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沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院护士中的肠易激综合征

Irritable bowel syndrome among nurses working in King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

作者信息

Ibrahim Nahla Khamis, Al-Bloushy Randa Ibrahim, Sait Salma Hani, Al-Azhary Hatoon Wahid, Al Bar Nusaybah Hussain, Mirdad Ghazal A

机构信息

Family & Community Medicine Department, Prof at King Abdulaziz University, Jeddah, Saudi Arabia.

Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt;

出版信息

Libyan J Med. 2016 Mar 30;11:30866. doi: 10.3402/ljm.v11.30866. eCollection 2016.

DOI:10.3402/ljm.v11.30866
PMID:27032964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4816808/
Abstract

BACKGROUND

Irritable bowel syndrome (IBS) is a highly prevalent gastrointestinal disorder that can cause disability and economic burden. Nurses are a vital part of the medical team and their well-being is an important issue. Yet, few studies have been done concerning IBS among nurses.

OBJECTIVES

To determine the prevalence, severity, and predictors of IBS among nurses working at King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

MATERIALS AND METHODS

A cross-sectional study was conducted among 229 nurses who fulfilled the eligibility criteria. They were selected by stratified random sampling during 2014-2015. A validated, confidential, self-administered data collection sheet was used for collection of personal and sociodemographic data. Rome III Criteria, IBS Severity Scoring System (IBS-SSS), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI) were included. Both descriptive and inferential statistics were done. A multiple logistic regression analysis was done to determine the predictors of IBS.

RESULTS

The prevalence of IBS among nurses was 14.4%, and IBS-Mixed type was the commonest variety (54.5%). Positive family history of IBS, working in outpatient clinics, having day shift, poor sleep quality, and high anxiety and depression scale scores were significantly associated with IBS. After controlling for confounding factors in regression analysis, the predictors of IBS were food hypersensitivity (aOR=4.52; 95% CI: 1.80-11.33), morbid anxiety (aOR=4.34; 95% CI: 1.49-12.67), and positive family history of IBS (aOR=3.38; 95% CI: 1.12-13.23).

CONCLUSION

The prevalence of IBS was 14.4%. Food hypersensitivity, morbid anxiety, and family history were the predictors of IBS. Screening and management of IBS, food hypersensitivity, and psychological problems among nurses are recommended.

摘要

背景

肠易激综合征(IBS)是一种高度流行的胃肠道疾病,可导致残疾和经济负担。护士是医疗团队的重要组成部分,他们的健康是一个重要问题。然而,针对护士中IBS的研究很少。

目的

确定沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院工作的护士中IBS的患病率、严重程度及预测因素。

材料与方法

对229名符合入选标准的护士进行了一项横断面研究。他们在2014 - 2015年期间通过分层随机抽样选出。使用经过验证的、保密的、自行填写的数据收集表收集个人和社会人口统计学数据。纳入了罗马III标准、肠易激综合征严重程度评分系统(IBS - SSS)、医院焦虑抑郁量表(HADS)和匹兹堡睡眠质量指数(PSQI)。进行了描述性和推断性统计分析。采用多元逻辑回归分析确定IBS的预测因素。

结果

护士中IBS的患病率为14.4%,最常见的类型是IBS混合型(54.5%)。IBS家族史阳性、在门诊工作、上日班、睡眠质量差以及焦虑和抑郁量表得分高与IBS显著相关。在回归分析中控制混杂因素后,IBS的预测因素为食物过敏(调整后比值比[aOR]=4.52;95%置信区间[CI]:1.80 - 11.33)、病态焦虑(aOR = 4.34;95% CI:1.49 - 12.67)和IBS家族史阳性(aOR = 3.38;95% CI:1.

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