炎症性肠病患者焦虑、抑郁状态分析及其与生活质量的关系

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Abstract Objective To analyze the anxiety and depression of patients with inflammatory bowel disease, and explore their relationship with the quality of life. Methods 60 patients with inflammatory bowel disease treated in Hebei People's Hospital from September 2015 to January 2017 were selected as IBD group, and 60 cases with physical examination in the same period were selected as normal group. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the anxiety and depression status of patients, and the quality of life was evaluated using the inflammatory bowel disease quality of life questionnaire (IBDQ). Results The incidence rates of anxiety and depression in IBD group were 45.0% and 60.0%, which were significantly higher than 3.3% and 6.7% in normal group (P < 0.05). The anxiety and depression scores in IBD group were significantly higher than those in normal group (P < 0.05). In IBD group, with different levels of anxiety and depression, the IBDQ scores of patients were also statistically significant (P < 0.05). There were significant negative correlations between SAS, SDS scores and IBDQ score in IBD patients (P < 0.05). Conclusion The incidence rates of anxiety and depression in patients with inflammatory bowel disease are significantly higher than the normal population, and the quality of life decreased with the serious anxiety and depression, with the targeted treatment can help to improve the prognosis of patients.

Key words： Inflammatory bowel disease Anxiety Depression Quality of life

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	HU Yiting1 ZHANG Jian1 JIA Guicong2 HOU Hongtao1 SU Shaohui1 BAI Yun1 WANG Yuzhen1

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HU Yiting1 ZHANG Jian1 JIA Guicong2 HOU Hongtao1 SU Shaohui1 BAI Yun1 WANG Yuzhen1. Anxiety and depression in patients with inflammatory bowel disease and its relationship with quality of life[J]. 中国医药导报, 2017, 14(28): 57-59,68.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I28/57

[1] 兰平，何晓生，吴现瑞，等.炎症性肠病治疗的新概念[J].中华消化外科杂志，2016，15（12）：1135-1139.DOI：10.3760/cma.j.issn.1673-9752.2016.12.001.
[2] Sherman M，Tsynman DN，Kim A，et al. Sustained improvement in health-related quality of life measures in patients with inflammatory bowel disease receiving prolonged anti-tumor necrosis factor therapy [J]. J Dig Dis，2014，15（4）：174-179.
[3] 张艳丽，刘新风，于秀娟，等.炎症性肠病患者肠道菌群变化及其与炎性因子的相关性[J].山东医药，2015，55（10）：79-80.DOI：10.3969/j.issn.1002-266X.2015.10.030.
[4] 罗涵青，钱家鸣.炎症性肠病的心理应激评估[J].中华内科杂志，2015，54（2）：164-167.DOI：10.3760/cma.j.issn.0578-1426.2015.02.020.
[5] 张春霞，吴小平.心理因素与炎症性肠病关系研究的现状与展望[J].医学新知杂志，2015，25（4）：217-218，229.
[6] 李莎，林征，卞秋桂，等.炎症性肠病患者生活质量与心理韧性的相关性研究[J].中华行为医学与脑科学杂志，2017，26（3）：271-275.DOI：10.3760/cma.j.issn.1674?6554. 2017.03.016.
[7] 中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见（2012年·广州）[J].中华内科杂志，2012，51（10）：818-831.DOI：10.3760/cma.j.issn.0578-1426.2012.10.024.
[8] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.DOI：10.3969/j.issn.1000-6729.2012.09.007.
[9] 王文菁，谭文艳.Zung抑郁自评量表的因子分析[J].广东医学，2011，32（16）：2191-2193.DOI：10.3969/j.issn.1001-9448.2011.16.052.
[10] 郑发鹃，张苏闽.《炎症性肠病生存质量问卷》评估活动期溃疡性结肠炎患者生存质量[J].中医学报，2015，30（8）：1211-1214.DOI：10.16368/j.issn.1674-8999.2015.08. 418.
[11] 魏汉维，彭国萍，姚昌伟，等.炎症性肠病患者心理应激评估及其影响因素[J].职业与健康，2016，32（4）：519-521.
[12] Iglesiasrey M，Barreirode AM，Caama?觡oisorna F，et al. Psychological factors are associated with changes in the health-related quality of life in inflammatory bowel disease [J]. Inflamm Bowel Dis，2014，20（1）：92-102.
[13] 李雪娇，彭南海，黄迎春，等.炎症性肠病病人焦虑、抑郁状况及与生活质量的相关性研究[J].护理研究，2015， 29（9）：3364-3367.DOI：10.3969/j.issn.1009-6493.2015. 27.013.
[14] 张发钦，林燕.舒肝解郁胶囊联合美沙拉秦治疗伴焦虑抑郁状态溃疡性结肠炎效果观察[J].现代中西医结合杂志，2017，26（4）：372-374，414.DOI：10.3969/j.issn.1008-8849.2017.04.010.
[15] 谢睿，高成城，吴尚农，等.氟哌噻吨美利曲辛联合美沙拉秦治疗伴焦虑抑郁状态溃疡性结肠炎患者的临床观察[J].胃肠病学，2014，19（10）：599-602.DOI：10.3969/j.issn.1008-7125.2014.10.006.
[16] 孔鲁亚，罗丹.炎症性肠病患者生活质量的心理干预[J].科技展望，2015，25（30）：241.DOI：10.3969/j.issn.1672-8289.2015.30.219.
[17] 茅丹，傅荣.炎症性肠病病人生活质量相关因素研究进展[J].全科护理，2015，（29）：2900-2903.DOI：10.3969/j.issn.1674-4748.2015.29.08.
[18] Mcdermott E，Mullen G，Moloney J，et al. Body image dissatisfaction： clinical features， and psychosocial disability in inflammatory bowel disease [J]. Inflamm Bowel Dis，2015，21（2）：353-360.
[19] 陈晨，戴新娟.炎症性肠病病人生活质量与自我效能、焦虑、抑郁水平的相关性研究[J].护理研究，2016，30（5）：556-559.DOI：10.3969/j.issn.1009-6493.2016.05.012.
[20] 刘时助，王宏光，王曼彤，等.EMR技术在炎症性肠病诊治中的应用[J].中国医药科学，2015，5（11）：205-207.
[21] Engelmann G，Erhard D，Petersen M，et al. Health-related quality of life in adolescents with inflammatory bowel disease depends on disease activity and psychiatric comorbidity [J]. Child Psychiatry Hum Dev，2015，46（2）：300-307.DOI： 10.1007/s10578-014-0471-5.