炎症性肠病患者心理应激评估及其影响因素

Psychological stress evaluation in patients with inflammatory bowel disease and its influencing factors

目的评估炎症性肠病(inflammatory bowel disease,IBD)患者心理应激水平,探讨其相关影响因素,为减轻IBD患者心理应激的临床干预提供依据。方法 2013年1月—2015年4月,选择武汉市东湖医院就诊的IBD患者205例作为研究对象。采用压力困扰量表(Stress Distress Scale,SDS)对患者的心理应激进行评估,使用社会支持评定量表(Social Support Rating Scale,SSRS)收集患者的社会支持情况。结果 205名IBD患者SDS平均得分为(144.42±24.05)分,不同IBD患者的SDS得分差异无统计学意义(P>0.05);不同疾病严重程度的IBD患者SDS总分、抑郁维度、躯体化维度、焦虑维度得分差异有统计学意义(P<0.05);IBD患者SSRS平均得分为(34.46±8.19)分,不同社会支持水平的患者SDS总分、抑郁维度、焦虑维度得分差异有统计学意义(P<0.05)。结论炎症性肠病患者存在一定水平的心理应激,与患者的疾病严重程度、社会支持水平有密切关系,临床医务人员应动态评估患者的心理应激水平,促进患者的心理健康。

[Objective] To assess the psychological stress level in patients with inflammatory bowel disease（IBD）,discuss the relevant influencing factors,and provide the basis for clinical intervention to reduce psychological stress of IBD patients.[Methods] 205 IBD patients who were treated in East Lake Hospital of Wuhan from January 2013 to April 2015 were recruited in this study. The Stress Distress Scale（SDS）was used to evaluate the psychological stress level of patients,and the Social Support Rating Scale（SSRS） was adopted to collect the data of social support. [Results] The SDS scores of 205 IBD patients were（144.42±24.05） on average,and there was not statistically significant difference in SDS scores among different IBD patients（P〉0.05）. The differences in total SDS scores,scores of dimensions in somatization,anxiety and depression were statistically significant among patients with different severity degrees（P〈 0.05）. The SSRS scores of IBD patients were（34.46 ±8.19） on average. The differences in total SDS scores,scores of dimensions in anxiety and depression were statistically significant among patients with different social support levels（P〈0.05）.[Conclusion] There is a certain level of psychological stress in IBD patients,which is closely related to the disease severity and social support of patients. Clinical medical staff should dynamically assess the patients＇ level of psychological stress to promote their mental health.