。

关键词： 克罗恩病；炎症性肠病；韧性；自我照顾；溃疡性结肠炎。