炎症性肠病患者疲乏现况及影响因素路径关系  

Fatigue status and path analysis of influencing factors in patients with Inflammatory Bowel Disease

作　　者：王千[1] 李军[1] 丁雪丽[2] 万巧琴[3] 王嘉敏 WANG Qian;LI Jun;DING Xueli;WAN Qiaoqin;WANG Jiamin(Gastroenterology Department,Peking University Third Hospital,Beijing,100191,China)

机构地区：[1]北京大学第三医院消化内科,北京市100191 [2]青岛大学附属医院消化内科 [3]北京大学护理学院

出　　处：《中国护理管理》2024年第5期663-668,共6页Chinese Nursing Management

摘　　要：目的:调查炎症性肠病(Inflammatory Bowel Disease,IBD)患者疲乏的现况及其影响因素,探索运动、睡眠质量、抑郁、疲乏和疾病感知之间的路径关系,为IBD患者疲乏的管理提供科学依据。方法:采用便利抽样法调查北京市和青岛市消化科门诊289例IBD患者的疲乏现状,采用分层回归分析影响因素,并基于不悦症状理论,采用最大似然法进行疲乏相关路径分析。结果:259例(89.6%)IBD患者存在不同程度的疲乏症状。分层回归分析显示,BMI、激素治疗、疾病活动、运动、抑郁和睡眠质量是IBD患者疲乏的影响因素(P<0.05)。路径分析显示,运动、抑郁和睡眠质量可对疲乏产生直接效应,并通过疲乏的完全中介效应间接影响IBD患者的疾病感知。结论:IBD患者疲乏的发生率高,医护人员可通过有针对性的干预措施缓解IBD患者的疲乏症状,降低其负性疾病感知水平,提升其生活质量。Objective:To investigate the current status and influencing factors of fatigue in patients with Inflammatory Bowel Disease(IBD),and to explore the pathway relationship between exercise,sleep quality,depression,fatigue and disease perception,so as to provide a scientific basis for the subsequent management of fatigue in patients with IBD.Methods:The fatigue status of 289 IBD patients in gastroenterology outpatient clinics in Beijing and Qingdao was investigated by convenience sampling.The influencing factors were analyzed by hierarchical regression,and the fatigue-related pathway analysis was carried out by maximum likelihood method based on the theory of unpleasant symptoms.Results:Totally 89.6% of IBD patients had fatigue symptoms of varying severity.Hierarchical regression analysis showed that BMI,hormone therapy,active disease,exercise,depression and sleep quality were the influencing factors of fatigue in IBD patients(P<0.05).Pathway analysis showed that exercise,depression and sleep quality had a direct effect on fatigue,and indirectly affect the disease perception of IBD patients through the complete mediating effect of fatigue.Conclusion:The incidence of fatigue in IBD patients is high.Medical staff can alleviate the fatigue symptoms,reduce their negative disease perception,and improve their quality of life through targeted intervention measures.

关 键 词：炎症性肠病 疲乏 不悦症状理论 影响因素 路径分析 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]