摘要
目的明确河北省秦皇岛市城近郊社区居民中肠易激综合征(Irritable Bowel Syndrome,IBS)症状患病率及其心理、健康相关生活质量(HRQOL)状况。方法(1)用整群、分层、随机抽样的方法对秦皇岛市城近郊区中3个小区的的常住居民进行面访式问卷调查。问卷包括人口学资料、生活习惯、既往及现患症状情况、SCL-90心理量表和SF-36健康相关生活质量量表。(2)从症状调查结果中选择符合IBS罗马Ⅱ标准者,分析其心理及生活质量状况。(3)结果经SPSS软件由专业统计公司完成。结果(1)调查纳入850人,有效问卷840张(98.8%)。(2)符合RomeⅡ标准的IBS症状患病率为4.6%,男女比为1:1.6,女性60岁以上组发病率明显高于其他年龄段。(3)IBS症状人群较其他人群存在更多的心理问题,主要表现为抑郁、焦虑、躯体化、强迫、敌对等;其生活质量较其他人群有不同程度的下降,在总体健康状况、躯体疼痛、躯体角色、社会功能、躯体功能等各维度的积分尤为明显,其中总体健康状况下降最为突出。结论秦皇岛市城近郊区居民中IBS症状患者存在明显的心理问题,生活质量也有不同程度地下降。
Objective To investigate the psychology and health - ralated quality of life （HRQOL） in patients with irritable bowel syndome （IBS） among Qinhuangdao and suburb citizens. Methods A questionnaire was used to screen IBS by interviews according to Rome Ⅱ criteria. Random clustered samphng involving permanent inhabitants aged 17- 79 years was carried out by stratification of urban and suburban areas. It consisted of demographic data, custom, past and present symptoms, SCL-90 and SF- 36 lists. The diagnoses were analyzed with SCL - 90 and SF - 36 lists.All data were analyzed using SPSS software.Results A total of 840 residents（338 males,502 females）were investigated. Mean age among the responders was （33.9 ± 14.4） years. The response rate was 98.8 %. The adjusted prevalence of IBS in Qinhuangdao was 4.6% according to the Rome Ⅱ criteria. The famales were predominant in IBS,and the ratio of male to famale was 1 ： 1.6. The subjects diagnosed as having IBS had much-more psychological problems, such as depression, anxiely, obssession, and hostility. Their HRQOL lowered to varying degree, especialy in general health status. Conclusions The patients with IBS in Qinhuangdao and suburb residents have marked psychological problem and their HRQOL is lowered to varying degree.
出处
《武警医学》
CAS
2008年第8期703-706,共4页
Medical Journal of the Chinese People's Armed Police Force
基金
河北省指导性立项并资金支持项目
