Calixto Raquel Pellizzari, Flores Cristina, Francesconi Carlos Fernando
Programa de Pós-Graduação: Ciências da Gastroenterologia e Hepatologia, Hospital de Clínicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Arq Gastroenterol. 2018 Jul-Sep;55(3):202-207. doi: 10.1590/S0004-2803.201800000-54.
BACKGROUND: Inflammatory bowel disease frequently affects patients at working age, compromising their quality of life in several levels: physical, psychological, familial and social. Few studies have evaluated the impact of Inflammatory bowel disease on quality of life, anxiety and depression in Brazilian patients. OBJECTIVE: Evaluate quality of life and its correlation with psychological aspects of patients with inflammatory bowel disease through the Inflammatory Bowel Disease Questionnaire and Hospital Anxiety and Depression Scale. METHODS: Cross-sectional study; Inflammatory Bowel Disease Questionnaire, Short Form-36 and Hospital Anxiety and Depression Scale were applied to consecutive outpatients in a tertiary referral center for inflammatory bowel disease. Harvey-Bradshaw Index and Truelove scores were used to evaluate Crohn's disease and ulcerative colitis activity. Sample calculation: 113 patients for a significance level of 5%, power of 90% and a correlation coefficient of at least 0.3 between scales. Statistical analysis: Student-t test, Pearson and Spearman correlations. RESULTS: One hundred twenty patients participated in the study; mean age: 41.7 years; female: 58.3%; Crohn's Disease: 69 patients. No low scores for quality of life were found across the four Inflammatory Bowel Disease Questionnaire domains; the Short Form-36 showed low scores in physical limitations (47.2±42.4) and emotional aspects (49.8±43.4); Hospital Anxiety and Depression Scale score presented a mean of 9.5±2.7 for anxiety and 8.7±2.0 for depression. Quality of life was decreased and Hospital Anxiety and Depression Scale did show increased indices of anxiety and depression, in both diseases only when clinically active. CONCLUSION: Inflammatory Bowel Disease Questionnaire and Hospital Anxiety and Depression Scale showed that outpatients of a tertiary care center for inflammatory bowel disease in Brazil presented good quality of life. The worst quality of life was associated with the intensity of the disease activity.
背景:炎症性肠病常影响处于工作年龄的患者,在身体、心理、家庭和社会等多个层面损害他们的生活质量。很少有研究评估炎症性肠病对巴西患者生活质量、焦虑和抑郁的影响。 目的:通过炎症性肠病问卷和医院焦虑抑郁量表评估炎症性肠病患者的生活质量及其与心理方面的相关性。 方法:横断面研究;对一家炎症性肠病三级转诊中心的连续门诊患者应用炎症性肠病问卷、简明健康状况调查问卷简表36和医院焦虑抑郁量表。采用哈维-布拉德肖指数和特鲁洛夫评分评估克罗恩病和溃疡性结肠炎的活动度。样本计算:显著性水平为5%、检验效能为90%且各量表之间的相关系数至少为0.3时需要113名患者。统计分析:采用学生t检验、Pearson相关性分析和Spearman相关性分析。 结果:120名患者参与了研究;平均年龄:41.7岁;女性:58.3%;克罗恩病:69例患者。炎症性肠病问卷的四个领域均未发现生活质量得分较低的情况;简明健康状况调查问卷简表36显示身体限制方面得分较低(47.2±42.4),情感方面得分较低(49.8±43.4);医院焦虑抑郁量表焦虑得分平均为9.5±2.7,抑郁得分平均为8.7±2.0。仅在临床活动期,两种疾病的生活质量均下降,且医院焦虑抑郁量表确实显示焦虑和抑郁指数升高。 结论:炎症性肠病问卷和医院焦虑抑郁量表显示,巴西一家炎症性肠病三级护理中心的门诊患者生活质量良好。最差的生活质量与疾病活动强度相关。
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