Goebel-Stengel Miriam, Lohmiller Jacqueline, Schäffeler Norbert, Zipfel Stephan, Stengel Andreas
Psychosomatic Medicine, Internal Medicine VI, Universitätsklinikum Tübingen, Tübingen, Germany.
Internal Medicine and Gastroenterology, Helios Klinik Rottweil, Rottweil, Germany.
Z Gastroenterol. 2022 Apr;60(4):575-585. doi: 10.1055/a-1749-6469. Epub 2022 Feb 17.
Functional gastrointestinal disorders such as functional dyspepsia (FD) and irritable bowel syndrome (IBS) are stress-associated. The COVID-19 pandemic, which has been rampant since 2020, has caused anxiety and stress in the population. Distancing measures to combat the pandemic have affected mental health. Our objective was to examine the impact of the 3rd lockdown in Germany in December 2020 and January 2021 on the apprehension of patients with FD and IBS.Patients diagnosed with FD or IBS treated in a tertiary or primary care hospital in the South of Baden-Württemberg in 2020 voluntarily participated in an anonymous online survey. Questions about concomitant diseases, concern about COVID-19 and stress perception were answered.A total of 106 patients (♀=67, ♂=38, 1 diverse) participated in the survey. Of these, 16 had FD (♀=9, ♂=6, diverse=1), 80 had IBS (♀=52, ♂=28), and 10 had both (♀=6, ♂=4). The average age was 43.6 years. Depressive and anxiety disorders were most frequently reported comorbidities in both the FD (25% each) and IBS group (20% each), followed by joint wear and tear (FD: 13%, RDS: 14%). In a direct comparison of participants with FD and IBS, those with IBS showed significantly higher scores for an increase in gastrointestinal (GI) symptoms during the pandemic (p=0.007), more frequent presentation to a physician during the pandemic, and greater social withdrawal due to GI symptoms (p=0.05). In direct comparison, those with IBS showed higher scores for fear that vaccination against COVID-19 would adversely affect GI symptoms compared to FD (p=0.05).In times of the pandemic, interdisciplinary collaboration in the care of patients with FD or IBS seems more necessary than ever to address concerns and provide good patient care.
功能性胃肠疾病，如功能性消化不良（FD）和肠易激综合征（IBS）与压力相关。自2020年以来肆虐的新冠疫情在人群中引发了焦虑和压力。抗击疫情的社交距离措施影响了心理健康。我们的目的是研究2020年12月和2021年1月德国第三次封锁对FD和IBS患者忧虑情绪的影响。
2020年在巴登-符腾堡州南部的三级或初级保健医院接受治疗的被诊断为FD或IBS的患者自愿参与了一项匿名在线调查。回答了关于伴发疾病、对新冠疫情的担忧和压力感知的问题。
共有106名患者（女性=67名，男性=38名，1名性别未提及）参与了调查。其中，16名患有FD（女性=9名，男性=6名，性别未提及=1名），80名患有IBS（女性=52名，男性=28名），10名同时患有两者（女性=6名，男性=4名）。平均年龄为43.6岁。抑郁和焦虑障碍是FD组（各25%）和IBS组（各20%）中最常报告的合并症，其次是关节磨损（FD：13%，IBS：14%）。在FD和IBS参与者的直接比较中，IBS患者在疫情期间胃肠道（GI）症状加重的得分显著更高（p=0.007），在疫情期间更频繁就医，以及因GI症状导致更多社交退缩（p=0.05）。在直接比较中，与FD患者相比，IBS患者因担心新冠疫苗接种会对GI症状产生不利影响而得分更高（p=0.05）。
在疫情期间，对FD或IBS患者的护理进行跨学科合作似乎比以往任何时候都更有必要，以解决患者的担忧并提供良好的患者护理。
