炎症性肠病患者对 COVID-19 的恐惧与其他胃肠道疾病患者相比。

Fear of COVID-19 Among Patients with Inflammatory Bowel Disease as Compared to Patients with Other Gastrointestinal Conditions.

机构信息

Department of Gastroenterology, Copenhagen University Hospital, Hvidovre, Denmark.

Unit of Inflammatory Bowel Disease, University Hospital of Santiago de Compostela, Spain.

出版信息

Turk J Gastroenterol. 2022 Aug;33(8):664-672. doi: 10.5152/tjg.2022.21774.

DOI:10.5152/tjg.2022.21774

PMID:35943147

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9524472/

Abstract

BACKGROUND

Although several studies have reported the impact of fears relating to coronavirus-19 on several chronic illnesses, there are few studies focused on gastrointestinal conditions. Therefore, the aim of this study was to compare the fear of coronavirus-19 in patients with inflammatory bowel disease to other gastrointestinal conditions and how the fear of COVID-19 manifests across different demographical backgrounds among inflammatory bowel disease respondents.

METHODS

Participants with gastrointestinal conditions (age ≥ 18) were recruited from 27 countries. Demographic, clinical, and psychosocial information was collected. An adapted scale for inflammatory bowel disease patients measuring the fear of coronavirus-19 and gastrointestinal-specific fear of coronavirus-19 was used.

RESULTS

In 831 participants (312 inflammatory bowel disease), only significant increases in gastrointestinal-fear of coronavirus-19 were found in between inflammatory bowel disease and other gastrointestinal conditions (mean [standard deviation]: 13.5 [5.5] vs 10.9 [5.0], P < .01). Among inflammatory bowel disease respondents, persons on sick leave had significantly more fear of coronavirus-19 than those employed (median [IQR], 31.0 [28.5-39.5] vs 26.0 [20.0-33.0], P = .035) and significantly more gastrointestinal-fear of coronavirus-19 compared to the employed (18.0 [14.5-22.0] vs 13.0 [9.0-17.0], P = .033) or respondents outside of the labor market (12.0 [7.0-16.0], P = .022). Persons living in a rural setting had significantly more fear of coronavirus-19 compared to persons living in regional setting (29.5 [22.0-37.8] vs 25.0 [20.0-31.3], P = .007) and gastrointestinal-fear of coronavirus-19 (15.0 [11.0-19.8] vs 12.0 [9.0-16.0], P = .02).

CONCLUSION

Respondents with inflammatory bowel disease are more afraid of coronavirus-19 regarding their disease; especially, persons on sick leave or persons living in a rural setting. This should be taken into consideration to personalize the support that health care providers can offer in mitigating fear related to coronavirus-19.

摘要

背景

尽管有几项研究报告了与冠状病毒-19 相关的恐惧对几种慢性疾病的影响，但很少有研究关注胃肠道疾病。因此，本研究的目的是比较炎症性肠病患者对冠状病毒-19 的恐惧与其他胃肠道疾病的恐惧，并比较炎症性肠病患者在不同人口统计学背景下对 COVID-19 的恐惧表现。

方法

从 27 个国家招募了患有胃肠道疾病的患者（年龄≥18 岁）。收集了人口统计学、临床和社会心理信息。使用了一种针对炎症性肠病患者的、测量对冠状病毒-19 的恐惧和胃肠道特异性对冠状病毒-19 的恐惧的改良量表。

结果

在 831 名参与者（312 名炎症性肠病患者）中，仅发现炎症性肠病与其他胃肠道疾病之间对冠状病毒-19 的胃肠道恐惧显著增加（平均值[标准差]：13.5[5.5]比 10.9[5.0]，P<.01）。在炎症性肠病患者中，休病假的患者比在职患者对冠状病毒-19 的恐惧明显更多（中位数[四分位数间距]，31.0[28.5-39.5]比 26.0[20.0-33.0]，P=.035），且对冠状病毒-19 的胃肠道恐惧明显更多比在职患者（18.0[14.5-22.0]比 13.0[9.0-17.0]，P=.033）或不在劳动力市场的患者（12.0[7.0-16.0]，P=.022）。居住在农村地区的患者比居住在地区的患者对冠状病毒-19 的恐惧明显更多（29.5[22.0-37.8]比 25.0[20.0-31.3]，P=.007）和对冠状病毒-19 的胃肠道恐惧（15.0[11.0-19.8]比 12.0[9.0-16.0]，P=.02）。