University of Medicine, Milan, Italy.
Department of Gastroenterology, IBD Unit, University Hospital Lozano Blesa, 50009 Zaragoza, Spain.
Gastroenterol Hepatol. 2022 Feb;45(2):114-122. doi: 10.1016/j.gastrohep.2021.03.012. Epub 2021 May 21.
The lockdown period due to the coronavirus disease 2019 (COVID-19) in Spain probably had a significant emotional impact on chronic patients and hence on those who are suffering from inflammatory bowel disease (IBD) due to their high risk of emotional disorders. The aim of this study was to learn how COVID-19 influenced patients suffering from IBD during the quarantine period, focusing in particular on psychological distress through the Perceived Stress Scale-10 (PSS-10) and also the impact of the pandemic on therapeutic adherence using the Visual Analogue Scale (VAS).
A prospective, single-centre and analytical observational study was carried out in the IBD unit in August 2020. Patients were contacted and interviewed by phone. A descriptive analysis was carried out and subsequently the factors associated with the loss of therapeutic adherence and higher-moderate levels of stress were analyzed through logistic regression multivariate analyses.
A total of 426 patients were included with a median PSS-10 score of 12 (10-16). A higher level of stress was reported by those who were not married, women and those who experienced an increase in IBD-related symptoms. Adherence to treatment was not associated with stress based on the PSS-10 questionnaire.
Although the lockdown period due to the COVID-19 pandemic has probably had a significant emotional impact on Spaniards with IBD, IBD patients in general had lower PSS-10 scores.
由于 2019 年冠状病毒病(COVID-19),西班牙实行了封锁政策,这可能对慢性病患者产生了重大的情绪影响,因此对患有炎症性肠病(IBD)的患者也产生了影响,因为他们患有情绪障碍的风险很高。本研究的目的是了解 COVID-19 如何在隔离期间影响患有 IBD 的患者,特别是通过 10 项感知压力量表(PSS-10)关注心理困扰,同时还通过视觉模拟量表(VAS)了解大流行对治疗依从性的影响。
2020 年 8 月,在 IBD 病房进行了一项前瞻性、单中心、分析性观察研究。通过电话联系和采访患者。进行描述性分析,然后通过多元逻辑回归分析分析与治疗依从性丧失和中高度压力相关的因素。
共纳入 426 例患者,PSS-10 中位数为 12(10-16)。未结婚、女性和 IBD 相关症状加重的患者报告压力水平较高。根据 PSS-10 问卷,治疗依从性与压力无关。
尽管 COVID-19 大流行期间的封锁政策可能对患有 IBD 的西班牙人产生了重大的情绪影响,但一般来说,IBD 患者的 PSS-10 评分较低。