炎症性肠病住院患者营养风险与抑郁情绪、心理弹性及自我管理行为的关系  

Relationship between nutritional risk and depression,resilience and self-management behavior in hospitalized patients with inflammatory bowel disease

作　　者：蔡剑梅[1] 莫素娟 周明明 廖燕燕 李妙芳 于冰[1] CAI Jianmei;MO Sujuan;ZHOU Mingming;LIAO Yanyan;LI Miaofang;YU Bing(Department of Gastroenterology,The Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,China)

机构地区：[1]广西医科大学第二附属医院消化内科,南宁530007

出　　处：《中国健康心理学杂志》2023年第4期514-518,共5页China Journal of Health Psychology

基　　金：广西自然科学基金项目(编号:2020GXNSFAA297116)。

摘　　要：目的:炎症性肠病住院患者营养风险与抑郁情绪、心理弹性及自我管理行为的关系。方法:对2019年1月-2021年12月于某院住院的110例炎症性肠病患者进行问卷调查,共回收有效问卷105份(95.45%),采用营养风险筛查评分简表(NRS 2002)评分评估营养状态,将≥3分者为纳入营养风险组,<3分者纳入营养正常组。分别采用抑郁自评量表(SDS)、康纳-戴维森心理韧性量表(CD-RISC)、炎症性肠病病人自我管理行为量表评估两组患者抑郁情绪、心理弹性及自我管理行为。采用Pearson相关性分析炎症性肠病住院患者营养风险与抑郁情绪、心理弹性及自我管理行为的相关性。通过绘制ROC曲线评估抑郁情绪、心理弹性及自我管理行为评分及三者联合对炎症性肠病住院患者营养风险的预测价值。结果:105例炎症性肠病住院患者中包含营养不良者43例、营养不良发生率40.95%。营养不良组中年龄≥40岁、吸烟、家庭人均月收入<3000元、住院天数≥14d、糖尿病、低蛋白血症患者所占比例高于营养正常组(χ^(2)=12.449,4.266,5.922,7.476,8.507,7.588;P<0.05)。营养不良组SDS评分高于营养正常组(t=3.220,P<0.01),CD-RISC量表中自强、乐观、坚韧维度评分低于营养正常组(t=3.563,4.252,3.121;P<0.01),自我管理行为量表重疾病监测、用药管理、情绪管理、饮食管理、生活管理、运动管理以及资源利用维度评分低于营养正常组(t=6.229,5.533,5.646,3.590,4.263,7.256,3.921;P<0.001)。炎症性肠病住院患者营养风险与SDS评分呈正相关(r=0.303,P<0.01),与CD-RISC评分(自强、乐观、坚韧维度)呈负相关(r=-0.331,-0.386,-0.294;P<0.01),与自我管理行为评分(疾病监测、用药管理、情绪管理、饮食管理、生活管理、运动管理以及资源利用维度)呈负相关(r=-0.528,-0.479,-0.486,-0.334,-0.387,-0.581,-0.361;P<0.01)。ROC分析结果显示,当SDS评分≥54.50分时,预测炎症性肠病住院患者营�Objective:To investigate the relationship between nutritional risk and depression,resilience and self-management behavior in hospitalized patients with inflammatory bowel disease.Methods:One hundred and ten patients with inflammatory bowel disease hospitalized in our hospital were investigated by questionnaire from January 2019 to December 2021.A total of 105 valid questionnaires were collected(the recovery rate was 95.45%).The nutritional status of patients was evaluated by using the nutritional risk screening score summary table(NRS 2002).Those with≥3 points were included in the nutritional risk group,and those with<3 points were included in the nutritional normal group.Self-rating Depression Scale(SDS),Connor-Davidson resilience scale(CD-RISC)and inflammatory bowel disease patients'self-management behavior scale were used to evaluate the depression,resilience and self-management behavior of two groups of patients.Pearson correlation was used to analyze the correlation between nutritional risk and depression,psychological resilience and self-management behavior in hospitalized patients with inflammatory bowel disease.Results:Among 105 hospitalized patients with inflammatory bowel disease,43 were malnourished,and the incidence of malnutrition was 40.95%.The proportion of patients with age≥40 years old,smoking,family per capita monthly income<3000 yuan,hospitalization days≥14 days,diabetes and hypoproteinemia in the malnutrition group was higher than that in the normal nutrition group(χ^(2)=12.449,4.266,5.922,7.476,8.507,7.588;P<0.05).The SDS score of patients in the malnutrition group was higher than that in the normal nutrition group(t=3.220,P<0.01),the self-improvement,optimism and tenacity dimension score in the CD-RISC scale was lower than that in the normal nutrition group(t=3.563,4.252,3.121;P<0.01),and the self-management behavior scale was lower than that in the normal nutrition group(t=6.229,5.533,5.646,3.590,4.263,7.256,3.921;P<0.01).The nutritional risk of inpatients with inflammatory bowel dis

关 键 词：炎症性肠病 营养风险 抑郁情绪 心理弹性 自我管理行为 

分 类 号：R749.92[医药卫生—神经病学与精神病学]