摘要
背景:我国一般人群功能性便秘(FC)患病率较高,便秘症状持续存在可影响患者的情绪和睡眠。目的:调查FC患者的情绪和睡眠状况,分析两者与便秘的关系。方法:连续纳入符合罗马Ⅲ标准和研究要求的FC患者行面对面问卷调查。问卷内容包括便秘症状、情绪和睡眠状况、便秘与情绪、睡眠的关系、便秘诊治情况以及患者对便秘不良影响的自我评价等。结果:有效问卷为228份。近3个月内,60.5%的患者感到情绪紧张,61.4%感到情绪沮丧,经常或绝大多数时间感到情绪紧张和(或)沮丧,即合并情绪异常者占39.9%;52.6%的患者合并睡眠障碍。在合并情绪异常和睡眠障碍者中,多数患者便秘先于情绪异常和睡眠障碍出现;合并情绪异常的重度便秘患者就诊次数较无情绪异常者显著增加(3.92对2.57,P=0.013);情绪异常和睡眠障碍不影响患者对治疗的满意度(P=0.286)。重度便秘患者中认为便秘对日常生活、健康状况等产生明显影响者的比例较高。结论:FC患者常合并情绪异常和睡眠障碍,便秘严重程度是影响患者日常生活、健康状况的主要因素,合并情绪异常可增加重度便秘患者的就诊次数。
Background： Functional constipation（FC） is prevalent in general population in China.Persistence of constipation symptoms may influence the emotion and sleep status.Aims： To investigate the emotion and sleep status of FC patients and their correlations with constipation.Methods： Consecutive FC patients fulfilling the Rome Ⅲ criteria and inclusion criteria were enrolled and a questionnaire was completed by face to face interview.The questionnaire contained constipation symptoms,emotion and sleep status and their correlations,diagnosis and management of constipation,and self-report of adverse impact of constipation on life.Results： A total of 228 valid questionnaires were analyzed.Of all the patients,60.5% reported ＂have felt tense＂ and 61.4% reported ＂have felt downhearted＂ in the past 3 months;feeling tense and/or downhearted in ＂a lot of the time＂ or ＂most of the time＂,which indicated an emotion disorder,occurred in about 39.9% of the patients.52.6% of the patients reported sleep disorder in the past 3 months.Constipation occurred prior to emotion and sleep disorders was reported in majority of the patients.Number of medical visit was significantly higher in severe constipation patients co-morbid with emotion disorder when compared with those without emotion disorder（3.92 vs.2.57,P=0.013）.Emotion and sleep disorders had no influence on patients＇ satisfaction to treatment（P=0.286）.A high proportion of severe constipation patients reported that constipation had significant impact on daily life and health status.Conclusions： Patients with FC are often co-morbid with emotion and sleep disorders.Severity of constipation is the main influential factor for daily life and health status of FC patients.Emotion disorder may increase the number of medical visit for severe constipation patients.
出处
《胃肠病学》
2012年第2期87-90,共4页
Chinese Journal of Gastroenterology
基金
"十一五"国家科技支撑计划项目(2007BAI04B01)
关键词
功能性便秘
心理学
情绪
睡眠
问卷调查
Functional Constipation
Psychology
Emotions
Sleep
Questionnaire
