炎症性肠病住院患者生活质量与心理韧性的现状及相关性研究

Current situation and correlation between quality of life and psychological resilience of inpatients with inflammatory bowel disease

目的探讨炎症性肠病(IBD)患者生活质量与心理韧性之间的相关性。方法采用便利抽样法,选取2019年10月—2020年6月在上海交通大学医学院附属瑞金医院消化内科住院的158例IBD患者为研究对象,采用IBD生活质量表(IBDQ)、心理韧性量表(CD-RISC)对患者进行调查。采用Pearson相关分析探讨IBD患者生活质量与心理韧性的相关性。本研究共发放调查问卷158份,回收有效问卷156份。结果IBD患者IBDQ得分为(165.28±41.58)分,CD-RISC得分为(64.50±14.30)分,不同克罗恩病疾病活动性严重程度、溃疡性结肠炎疾病活动性严重程度的患者IBDQ得分比较差异有统计学意义(P<0.05),生活质量与心理韧性呈正相关(r=0.380,P<0.01)。结论IBD患者生活质量与心理韧性具有相关性,应加强关注住院患者的心理状况,帮助患者提高自我管理及应对能力,进而改善患者的生活质量。

Objective To explore the correlation between quality of life and psychological resilience in patients with inflammatory bowel disease(IBD).Methods Using the convenient sampling method,a total of 158 IBD patients hospitalized in Department of Gastroenterology in Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from October 2019 to June 2020 were selected as the research objects.The patients were investigated by Inflammatory Bowel Disease Questionnaire(IBDQ)and Connor-Davidson Resilience Scale(CD-RISC).Pearson correlation analysis was used to explore the correlation between quality of life and psychological resilience in patients with IBD.In this study,a total of 158 questionnaires were distributed and 156 valid questionnaires were recovered.Results Scores of IBDQ and CD-RISC of IBD patients were respectively(165.28±41.58)and(64.50±14.30).There were statistically significant differences in IBDQ scores among patients with different disease activity severity of Crohn's disease and ulcerative colitis(P<0.05).There was a positive correlation between quality of life and psychological resilience(r=0.380,P<0.01).Conclusions There is a correlation between quality of life and psychological resilience of IBD patients.It is necessary to pay more attention to the psychological status of inpatients,help patients improve their self-management and coping ability,and then improve quality of life of patients.