摘要
背景:炎症性肠病(IBD)是一种慢性非特异性肠道疾病,伴随腹痛、腹泻、出血等多种症状,导致患者焦虑抑郁,降低生存质量。目的:探讨IBD患者疾病症状群与生存质量和精神心理因素的相关性。方法:采用随机法纳入2021年6月-2021年12月至西京医院就诊的270例IBD患者。应用炎症性肠病症状群评估量表、炎症性肠病生存质量问卷(IBDQ)、医院焦虑抑郁量表(HAD)和特质应对方式问卷(TCSQ)进行评估,并分析影响因素。分析疾病症状群与患者生存质量、焦虑抑郁和应对方式的相关性。结果:炎症性肠病症状群总分为100.57±27.95,IBDQ总分为182.54±33.46,均与性别、年龄、性格、文化程度、居住地、病程、婚姻状况、疾病类型、职业等一般因素无关(P>0.05)。所有患者均存在焦虑抑郁,抑郁与文化程度相关(P<0.05)。积极应对和消极应对评分分别为32.66±7.99、18.30±4.72,积极应对与文化程度相关(P<0.05)。此外,疾病症状群与生存质量、应对方式均相关(P<0.05),而与焦虑抑郁无关(P>0.05)。结论:IBD患者疾病症状群与生存质量存在一定的相关性。医护人员应引起重视并加以干预。
Inflammatory bowel disease(IBD)is a chronic nonspecific intestinal disease accompanied by multiple symptoms such as abdominal pain,diarrhea,and bleeding,which lead to anxiety and depression and reduce the quality of survival.Aims:To investigate the correlations between disease symptom clusters and quality of survival and psychological factors in patients with IBD.Methods:A total of 270 IBD patients from June 2021 to December 2021 at Xijing Hospital were recruited randomizedly.Inflammatory bowel disease symptom cluster assessment scale,inflammatory bowel disease questionnaire(IBDQ),hospital anxiety and depression scale(HAD)and trait coping style questionnaire(TCSQ)were conducted,and influencing factors were analyzed.Correlations of disease symptom clusters with survival quality,anxiety and depression,and coping style were analyzed.Results:Total score of inflammatory bowel disease symptom cluster assessment scale was 100.57±27.95,total score of IBDQ was 182.54±33.46,and were not related to gender,age,personality,education,residence,course of disease,marital status,type of disease and profession(P>0.05).All patients had symptoms of anxiety and depression,and depression was correlated with education(P<0.05).Positive coping score was 32.66±7.99,and negative coping score was 18.30±4.72,and positive coping score was correlated with education(P<0.05).In addition,disease symptom clusters were associated with quality of survival and coping style(P<0.05),but not with anxiety and depression(P>0.05).Conclusions:Disease symptom clusters and quality of survival in patients with IBD are correlated.Medical staff should pay attention and give intervention accordingly.
作者
刘洁
杨华
穆清华
赵梓彤
李佳
张楠
LIU Jie;YANG Hua;MU Qinghua;ZHAO Zitong;LI Jia;ZHANG Nan(Aerospace Clinical Medical Center,Air Force Medical University,Xi’an,710032;Department of Air Service,Xijing Hospital,Air Force Medical University,Xi’an)
出处
《胃肠病学》
北大核心
2022年第8期456-462,共7页
Chinese Journal of Gastroenterology
基金
国家自然科学基金(81873554)。
关键词
炎症性肠病
症状群
生存质量
焦虑
应对方式
Inflammatory Bowel Disease
Symptom Clusters
Quality of Survival
Anxiety
Coping Styles
