炎症性肠病患者食物素养与避免/限制性食物摄入障碍的相关性研究  

Correlation between Food Literacy and Avoidant/Restrictive Food Intake Disorder in Patients with Inflammatory Bowel Disease

作　　者：尹婷婷 徒文静[1] 张苏闽[2] 李伊婷 徐桂华[1] YIN Tingting;TU Wenjing;ZHANG Sumin;LI Yiting;XU Guihua(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Anorectal Medicine,Nanjing Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210006,China)

机构地区：[1]南京中医药大学护理学院,江苏省南京市210023 [2]南京中医药大学附属南京中医院肛肠科,江苏省南京市210006

出　　处：《中国全科医学》2024年第12期1445-1451,共7页Chinese General Practice

基　　金：国家自然科学基金青年基金资助项目(72204124);南京中医药大学国自然青年基金经费配套项目(XPT72204124);教育部人文社会科学青年项目(19YJCZH147);江苏省研究生实践创新计划资助项目(SJCX22_0814)。

摘　　要：背景炎症性肠病(IBD)患者饮食过度限制现象普遍,严重者可导致避免/限制性食物摄入障碍(ARFID)。研究显示食物素养可在一定程度上影响患者的饮食行为,其能否直接影响IBD患者ARFID报道较少。目的了解IBD患者食物素养及ARFID现状,剖析两者的相关性。方法本研究为横断面研究,采用便利抽样法选取2022年10月—2023年6月在江苏省中医院(南京中医药大学附属医院)、南京市中医院(南京中医药大学附属南京中医院)、南京鼓楼医院、东南大学附属中大医院4家综合性医院的消化科和肛肠科门诊就诊或住院的IBD患者为研究对象。使用一般资料调查表、9条目避免/限制性食物摄入障碍筛查量表(NIAS)、食物素养量表对研究对象进行调查,比较不同特征的IBD患者NIAS和食物素养得分,采用Pearson相关分析探讨两者的关系。结果共发放问卷438份,回收有效问卷429份,有效回收率为97.95%。IBD患者NIAS得分为(20.82±8.65)分,ARFID发生率为18.41%(79/429),食物素养得分为(32.72±9.68)分。不同疾病类型、疾病活动度的患者NIAS得分比较,差异有统计学意义(P<0.05)。Pearson相关分析结果显示,IBD患者食物素养得分、食物素养量表中的计划、管理维度以及制作态度得分与NIAS得分均呈负相关(P<0.05)。结论IBD患者食物素养水平有待提高,ARFID现象普遍(18.41%),食物素养与ARFID呈负相关。临床医护人员应定期评估患者的食物素养,监测其饮食行为,制订精准健康教育干预路径提升食物素养水平,降低ARFID发生率。Background Dietary over-restriction is common in patients with inflammatory bowel disease(IBD)and can lead to avoidant/restrictive food intake disorder(ARFID)in severe cases.Studies have shown that food literacy may influence patients'eating behavior to some extent,but whether it can directly affect ARFID in IBD patients has not been reported.Objective To understand the current status of food literacy and ARFID in patients with IBD,and analyse the correlation between the two.Methods This was a cross-sectional study,and convenience sampling method was used to select IBD patients who attended or were hospitalized in the outpatient clinics of gastroenterology and anorectal medicine in four general hospitals in Nanjing,including Jiangsu Province Hospital of Chinese Medicine(Affiliated Hospital of Nanjing University of Chinese Medicine),Nanjing Hospital of Chinese Medicine(Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine),Nanjing Drum Tower Hospital and Zhongda Hospital,Southeast University,from October 2022 to June 2023 as the study subjects.A self-made general information questionnaire,9-item Avoidant/Restrictive Food Intake Disorder Screen(NIAS),and Food Literacy Scale were used to investigate the study subjects,to compare the NIAS and food literacy scores of IBD patients with different characteristics,and Pearson correlation analysis was used to explore the relationship.Results A total of 438 questionnaires were distributed and 429 valid questionnaires were recovered,with a valid recovery rate of 97.95%.The NIAS score of IBD patients was(20.82±8.65),and the incidence of ARFID was 18.41%(79/429);the food literacy score was(32.72±9.68).Comparison of NIAS scores of patients with different disease types and disease activity showed statistically significant differences(P<0.05).Pearson correlation analysis showed that food literacy scores,planning and management dimensions of food literacy scale and the attitude towards making scores were negatively correlated with NIAS scores

关 键 词：炎症性肠病 饮食限制 避免/限制性食物摄入障碍 食物素养 相关性 

分 类 号：R574[医药卫生—消化系统]