Center for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Clin Gastroenterol Hepatol. 2013 Feb;11(2):151-5. doi: 10.1016/j.cgh.2012.07.019. Epub 2012 Jul 31.
BACKGROUND & AIMS: Studies have described the burden experienced by caregivers and next of kin to patients with diseases such as cancer. However, the burden of functional gastrointestinal disorders on partners of patients has not been determined. We aimed to quantify the degree of burden to partners of patients with irritable bowel syndrome (IBS), to describe the factors that affect the burden perceived, and to identify the areas of relationship that are affected.
We surveyed 152 patients diagnosed with IBS at a tertiary gastrointestinal clinic, on the basis of Rome III criteria, and their partners. Their partners completed questionnaires including the Zarit Burden Interview (ZBI), Relationship Satisfaction Scale, and questions on sexual relationships. Patients with IBS were rated for disease severity by using the Functional Bowel Disease Severity Index. We compared findings with those from 39 partners of healthy individuals (controls).
There were no significant demographic differences between the partners of patients with IBS and controls; demographics had no effect on burden. Burden was significantly higher among partners of IBS patients (mean ZBI score, 22.1) than controls (mean ZBI score, 11.5) (P = .0002). The degree of burden was directly related to IBS severity (P < .0001). There were inverse relationships between partners' rating of burden (ZBI) and relationship quality (R = -0.60; P < .001) and sexual satisfaction (R = -0.56; P < .0001). There was no difference in the Relationship Satisfaction Scale scores (4.25 vs 4.19; P = .78) or sexual relationship (6.47 vs 6.21; P = .64) between partners of IBS patients and controls, respectively.
Partners of patients with IBS have a significant burden (on the basis of ZBI score), compared with partners of healthy individuals. Perceived burden increases with IBS severity and poorer sexual and relationship satisfaction.
已有研究描述了癌症等疾病患者的照顾者和亲属所承受的负担。然而，尚未确定功能性胃肠疾病对患者伴侣的负担。我们旨在量化肠易激综合征（IBS）患者伴侣的负担程度，描述影响感知负担的因素，并确定受影响的关系领域。
我们根据罗马 III 标准，在一家三级胃肠诊所调查了 152 名被诊断为 IBS 的患者及其伴侣。他们的伴侣完成了包括 Zarit 负担访谈（ZBI）、关系满意度量表和性关系问题在内的问卷。IBS 患者的疾病严重程度通过功能性肠病严重程度指数进行评估。我们将这些发现与 39 名健康个体（对照）的伴侣进行了比较。
IBS 患者伴侣和对照组之间在人口统计学方面没有显著差异；人口统计学因素对负担没有影响。IBS 患者伴侣的负担明显高于对照组（ZBI 平均得分 22.1）（P =.0002）。负担程度与 IBS 严重程度直接相关（P <.0001）。伴侣对负担（ZBI）的评分与关系质量（R = -0.60；P <.001）和性满意度（R = -0.56；P <.0001）呈负相关。IBS 患者和对照组的伴侣关系满意度量表评分（4.25 对 4.19；P =.78）或性关系评分（6.47 对 6.21；P =.64）均无差异。
与健康个体的伴侣相比，IBS 患者的伴侣负担（基于 ZBI 评分）明显更重。感知负担随 IBS 严重程度增加而增加，且性和关系满意度降低。
