新型冠状病毒肺炎疫情下炎症性肠病患者诊疗情况及心理状态问卷调查  

The treatment and psychological status of patients with inflammatory bowel disease during the COVID-19 epidemic:a questionnaire survey

作　　者：吴蓉 莫萍 姜佳慧 张彦秋 文珍 陈彬 彭雪梅 徐美华[1] 冷爱民[1] WU Rong;MO Ping;JIANG Jiahui;ZHANG Yanqiu;WEN Zhen;CHEN Bin;PENG Xuemei;XU Meihua;LENG Aimin(Department of Gastroenterology,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院消化内科,湖南长沙410008

出　　处：《胃肠病学和肝病学杂志》2020年第6期654-659,共6页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的调查新型冠状病毒肺炎(COVID-19)疫情期间炎症性肠病(inflammatory bowel disease,IBD)患者诊疗情况及心理状态,为在类似的突发公共卫生事件发生时对IBD患者进行诊疗指导和心理干预提供依据。方法采用线上问卷星调查方式,对长期随诊于中南大学湘雅医院的106例IBD患者疫情期间的诊疗情况,以及GAD-7、PHQ-9、PANAS、SSRS各项评分进行横断面调查及分析。结果通过数据调查研究,认识到疫情期间IBD患者就医及疾病诊治现状,发现IBD患者在疫情期间GAD-7及PHQ-9的阳性检出率均超过了半数,在不同年龄、婚姻状况、文化程度、关注疫情所花费的时间、病情及症状变化的IBD患者中,PANAS、SSRS评分差异有统计学意义(P<0.05)。结论IBD患者在疫情期间的诊疗情况及心理状态均受到不同程度影响,建议临床医师在疫情期间提供患者连续有效治疗的同时应给予及时恰当的心理指导,从而提高患者生活质量,改善疾病预后。Objective To investigate the treatment and psychological status of patients with inflammatory bowel disease(IBD)during the epidemic of COVID-19 in China,to provide basis for treatment guidance and psychological intervention for IBD patients in the event of similar public health emergencies.Methods An online questionnaire was used to conduct a cross-sectional investigation and analysis of the diagnosis and treatment status,GAD-7,PHQ-9,PANAS,and SSRS scores of 106 IBD patients who were long-term follow-up in Xiangya Hospital of Central South University.Results Through data investigation and research,the status of medical treatment and diagnosis and treatment of IBD patients during the epidemic was recognized,and it was found that the positive detection rates of GAD-7 and PHQ-9 in IBD patients during the epidemic were more than half,the scores of PANAS and SSRS showed statistical differences in the age,marital status,education level,time spent paying attention to the epidemic situation,disease states and symptoms change of IBD patients(P<0.05).Conclusion IBD patients’treatment and psychological status have been affected to varying degrees during the epidemic.It is suggested that clinicians provide patients with continuous and effective treatment during the epidemic and give timely and appropriate psychological guidance to improve the quality of life and improve the prognosis of the disease.

关 键 词：新型冠状病毒肺炎 炎症性肠病 诊疗 心理状态 

分 类 号：R574.62[医药卫生—消化系统]