摘要
目的分析慢性便秘(CC)患者合并焦虑、抑郁状态的情况以及CC对患者生活质量的影响。方法采用横断面研究方法,对2007年3～5月北京市10家医院561例符合罗马Ⅲ标准的门诊CC患者进行调查,填写Zung焦虑、抑郁(SAS、SDS)自评量表、SF-36生活质量调查问卷等。按性别分组并按便秘严重程度分层进行统计分析。结果门诊CC患者SAS、SDS评分异常分别占29.7%、50.7%。女性重度便秘患者合并焦虑状态及中重度抑郁状态的比例明显高于女性非重度便秘患者,男性重度便秘组与非重度便秘组间合并焦虑、抑郁状态情况差异无统计学意义。CC患者在SF-36量表中8个维度的评分均低于健康对照组,重度CC患者生活质量损害更大。结论CC明显降低患者生活质量,并随便秘严重程度增加而加重。门诊CC患者合并焦虑、抑郁状态比例高,女性便秘患者精神心理障碍与便秘的严重程度关系更大,故应加强这些人群的精神心理状态的评估并重视CC的心理治疗。
Objective To analyze mental-psychological status in out-patients with chronic constipation and its contribution to the patient＇s quality of life. Methods Ten hospitals in Beijing and 561 out-patients with CC meeting Rome Ⅲ criteria in department of GI were brought into the investigation. All patients were assessed by Zung self-rating anxiety scale （SAS） ,self-rating depression scale （SDS） and SF-36 quality of life questionnaire（QoL）. The standard of severe CC was formulated. Results In patients with CC,abnormal SAS and SDS scores were 29.7% and 50. 7% separately. Female patients with severe CC had a higher proportion of combination with anxiety state and moderate/severe depress state, while there was no such difference in male patient, which suggested that there was a closer relation between mental-psychological abnormality and CC severity in female. The scores of QoL evaluated by SF-36 questionnaire, particularly in the patients with severe CC,were significantly lower than those in the healthy controls. Conclusion The CC patient＇s QoL is reduced significantly which correlates with the severity degree of CC. The proportion of combining with anxiety and depress state is quite higher in female severe CC patients. Therefore,it is necessary to intensify the evaluation and treatment of abnormal mental-psychological status in the CC patients.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2009年第3期237-239,共3页
Chinese Journal of Practical Internal Medicine
关键词
慢性便秘
精神心理状况
生活质量
chronic constipation
mental-psychologicalstatus
quality of life
