炎症性肠病患者正念水平现况调查

Investigation on the current state of mindfulness in patients with inflammatory bowel disease

目的了解炎症性肠病患者正念水平现况及影响因素,为改善患者正念水平提供依据。方法采用方便抽样的方法,于2020年7月至2021年4月选取在上海市5家三甲医院(同济大学附属第十人民医院、同济大学附属东方医院、复旦大学附属华山医院北院、上海交通大学医学院附属仁济医院、上海交通大学医学院附属新华医院)消化内科就诊的263例炎症性肠病患者,采用一般资料调查表、正念注意觉知量表、简易应对方式问卷和社会支持评定量表进行问卷调查。结果炎症性肠病患者正念水平为(61.05±15.34)分;积极应对维度得分23.00(18.00,27.00)分,消极应对维度得分14.00(10.00,18.00)分;社会支持总分36.00(32.00,41.00)分。多重线性回归结果显示,家庭关系、经济负担、疾病状态、应对方式和社会支持进入回归方程,共解释炎症性肠病患者正念水平总变异的71.9%。结论炎症性肠病患者的正念水平处于中等水平,家庭关系、经济负担、疾病状态、应对方式和社会支持是其正念水平的影响因素。

Objective To understand the current status and influencing factors of mindfulness in patients with inflammatory bowel disease,and to provide a basis for improving the mindfulness of patients.Methods Using the method of convenient sampling,five top three hospitals in Shanghai were selected from July 2020 to April 2021(Tenth People′s Hospital of Tongji University,East Hospital Affiliated to Tongji University,North Hospital of Huashan Hospital Affiliated to Fudan University,Renji Hospital of Affiliated to Shanghai Jiaotong University School of Medicine and Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine)263 patients with inflammatory bowel disease in gastroenterology department.The general information questionnaire and mindfulness awareness scale,simple coping style questionnaire and social support rating scale for questionnaire surveys.Results The score of mindfulness of patients with inflammatory bowel disease was(61.05±15.34);the score of active coping 23.00(18.00,27.00),the score of negative coping 14.00(10.00,18.00);the total score of social support 36.00(32.00,41.00).The results of multiple linear regression showed that family relationships,economic burden,disease status,coping style,and social support entered the regression equation,explaining 71.9%of the total variation in the mindfulness level of patients with inflammatory bowel disease.Conclusion The mindfulness level of patients with inflammatory bowel disease is at a moderate level,and family relationships,economic burden,disease state,coping style and social support are the influencing factors of their mindfulness level.