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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 evaluate the level of psychological stress in patients with inflammatory bowel disease (IBD) and to explore the related factors, so as to provide basis for clinical intervention in alleviating psychological stress in IBD patients. Methods From January 2013 to April 2015, 205 IBD patients treated at Donghu Hospital of Wuhan City were selected as the research object. Psychological stress was evaluated using Stress Distress Scale (SDS), and social support ratings were collected using the Social Support Rating Scale (SSRS). Results The mean score of SDS in 205 IBD patients was (144.42 ± 24.05) points, but there was no significant difference in the SDS scores among different IBD patients (P> 0.05). SDS score, depressive dimension, somatization dimension (P <0.05). The average score of SSRS in IBD patients was (34.46 ± 8.19). There were significant differences in SDS total score, depression dimension and anxiety dimension score among different social support groups (P <0.05) P <0.05). Conclusion There is a certain level of psychological stress in patients with inflammatory bowel disease, which is closely related to the severity of the disease and the level of social support. The clinical medical staff should dynamically assess the psychological stress level of the patients and promote their mental health.