肠易激综合征患者的就医行为及其影响因素  

Correlates of health-care seeking behavior in patients with irritable bowel syndrome

作　　者：熊理守[1] 彭穗[1] 陈为[1] 彭晓忠[1] 胡品津[1] 陈旻湖[1] 

机构地区：[1]中山大学附属第一医院消化内科,广州510080

出　　处：《中华全科医师杂志》2010年第12期829-832,共4页Chinese Journal of General Practitioners

基　　金：广东省科技计划项目基金资助（2009B030801138）

摘　　要：目的探讨影响肠易激综合征（IBS）患者就医行为的因素。方法2009年采用整群、分层和随机抽样方法，在广州市、惠州市的8个城市社区和农村6个自然村中抽取常住城乡居民4000人进行面访式问卷调查，收集符合罗马Ⅱ诊断标准的IBS患者，记录其人口学资料、过去1年中的肠道症状、既往史、就医情况、生活事件及应对方式等。并将IBS患者分为就医组和未就医组，先后采用单因素和多因素分析，比较两组之间各影响因素的差异。结果共收集到符合罗马Ⅱ标准的IBS患者237例，其中53例因肠道症状就医过，就医率为22．4％。经过多因素分析并同时控制年龄、性别的影响后发现，就医偏好（OR=1．81，95％CI=1．27～2．58）、每次腹痛持续时间较长（OR=1．41，95％CI=1．01—5．14）及存在肠外症状（OR=2．14，95％CI=1．06～4．33）是影响IBS患者就诊的主要因素。结论IBS患者每次腹痛持续时间较长和肠外症状是影响其就医的因素，就医偏好对患者是否就医也有一定影响。Objective To explore correlates of health-care seeking behavior in patients with irritable bowel syndrome （IBS）. Methods Four thousand permanent residents were recruited from eight urban communities and rural villages in Guangzhou and Huizhou, Guangdong province during 2009 by cluster stratified sampling for face-to-face questionnaire survey, including symptoms of bowel disease, behavior of seeking for health-care, demographic characteristics, coping style, life events and medical history. IBS was identified based on the Rome II Criteria. Patient with IBS were divided into two groups, one seeking health-care at hospitals or clinics and the other non-seeking health-care. Univariate and muhivariate logistic regression analysis was used to compare difference between the two groups and explore its related factors. Results A total of 237 IBS patients were identified based on the Rome 11 Criteria, 53 of them （22. 4% ） had sought health-care due to their symptoms. Results of multivariate logistic regression analysis showed that preference in seeking for health-care, abdominal pain lasting for more than one hour in each episode and extra-gastrointestinal symptoms were main factors related to their seeking for health-care, adjusted for age and gender, with odds ratios （ORs） of 1.81 （95% CI： 1.27 - 2. 58） , 1.41 （95% CI： 1.01 - 5.14 ） and 2. 14 （ 95% CI： 1.06 - 4. 33 ）, respectively. Condusions Extra-gastrointestinal symptoms and abdominal pain lasting for more than one hour in each episode correlate their health-care seeking behavior in patients with IBS, as well as their preferences in seeking for health-care.

关 键 词：肠易激综合征 数据收集 就医行为 

分 类 号：R57[医药卫生—消化系统]