老年肠易激综合征患者的生活质量及其影响因素  

Quality of life and influencing factors in the elderly patients with irritable bowel syndrome

作　　者：侯煜[1] 吴晓尉[1] 梁铭铭[1] 周洁琛[1] 丁霞[1] 杨艳[1] 

机构地区：[1]中国人民解放军南京军区南京总医院消化内科干部病房,江苏省南京市210002

出　　处：《实用老年医学》2016年第2期111-113,共3页Practical Geriatrics

基　　金：南京军区南京总医院科研基金资助课题(2012072)

摘　　要：目的观察老年肠易激综合征(irritable bowel syndrome,IBS)患者的生活质量状况及其相关影响因素。方法选取2014年1月至2014年12月我院门诊就诊的98例老年IBS患者,应用IBS生活质量评价量表(irritable bowel syndrome-quality of life,IBS-QOL)进行生活质量评估。结果老年IBS患者IBS-QOL烦躁不安、行为冲突、身体意象、健康忧虑、饮食限制5个维度的评分<80分。男性患者身体意象、健康忧虑的评分显著低于女性患者(P<0.05);独居患者烦躁不安、行为冲突、身体意象的评分显著低于非独居患者(P<0.05);无配偶患者烦躁不安、行为冲突、身体意象、健康忧虑的评分显著低于有配偶患者(P<0.05);自费患者健康忧虑、社会反应的症状的评分显著低于非自费患者(P<0.05)。结论老年IBS患者容易出现生活质量的下降,特别是男性、独居、无配偶、医疗自费的患者,应当加强治疗干预措施。Objective To observe the quality of life and the influencing factor in elderly patients with irritable bowel syndrome（ IBS）. Methods From January 2014 to December 2014,98 elderly patients with IBS were evaluated by Irritable Bowel Syndrome-Quality of life（ IBS-QOL）. Results The quality of life of the elderly patients with IBS was decreased. The scores of dysphoria,behavior conflict,body image,health concern,and dietary restriction were all less than 80 points. The scores of body image and health concern of male patients were significantly less than those of female patients（ P〈0. 05）; The scores of dysphoria,behavior conflict and body image of solitary patients were significantly less than those of non-solitary patients（ P〈0. 05）; The scores of dysphoria,behavior conflict,body image,health concern of unmarried patients were significantly less than those of married patients（ P〈0. 05）; The scores of health concern and social reaction of self-paying patients were significantly lower than those of non-self-paying patients（ P〈0. 05）. Conclusions The quality of life in elderly patients with IBS is usually decreased,especially in male,or in those living alone,being unmarried,or self-paying. The therapeutic interventions of these patients should be strengthened.

关 键 词：老年人 肠易激综合征 生活质量 

分 类 号：R574.4[医药卫生—消化系统]