南宁市大学生消化不良与精神心理和社会因素的关系  

Relationships of psychological and social factors on dyspepsia of the college students in Nanning city

作　　者：左国文[1] 齐晶晶[1] 梁列新[1] 叶会兰[1] 郭先文[1] 张法灿[1] 

机构地区：[1]广西壮族自治区人民医院消化内科,南宁530021

出　　处：《中华消化杂志》2016年第4期259-264,共6页Chinese Journal of Digestion

基　　金：广西自然科学基金，Natural Science Foundation of Guangxi

摘　　要：目的 了解南宁市大学生消化不良的患病率及消化不良与精神心理和社会因素的关系，以进一步提高本地区消化不良的防治水平。 方法 采用成人功能性胃肠病罗马Ⅲ调查问卷、中国大学生心理健康量表、中国大学生心理应激量表、中国大学生适应量表和中国大学生人格量表对2 580名南宁市大学生进行面访式调查。采用卡方检验、秩和检验比较组间差异。采用Pearson相关分析和Logistic回归分析进行相关性分析。 结果 回收合格罗马Ⅲ诊断性问卷2 520份，南宁市大学生消化不良的总体患病率为5.36%（135/2 520）。大学生消化不良患者较非消化不良者更多表现为不饮茶[86.96%（100/115）比79.10%（1 605/2 029）]、不喜食酸制品[85.22%（98/115）比76.29%（1 548/2 029）]、进餐不准时[40.87%（47/115）比30.31%（615/2 029）],差异均有统计学意义（χ2＝4.122、4.860、5.685, P均〈0.05），而与吸烟、饮酒、进食辛辣生冷食物等因素无关（P均〉0.05）。多因素回归分析提示消化不良的患病与饮食无关。大学生12个心理健康维度显示，消化不良组躯体化、焦虑、抑郁、自卑、社交退缩、性心理、偏执、强迫、依赖、精神病倾向10个维度的高分值比例高于非消化不良组（χ2＝16.981、21.805、12.520、13.539、6.998、6.154、15.013、9.457、10.715、4.260, P均〈0.05）; 7个心理应激维度中学习压力、发展压力2个维度属于负性事件，且消化不良组的高分值比例高于非消化不良组（χ2＝6.216，Fisher确切概率法，P均〈0.05）；两组7个人格特征活跃、爽直、坚韧、严谨、利他、重情、随和比较差异均无统计学意义（P均〉0.05）；7个适应维度中校园生活、择业、情绪3个维度，消化不良组高分值比例均低于非消化不良组（χ2＝8.223、8.148、5.713, P均〈0.05），两组人际关系、学习、自我、满意度4个维度比较�Objective To investigate the prevalence of dyspepsia and the relationship between dyspepsia, psychological and social factors among the college students in Naning city, and to improve the prevention and treatment of dyspepsia in this region. Methods Rome Ⅲ diagnostic questionnaire for adult dyspepsia, Chinese college student mental health scale （CCSMHS）, Chinese college student psychological stress scale （CCSPSS）, Chinese college student adaptation scale （CCSAS） and Chinese college student personality scale （CCSPS） were performed through interview survey in 2 580 Nanning college students.Chi square test and rank sum test were used to compared differences between groups. Correlation analysis was performed by Pearson correlation and Logisitie regression analysis. Results A total of 2 520 qualified Rome Ⅲ questionnaires were recovered. The prevalence of dyspepsia in Nanning college students was 5.36%（135/2 520）. The most common appearance of dyspepsia in college students were dislike of drinking tea （86.96%（100/115） vs 79.10%（1 605/2 029））, dislike of pickled food （85.22%（98/115） vs 76.29%（1 548/2 029）） and missing meals （40.87%（47/115） vs 30.31%（615/2 029））, the differences were statistically significant （x2 = 4. 122,4. 860,5. 685; all P〈0.05）, while the dyspepsia was not related with drinking, smoking and taking raw, cold or spicy food （all P〉0. 05）. The results of multifactor regression analysis showed that the prevalence of dyspepsia was not correlated with diet. Among the twelve dimensions of psychological health, the somatization, anxiety, depression, low selbesteem, social withdrawal, sexual psychology, paranoia, force, dependency, psychotic tendencies of dyspepsia group were significantly higher than those with non-dyspepsia group （x2=16. 981, 21. 805, 12. 520,13. 539, 6.998,6. 154, 15. 013, 9. 457, 10. 715, 4. 260, all P〈0. 05）. Among the seven dimensions of psychological stress, study pressure and development pressure were negati

关 键 词：消化不良 大学生 心理因素 应激 人格 适应 

分 类 号：R57[医药卫生—消化系统]