文章摘要
基于中医情志理论探讨炎症性肠病患者生存质量及其影响因素
Based on emotional theory of Traditional Chinese Medicine, analysis on the quality of life of inflammatory bowel disease patients
投稿时间:2018-02-04  录用日期:2018-03-02
DOI:
中文关键词: 炎症性肠病  生存质量  中医情志理论
英文关键词: Inflammatory bowel disease  Quality of life  TCM emotional theory
基金项目:国家自然科学(NO.81673619)
作者单位E-mail
张钰青 广州中医药大学 244562880@qq.com 
魏裕涛 广州中医药大学  
魏佳娜 广州医科大学附属第二医院 15876529291@163.com 
张蕴之 广州中医药大学  
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中文摘要:
      目的:分析炎症性肠病(IBD)患者的生存质量(HRQOL)及其影响因素,基于中医情志学说进行理论探讨。方法:应用一般资料调查表、焦虑自评量表 (SAS)、抑郁自评量表(SDS)、一般健康状况问卷 (SF-36)和炎症性肠病生存质量问卷 (IBDQ),对90例确诊炎症性肠病患者进行问卷调查。分析受试者HRQOL的主要影响因素。结果:受试者的平均焦虑、抑郁水平处于正常状态,生理机能、生理职能、精力、一般健康状况、情感职能、躯体疼痛、精神健康社会功能等8项维度得分均低于常模水平,克罗恩病患者HRQOL优于溃疡性结肠炎患者(P<0.05);影响IBD患者HRQOL的主要因素是精神心理因素:焦虑和抑郁。结论:中医生应关注IBD患者的焦虑和抑郁情绪,在中医情志理论的指导下,对不良情绪及早发现和干预,提高其生存质量,从而改善临床预后。
英文摘要:
      Objective: To investigate the affecting factors of Health-Related Quality of Life (HRQOL) of inflammatory bowel disease(IBD) patients, based on TMC emotional theory. Methods : Questionnaire was used to collect 90 patients’ data including self rating anxiety scale(SAS), self rating depression scale(SDS), MOS 36-item Short Form Health Survey(SF-36), inflammatory bowel disease questionnaire (IBDQ), analyzed the affecting factors of HRQOL. Results: IBD patients’ average scores of SAS,SDS were in the normal level, 8 dimensional scores of physiological function, physiological function, energy, general health, emotional function, physical pain, mental health and social function were lower than the normal level ,CD patients’ HRQOL is higher than UC patients(P<0.05), the patients’ poor HRQOL was due to psychological factors: anxiety and depression. Conclusion: To improve HRQOL and prognosis, TCM doctors should give closer attention to IBD patients’ anxiety and depression, early detection and intervention of mental distress based on TMC emotional theory is necessary.
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