Objective. Gastrointestinal symptoms that occur without evidence of structural gastrointestinal disease are a well- recognized feature of patients with eating disorders (EDs). Despite this, the spectrum and predictors...Objective. Gastrointestinal symptoms that occur without evidence of structural gastrointestinal disease are a well- recognized feature of patients with eating disorders (EDs). Despite this, the spectrum and predictors of specific functional gastrointestinal disorders (FGIDs), documented using standardized and validated questionnaires, have received little attention. The aims of the study were to describe the prevalence and type of FGIDs in patients suffering from anorexia nervosa (AN), bulimia nervosa (BN) and eating disorders not otherwise specified (EDNOS), and to determine the relationships between psychological features, eating- disordered attitudes and behaviours, demographic characteristics and the type and number of FGIDs present. Material and methods. A total of 101 consecutive female patients admitted to an eating disorder unit (AN 44% , BN 22% , EDNOS 34% , mean age 21 years) completed the Rome II modular questionnaire and a range of other validated self- reported questionnaires detailing illness history, psychological features and eating and exercise behaviour. Results. The criteria for at least one FGID were fulfilled by 98% of the sample. The most prevalent FGIDs were irritable bowel syndrome (IBS: 52% ), functional heartburn (FH: 51% ), functional abdominal bloating (31% ), functional constipation (FC: 24% ), functional dysphagia (23% ) and functional anorectal pain disorder (FAno: 22% ); 52% of the sample satisfied the criteria for at least three coexistent FGIDs. Psychological variables (somatization, neuroticism, state and trait anxiety), age and binge eating were significant predictors of specific, and ≥ 3 coexistent FGIDs. Other disordered eating characteristics, including body mass index, were not predictors. Conclusions. In patients with EDs, specific psychological traits predict FGID type and the presence of multiple coexistent FGIDs. These findings support the role of specific psychological features as important contributors to certain FGIDs.展开更多
目的探究欣赏式探询构建护理组织管理新模式对冠心病患者生活质量、心功能以及运动耐力的影响效果。方法以2019年11月至2020年11月于我院治疗的86例冠心病患者为研究对象,将其按照随机数字表法分为对照组和观察组,每组43例。对照组患者...目的探究欣赏式探询构建护理组织管理新模式对冠心病患者生活质量、心功能以及运动耐力的影响效果。方法以2019年11月至2020年11月于我院治疗的86例冠心病患者为研究对象,将其按照随机数字表法分为对照组和观察组,每组43例。对照组患者采用常规护理组织管理模式,观察组患者则采用欣赏式探询构建护理组织管理新模式。干预1个月后,记录两组患者的心功能指标和运动耐力指标,采用冠心病自我管理量表(coronary self-management scale,CSMS)、健康调查简表(the medical outcomes study item short from health survey-36,SF-36)和医院自制满意度量表评价患者的自我管理能力、生活质量及满意度。结果干预后,观察组患者的射血分数、左心室舒张末期内径、峰值功率水平高于对照组患者,心功能分级程度也低于对照组(P<0.05);较之于对照组患者,观察组患者的6min步行距离更长,运动持续时间更久、最大摄氧量和无氧阈值更高,差别具有统计学意义(P<0.05);观察组患者的各项CSMS和SF-36评分高于对照组(P<0.05);满意度比较结果中,观察组为93.02%,对照组为72.09%,观察组患者的满意度高于对照组患者组(P<0.05)。结论对冠心病患者采用欣赏式探询构建护理组织管理新模式,有利于改善其心功能以及运动耐力,提高患者自我管理能力和生活质量,提升护理满意度。此种管理模式是一种优质的管理措施,具有重要的临床应用价值。展开更多
文摘Objective. Gastrointestinal symptoms that occur without evidence of structural gastrointestinal disease are a well- recognized feature of patients with eating disorders (EDs). Despite this, the spectrum and predictors of specific functional gastrointestinal disorders (FGIDs), documented using standardized and validated questionnaires, have received little attention. The aims of the study were to describe the prevalence and type of FGIDs in patients suffering from anorexia nervosa (AN), bulimia nervosa (BN) and eating disorders not otherwise specified (EDNOS), and to determine the relationships between psychological features, eating- disordered attitudes and behaviours, demographic characteristics and the type and number of FGIDs present. Material and methods. A total of 101 consecutive female patients admitted to an eating disorder unit (AN 44% , BN 22% , EDNOS 34% , mean age 21 years) completed the Rome II modular questionnaire and a range of other validated self- reported questionnaires detailing illness history, psychological features and eating and exercise behaviour. Results. The criteria for at least one FGID were fulfilled by 98% of the sample. The most prevalent FGIDs were irritable bowel syndrome (IBS: 52% ), functional heartburn (FH: 51% ), functional abdominal bloating (31% ), functional constipation (FC: 24% ), functional dysphagia (23% ) and functional anorectal pain disorder (FAno: 22% ); 52% of the sample satisfied the criteria for at least three coexistent FGIDs. Psychological variables (somatization, neuroticism, state and trait anxiety), age and binge eating were significant predictors of specific, and ≥ 3 coexistent FGIDs. Other disordered eating characteristics, including body mass index, were not predictors. Conclusions. In patients with EDs, specific psychological traits predict FGID type and the presence of multiple coexistent FGIDs. These findings support the role of specific psychological features as important contributors to certain FGIDs.
文摘目的探究欣赏式探询构建护理组织管理新模式对冠心病患者生活质量、心功能以及运动耐力的影响效果。方法以2019年11月至2020年11月于我院治疗的86例冠心病患者为研究对象,将其按照随机数字表法分为对照组和观察组,每组43例。对照组患者采用常规护理组织管理模式,观察组患者则采用欣赏式探询构建护理组织管理新模式。干预1个月后,记录两组患者的心功能指标和运动耐力指标,采用冠心病自我管理量表(coronary self-management scale,CSMS)、健康调查简表(the medical outcomes study item short from health survey-36,SF-36)和医院自制满意度量表评价患者的自我管理能力、生活质量及满意度。结果干预后,观察组患者的射血分数、左心室舒张末期内径、峰值功率水平高于对照组患者,心功能分级程度也低于对照组(P<0.05);较之于对照组患者,观察组患者的6min步行距离更长,运动持续时间更久、最大摄氧量和无氧阈值更高,差别具有统计学意义(P<0.05);观察组患者的各项CSMS和SF-36评分高于对照组(P<0.05);满意度比较结果中,观察组为93.02%,对照组为72.09%,观察组患者的满意度高于对照组患者组(P<0.05)。结论对冠心病患者采用欣赏式探询构建护理组织管理新模式,有利于改善其心功能以及运动耐力,提高患者自我管理能力和生活质量,提升护理满意度。此种管理模式是一种优质的管理措施,具有重要的临床应用价值。
