临床内科杂志
臨床內科雜誌
림상내과잡지
JOURNAL OF CLINICAL INTERNAL MEDICINE
2015年
5期
333-334
,共2页
李元春%何静%张浩民%王峰%焦凯%佟松%赵春阳%周长宇
李元春%何靜%張浩民%王峰%焦凱%佟鬆%趙春暘%週長宇
리원춘%하정%장호민%왕봉%초개%동송%조춘양%주장우
肠易激综合征%生存质量%影响因素
腸易激綜閤徵%生存質量%影響因素
장역격종합정%생존질량%영향인소
Irritable bowel syndrome%Quality of life%Influencing factors
目的评价难治性腹泻型肠易激综合征(D-IBS)患者的生活质量并分析其相关影响因素。方法选择我院2011年2月~2013年6月门诊收治的符合罗马Ⅲ诊断标准的难治性D-IBS患者60例和其他功能性肠病(FBD)患者65例,使用肠易激综合征生存质量量表汉化版(ChlBS-QOL)、焦虑自评量表(SAS)以及抑郁自评量表(SDS)对患者进行问卷调查,同时建立患者的资料档案,对资料进行分析。结果观察组 D-IBS 患者 ChIBS-QOL8个维度和总条目的得分均明显低于对照组患者(P <0.05),两组比较差异有统计学意义,饮食限制为最低得分为(53.21±33.58)分,回归模型的决定系数 R =0.37,方差分析 F =19.93(P <0.01),回归模型有效。进入回归方程的变量为精神心理因素和文化程度。因此,精神心理因素与文化程度是影响 D-IBS 患者生存质量的两个重要因素。结论难治性 D-IBS 患者的生存质量明显降低,患者的精神心理因素以及文化程度对其生存质量有重要的影响。
目的評價難治性腹瀉型腸易激綜閤徵(D-IBS)患者的生活質量併分析其相關影響因素。方法選擇我院2011年2月~2013年6月門診收治的符閤囉馬Ⅲ診斷標準的難治性D-IBS患者60例和其他功能性腸病(FBD)患者65例,使用腸易激綜閤徵生存質量量錶漢化版(ChlBS-QOL)、焦慮自評量錶(SAS)以及抑鬱自評量錶(SDS)對患者進行問捲調查,同時建立患者的資料檔案,對資料進行分析。結果觀察組 D-IBS 患者 ChIBS-QOL8箇維度和總條目的得分均明顯低于對照組患者(P <0.05),兩組比較差異有統計學意義,飲食限製為最低得分為(53.21±33.58)分,迴歸模型的決定繫數 R =0.37,方差分析 F =19.93(P <0.01),迴歸模型有效。進入迴歸方程的變量為精神心理因素和文化程度。因此,精神心理因素與文化程度是影響 D-IBS 患者生存質量的兩箇重要因素。結論難治性 D-IBS 患者的生存質量明顯降低,患者的精神心理因素以及文化程度對其生存質量有重要的影響。
목적평개난치성복사형장역격종합정(D-IBS)환자적생활질량병분석기상관영향인소。방법선택아원2011년2월~2013년6월문진수치적부합라마Ⅲ진단표준적난치성D-IBS환자60례화기타공능성장병(FBD)환자65례,사용장역격종합정생존질량량표한화판(ChlBS-QOL)、초필자평량표(SAS)이급억욱자평량표(SDS)대환자진행문권조사,동시건립환자적자료당안,대자료진행분석。결과관찰조 D-IBS 환자 ChIBS-QOL8개유도화총조목적득분균명현저우대조조환자(P <0.05),량조비교차이유통계학의의,음식한제위최저득분위(53.21±33.58)분,회귀모형적결정계수 R =0.37,방차분석 F =19.93(P <0.01),회귀모형유효。진입회귀방정적변량위정신심리인소화문화정도。인차,정신심리인소여문화정도시영향 D-IBS 환자생존질량적량개중요인소。결론난치성 D-IBS 환자적생존질량명현강저,환자적정신심리인소이급문화정도대기생존질량유중요적영향。
Objective To evaluate the life quality,related effect factors of refractory irritable bowel syndrome-diarrhea inducing type.Methods Sixty cases with diarrhea type(D-IBS)and 65 cases with other functional bowel(FBD)diagnosed refractory irritable bowel syndrome by Rome Ⅲ diagnostic criteria were recruited in outpatient department of our hospital between Feb.2011and Jun.2013.Question-naire investigation was proceeded including Life quality Scale Chinese Version(ChlBS-QOL),Self-Rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),and collected data were analyzed.Results ChIBS-QOL8 dimensions and total scores in D-IBS patients were significantly lower than those in FBD patients(P <0.05),and the score of dietary restrictions was the lowest(53.21 ±33.58).The coefficient of determination R regression model was 0.37,ANOVA F was 19.93(P <0.01),therefore the regression model was valid.After analysis,variables into the regression equation included the degree of psychological and cultural factors,and both were important factors affected the life quality in D-IBS patients.Conclusion Of refractory irritable bowel syndrome,the life quality in patients with diarrhea was low,psychological and cultural factors have important influences on the degree of life quality.