克罗恩病患者健康状况、疾病认知、应对方式与心理状况之间的关系  

Relationship between health status,illness perceptions,coping strategies and psychological status in patients with Crohn's disease

作　　者：张茂琛 洪理文 张天宇[1] 林筠[1] 胡淑榕 程朦朦 郑思畅 范嵘[1] 王正廷[1] 钟捷[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院消化科,上海200025

出　　处：《内科理论与实践》2016年第5期296-300,共5页Journal of Internal Medicine Concepts & Practice

摘　　要：目的:研究克罗恩病患者健康状况、疾病认知、应对方式与心理状况之间的关系。方法 :选取2015年7月1日至2016年1月31日我院消化科门诊及病房收治的克罗恩病患者128例,应用炎症性肠病(IBD)生存质量量表(IBDQ)、疾病感知问卷简化版(BIPQ)、简易应对量表(Brief COPE)、医院焦虑抑郁量表(HADS)、精神压力量表(PSQ)评估患者的健康状况、疾病认知、应对方式、焦虑抑郁、压力情况,通过相关性分析,探索患者健康状况、疾病认知、应对方式与心理状况之间的关系。结果:克罗恩病患者健康状况评分与疾病认知评分、消极应对评分、焦虑、抑郁、压力评分呈负相关(r值分别为-0.723、-0.547、-0.709、-0.465、-0.682,均P<0.001),疾病认知评分与消极应对评分、焦虑、抑郁、压力评分呈正相关(r值分别为0.472、0.664、0.540、0.667,均P<0.001),消极应对评分与焦虑、抑郁、压力评分呈正相关(r值分别为0.398、0.348、0.553,P<0.001),焦虑与抑郁、压力评分及抑郁与压力评分之间均呈正相关(r值分别为0.516、0.664、0.596,P<0.001)。结论:克罗恩病患者健康状况差,疾病认知不良,采取消极应对方式多,焦虑、抑郁、压力等心理健康问题严重,存在内在联系。Objective To study the relationship between health status, illness perceptions, coping strategies and psychological status in patients with Crohn＇s disease. Methods One hundred and twenty-eight patients with Crohn＇s disease attending the outpatient clinic or hospitalized in department of gastroenterology in our hospital from July 1st 2015 to January 31 st 2016 were enrolled. The inflammatory bowel disease（IBD） questionnaire（IBDQ）, the brief illness perceptions questionnaire（BIPQ）, the carver brief coping questionnaire（Brief COPE）, the hospital anxiety and depression scale（HADS）,the perceived stress questionnaire（PSQ） were used to measure patient ＇s health status, illness perceptions, coping strategies and psychological status; the relationship between health status, illness perceptions, coping strategies and psychological status was estimated by correlation analysis. Results Health status of patients with Crohn＇s disease was negatively correlated with illness perceptions, maladaptive copings, anxiety, depression and stress（ r=-0.723,-0.547,-0.709,-0.465,-0.682, P 0.001）. Illness perceptions were positively correlated with maladaptive copings, anxiety, depression and stress（r=0.472, 0.664, 0.540, 0.667, P0.001）. Maladaptive copings were positively correlated with anxiety, depression and stress（r=0.398, 0.348, 0.553, P〈0.001）. Anxiety was positively correlated with depression and stress while depression also had positive correlation with stress（r=0.516, 0.664, 0.596, P〈0.001）. Conclusions There are interrelationships between poor health status, poor illness perceptions, more using of maladaptive coping strategies and poor psychological status such as anxiety, depression and stress in patients with Crohn ＇s disease.

关 键 词：炎症性肠病 克罗恩病 疾病常识感知模式 健康状况 疾病认知 应对方式 心理状况 

分 类 号：R574.62[医药卫生—消化系统]