CAJ | 학술논문

目的提高对间质性膀胱炎/膀胱疼痛综合征(IC/PBS)患者心理状态的认识,为心理干预提供理论依据. 方法 2009年11月至2011年10月共收治IC/PBS患者54例,女42例,男12例.年龄(41.0±12.4)岁.病程(63.0±59.2)个月.IC/PBS症状评估采用O' Leary-Sant调查表,与膀胱有关的疼痛评分采用视觉模拟评分法(VAS),焦虑评估采用焦虑自评量表(SAS),抑郁评估采用贝克抑郁量表(BDI-Ⅱ).分析IC/PBS患者症状与焦虑和抑郁之间的关系. 结果 54例IC/PBS患者中,ICSI(15.0±1.8)分,ICPI(8.0± 2.6)分,ICSI和ICPI症状总分为(24.0-±3.9)分.PUF评分(20.0±2.3)分.VAS评分(7.0±1.0)分.焦虑症状评分(52.0±7.2)分,伴有焦虑症状者35例(64.8％).抑郁症状评分(16.0±4.5)分,伴有抑郁症状者41例(75.9％).患者受教育程度、睡眠质量、月收入与焦虑和抑郁程度相关.婚姻状况和工作情况与焦虑、抑郁之间无明确的相关性.患者的症状(尿频、尿急、膀胱区疼痛不适等)严重程度与患者的焦虑(r=0.282)和抑郁(r=0.614)严重程度密切相关. 结论焦虑和抑郁在IC/PBS患者中较常见,并与患者的症状严重性相关,应重视对IC/PBS患者心理状况的评估,提高IC/PBS患者的生活质量.
목적 제고대간질성방광염/방광동통종합정(IC/PBS)환자심리상태적인식,위심리간예제공이론의거. 방법 2009년11월지2011년10월공수치IC/PBS환자54례,녀42례,남12례.년령(41.0±12.4)세.병정(63.0±59.2)개월.IC/PBS증상평고채용O' Leary-Sant조사표,여방광유관적동통평분채용시각모의평분법(VAS),초필평고채용초필자평량표(SAS),억욱평고채용패극억욱량표(BDI-Ⅱ).분석IC/PBS환자증상여초필화억욱지간적관계. 결과 54례IC/PBS환자중,ICSI(15.0±1.8)분,ICPI(8.0± 2.6)분,ICSI화ICPI증상총분위(24.0-±3.9)분.PUF평분(20.0±2.3)분.VAS평분(7.0±1.0)분.초필증상평분(52.0±7.2)분,반유초필증상자35례(64.8％).억욱증상평분(16.0±4.5)분,반유억욱증상자41례(75.9％).환자수교육정도、수면질량、월수입여초필화억욱정도상관.혼인상황화공작정황여초필、억욱지간무명학적상관성.환자적증상(뇨빈、뇨급、방광구동통불괄등)엄중정도여환자적초필(r=0.282)화억욱(r=0.614)엄중정도밀절상관. 결론 초필화억욱재IC/PBS환자중교상견,병여환자적증상엄중성상관,응중시대IC/PBS환자심리상황적평고,제고IC/PBS환자적생활질량.
Objective To explore the correlation between anxiety,depression and the symptoms of interstitial cystitis/bladder pain syndrome (IC/PBS) patients,improving the psychological knowledge of IC/PBS patients,providing theoretical basis for psychological intervention.Methods During November 2009 to October 2011,54 IC/PBS patients including 42 women and 12 men patients were treated,with mean age of (41.0±12.4) years and mean course of the disease of (63.0±59.2) months.O'Leary-Sant questionnaire was used for IC/PBS symptoms assessment,and Visual Analogue Scale (VAS) was used to evaluate pain associated with bladder,Self-rating Anxiety Scale (SAS) was used for anxiety assessment,and Beck Depression Inventory Ⅱ (BDI-Ⅱ) was used for depression assessment.The relationship between depression,anxiety and the symptoms of IC/PBS patients was evaluated.Results Of the 54 IC/PBS patients,mean ICSI score was (15.0±1.84) points,mean ICPI score was (8.0±2.6) points,mean O'Leary-Sant questionnaire score was (24.0±3.9) points,mean VAS score was (7.0± 1.0) points,mean anxiety score was (52.0± 7.2) points,with 35 cases (64.8％) suffering from anxiety symptoms.Mean depression symptoms score was (16.0±4.5) points,with 41 cases (75.9％) suffering from depressive symptoms.The degree of anxiety and depression were associated with education level,the sleep quality and monthly income of IC/PBS patients.Anxiety and depression had no definite correlation with marital status and working conditions.Anxiety and depression were closely related (proportion) with the symptoms (frequency,urgency,pain or discomfortrelated to bladder) of IC/PBS patients.Conclusions Anxiety and depression are common in patients with IC/PBS,and they are related to symptom severity.In order to improve the quality of life,much attention must be paid to psychological condition assessment and treatment of IC/PBS patients.