Remes-Troche J M, Torres-Aguilera M, Montes-Martínez V, Jiménez-García V A, Roesch-Dietlen F
Digestive Physiology and Gastrointestinal Motility Laboratory, Instituto de Investigaciones Medico Biológicas, Universidad Veracruzana, Veracruz, Mexico.
Department of Internal Medicine, Hospital Regional de Alta Especialidad de Veracruz, Veracruz, Mexico.
Neurogastroenterol Motil. 2015 Jun;27(6):824-31. doi: 10.1111/nmo.12556. Epub 2015 Mar 29.
Caregivers are an at-risk population for psychic and physical diseases such as irritable bowel syndrome (IBS). However, it is not known whether providing care for the chronically ill patient can be considered a risk factor for developing IBS. In this study, our aim was to evaluate the prevalence of IBS according to the Rome II criteria in a group of caregivers.
A cross-sectional study was conducted through an evaluation of caregivers of chronically ill patients. Subjects completed questionnaires including the Rome II Modular Questionnaire, the Hospital Anxiety and Depression Scale, the Zarit Caregiver Burden Interview (ZCBI) (an instrument for evaluating the burden experienced by caregivers), and the irritable bowel syndrome quality of life (IBS-QoL) questionnaire.
Ninety-six primary caregivers (mean age was 43.6 ± 13.7 years and 87% were women) were evaluated. The mean length of time providing care was 37.6 months (3-288 months). Forty-seven caregivers (49%) presented with IBS. The caregivers with IBS had higher scores in the global ZCBI score (47 ± 8 vs 28 ± 8, p = 0.001) and on the anxiety and depression scale (p = 0.001) than those that did not have IBS. A total of 72% were diagnosed with caregiver stress syndrome; 42 of them had IBS according to the Rome II questionnaire (60% vs 18%, p = 0.001, relative risk 3.28, 95% CI: 1.4-7.4).
CONCLUSIONS & INFERENCES: Caregivers of chronically ill patients have a high prevalence of IBS, which is associated with depression, anxiety, and poor QoL.
照顾者是易患精神和身体疾病如肠易激综合征（IBS）的高危人群。然而，为慢性病患者提供护理是否可被视为患IBS的危险因素尚不清楚。在本研究中，我们的目的是根据罗马II标准评估一组照顾者中IBS的患病率。
通过对慢性病患者的照顾者进行评估开展了一项横断面研究。受试者完成了问卷调查，包括罗马II模块化问卷、医院焦虑抑郁量表、Zarit照顾者负担访谈（ZCBI）（一种评估照顾者负担的工具）以及肠易激综合征生活质量（IBS-QoL）问卷。
对96名主要照顾者（平均年龄为43.6±13.7岁，87%为女性）进行了评估。提供护理的平均时长为37.6个月（3 - 至288个月）。47名照顾者（49%）患有IBS。患有IBS的照顾者在全球ZCBI评分（47±8 vs 28±8，p = 0.001）以及焦虑抑郁量表上的得分（p = 0.001）高于未患IBS的照顾者。共有72%被诊断为照顾者压力综合征；其中42人根据罗马II问卷患有IBS（60% vs 18%，p = 0.001，相对风险3.28，95%CI：1.4 - 7.4）。
慢性病患者的照顾者中IBS患病率很高，这与抑郁、焦虑及生活质量差相关。
