Gastroenterology , Hospital de Braga, Portugal.
School of Health Sciences, University of Minho, Portugal.
Rev Esp Enferm Dig. 2019 Aug;111(8):579-585. doi: 10.17235/reed.2019.6033/2018.
inflammatory bowel disease (IBD) is a potentially disabling chronic disease that negatively affects many aspects of the patients' life. This study aimed to assess the IBD-associated disability in the outpatient setting and analyze how optimism and disability are related.
a cross-sectional study was performed via the application of the Portuguese version of the IBD-Disability Index (PT-IBD-DI) and the Revised Life Orientation Test (PT-LOT-R) for the assessment of disability and optimism, respectively.
a total of 143 patients were analyzed, the mean age was 38 ± 13 years, 50% were females and 51% had UC. The mean PT-IBD-DI score was 22 ± 17, which was classified as follows: 0-20: no disability; 20-35: mild disability; 35-50: moderate disability; and 50-100: severe disability. There were no significant differences between Crohn's disease (CD) and ulcerative colitis (UC) (p = 0.944). Female gender (p = 0.001), low level of education (p = 0.018), the number of days out of work (p = 0.020), rheumatologic manifestations (p = 0.005), the number of comorbidities (p = 0.002), the use psychotropic drugs (p = 0.043) and low PT-LOT-R scores (p < 0.001) were associated with higher IBD-DI scores according to the univariate analysis. According to the linear regression analysis, only female sex (p = 0.001), the number of comorbidities (p = 0.034) and low PT-LOT-R scores (p < 0.001) were associated with higher PT-IBD-DI scores. Optimism correlated inversely with PT-IBD-DI scores (ρ = -0.345, p < 0.001).
IBD outpatients reported low levels of IBD-disability (mild disability: PT-IBD-DI score 20-35). Comorbidities and psychological factors (optimism) emerged as the main predictive factors of increased disability, reinforcing the importance of a multidisciplinary approach for these patients.
炎症性肠病(IBD)是一种潜在的致残性慢性疾病,对患者生活的许多方面都有负面影响。本研究旨在评估门诊环境中的 IBD 相关残疾,并分析乐观情绪与残疾的关系。
通过应用葡萄牙语版 IBD 残疾指数(PT-IBD-DI)和修订生活取向测试(PT-LOT-R)分别评估残疾和乐观情绪,进行横断面研究。
共分析了 143 例患者,平均年龄为 38 ± 13 岁,50%为女性,51%患有 UC。PT-IBD-DI 评分平均为 22 ± 17,分类如下:0-20:无残疾;20-35:轻度残疾;35-50:中度残疾;50-100:重度残疾。CD 和 UC 之间无显著差异(p = 0.944)。女性(p = 0.001)、低教育水平(p = 0.018)、缺勤天数(p = 0.020)、风湿表现(p = 0.005)、共病数量(p = 0.002)、使用精神药物(p = 0.043)和低 PT-LOT-R 评分(p < 0.001)与更高的 IBD-DI 评分相关。根据单因素分析,只有女性(p = 0.001)、共病数量(p = 0.034)和低 PT-LOT-R 评分(p < 0.001)与更高的 PT-IBD-DI 评分相关。乐观情绪与 PT-IBD-DI 评分呈负相关(ρ = -0.345,p < 0.001)。
IBD 门诊患者报告的 IBD 残疾程度较低(轻度残疾:PT-IBD-DI 评分 20-35)。共病和心理因素(乐观)是残疾增加的主要预测因素,这强调了对这些患者进行多学科治疗的重要性。