CAJ | 학술논문

对182例功能性消化不良(FD)患者进行功能性消化不良认知问卷调查、Nepean消化不良指数简表(NDI)调查,并进行相关性分析.结果显示FD患者的情绪(r=0.284,P=0.006)、患者认为躯体化症状是其他疾病(r=0.211,P=0.045)、患者认为自己得了癌症(r=0.217,P=0.039)3项内容均与NDI总体得分呈正相关.回归分析示FD患者的NDI总得分与其情绪(β=3.709,P=0.009)、对躯体化症状的认知(β=3.259,P=0.020)、是否需要住院治疗的认知(β=4.533,P=0.006)、能否接受服药的认知(β=-3.207,P=0.029)有关.提示FD患者的生命质量受其对疾病认知的影响,改变这些认知可能提高患者的生命质量.
대182례공능성소화불량(FD)환자진행공능성소화불량인지문권조사、Nepean소화불량지수간표(NDI)조사,병진행상관성분석.결과현시FD환자적정서(r=0.284,P=0.006)、환자인위구체화증상시기타질병(r=0.211,P=0.045)、환자인위자기득료암증(r=0.217,P=0.039)3항내용균여NDI총체득분정정상관.회귀분석시FD환자적NDI총득분여기정서(β=3.709,P=0.009)、대구체화증상적인지(β=3.259,P=0.020)、시부수요주원치료적인지(β=4.533,P=0.006)、능부접수복약적인지(β=-3.207,P=0.029)유관.제시FD환자적생명질량수기대질병인지적영향,개변저사인지가능제고환자적생명질량.
One hundred and eighty two outpatients with functional dyspepsia (FD)were enrolled.The cognitive questionnaire and the short form Nepean Dyspepsia Index (NDI) were used for survey.Spearman analysis showed that the cognitions of symptoms affected by emotion (r =0.284,P =0.006),somatisation symptoms induced by other diseases (r =0.211,P =0.045),and fears of cancer (r =0.217,P =0.039) were positively correlated with NDI scores.Multiple linear regression analysis demonstrated that cognition of symptoms affected by emotion (β =3.709,P =0.009),somatisation symptoms induced by other diseases (β =3.259,P =0.020),need of hospitalization (β =4.533,P =0.006),and need of medication for several years (fβ =-3.207,P =0.029) were associated with NDI scores.These results suggest that the quality of life might be effected by cognitive factors,and the correction of cognitive mistakes may improve quality of life of FD patients.