溃疡性结肠炎与克罗恩病患者焦虑抑郁状态之间的差异性及与生活质量之间的相关性研究  

The difference of anxiety and depression between ulcerative colitis and crohn′s disease and its correlation with quality of life

作　　者：刘金凤 江秋霞[1] 班春景[1] LIU Jin-feng;JIANG Qiu-xia;BAN Chun-jing(Inpatient department of Anhui Provincial Hospital,Hefei,230001,China)

机构地区：[1]安徽省立医院住院部,安徽合肥230001

出　　处：《吉林医学》2021年第4期998-1001,共4页Jilin Medical Journal

摘　　要：目的:探讨溃疡性结肠炎(ulcerative colitis,UC)和克罗恩病(Crohn disease,CD)患者的焦虑与抑郁状况之间的差异性以及与生活质量之间的相关性,以期为炎症性肠病(inflammatory bowel disease,IBD)患者的区别诊疗护理以及综合治疗特别是心理护理提供依据。方法:使用焦虑、抑郁自评量表对2017年1月~2018年3月之间住院的IBD患者的焦虑、抑郁状况进行研究并使用IBD患者生活质量评价问卷对IBD患者的生活质量进行评价,探索UC与CD患者的焦虑与抑郁状况以及与生活质量之间的相关性。结果:UC与CD患者焦虑、抑郁状态比较,差异有统计学意义(P<0.05),且UC患者得分高于CD患者;UC与CD患者之间的生活质量总分及各项目得分之间比较,差异有统计学意义(P<0.01),且总分及各项目得分比较,UC患者均低于CD患者;相关分析结果显示,焦虑、抑郁状态与生活质量之间以及各条目之间相关性分析呈负相关(均P<0.01)。结论:UC患者焦虑、抑郁状态发生率高于CD患者,生活质量得分低于CD患者。Objective Ulcerative colitis and crohn′s disease is an inflammatory bowel disease of two kinds of disease states,this paper mainly discusses the UC between anxiety and depression in patients with CD and the difference of the correlations between quality of life,so as to the difference of inflammatory bowel disease diagnosis and provide evidence for nursing and comprehensive treatment especially psychological nursing.Method The anxiety and depression status of IBD patients hospitalized between January 2017 and March 2018 were studied by using the anxiety and depression self-rating scale,and the life quality of IBD patients was evaluated by using the life quality assessment questionnaire of IBD patients,to explore the correlation between anxiety and depression status and life quality of UC and CD patients.Results Compared with CD patients,the anxiety and depression status of UC patients was statistically significant(P<0.05),and the score of UC patients was higher than that of CD patients.Compared with patients with CD,the total score of quality of life and scores of various items between UC patients and CD patients were(P<0.01)statistically significant(P<0.01).The results of correlation analysis showed that there was a negative correlation between anxiety and depression status and quality of life,as well as between each item(all P<0.01).Conclusion The incidence of anxiety and depression in UC patients was higher than that in CD patients,and the quality of life score was lower than that in CD patients.

关 键 词：炎症性肠病 焦虑状态 抑郁状态 生活质量 

分 类 号：R473.5[医药卫生—护理学]