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最近被诊断患有克罗恩病和溃疡性结肠炎的患者的生活质量差异。

Differences in the Quality of Life of Patients Recently Diagnosed with Crohn's Disease and Ulcerative Colitis.

机构信息

Unidad de Psicología Hospitalaria, Hospital General Universitario de Alicante, C/Pintor Baeza 12, 03010 Alicante, Spain.

Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), C/Pintor Baeza 12, 03010 Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2023 Aug 14;20(16):6576. doi: 10.3390/ijerph20166576.

Abstract

UNLABELLED

Inflammatory bowel diseases (IBD) are chronic diseases, encompassing Crohn's disease (CD) and ulcerative colitis (UC). An IBD diagnosis has an impact on the quality of life of patients; this impact can be different according to the type of disease.

OBJECTIVE

This study aimed to analyze the differences in the impact on quality of life in the early stages after diagnosis in patients with CD and UC.

PATIENTS AND METHODS

This was an observational, multi-center, and cross-sectional study, with the participation of 156 patients recently diagnosed with IBD (<6 months) from 4 hospitals from the Health Council of the Valencian Community. The patients were assessed through the use of the Inflammatory Bowel Disease Questionnaire (IBDQ-32), which measures the quality of life when living with IBD.

RESULTS

The sample was composed of 80 patients with CD (51.0%) and 76 patients with a UC diagnosis. The mean age was 42.3 ± 16.2. The CD patients were more affected (42.5%) in their general quality of life than the UC patients (17.1%) ( = 0.001). In the dimensions of the IBDQ-32, the patients with CD showed significant differences in the systemic, emotional, and social spheres. The bowel dimension scores were similar in both groups.

CONCLUSIONS

The patients who were recently diagnosed with CD were more affected regarding their quality of life as compared to those who were diagnosed with UC. Psychological care must be considered to mitigate the impact of an IBD diagnosis.

摘要

目的

本研究旨在分析在诊断后早期,CD 和 UC 患者的生活质量受疾病影响的差异。

方法

这是一项观察性、多中心、横断面研究,来自瓦伦西亚大区健康理事会 4 家医院的 156 名最近诊断为 IBD(<6 个月)的患者参与了该研究。通过使用炎症性肠病问卷(IBDQ-32)评估患者,该问卷用于衡量 IBD 患者的生活质量。

结果

样本由 80 名 CD 患者(51.0%)和 76 名 UC 患者组成。平均年龄为 42.3 ± 16.2 岁。CD 患者的总体生活质量受影响(42.5%)程度比 UC 患者(17.1%)更严重( = 0.001)。在 IBDQ-32 的各个维度中,CD 患者在系统、情感和社会领域表现出显著差异。两组患者在肠道维度的评分相似。

结论

与 UC 患者相比,最近被诊断为 CD 的患者的生活质量受影响更大。必须考虑进行心理护理,以减轻 IBD 诊断的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de2b/10454008/ac1b586fca4e/ijerph-20-06576-g001.jpg

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