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评估沙特利雅得国民警卫队卫生事务部家庭医学与初级卫生保健诊所中肠易激综合征对患者生活质量的影响。

Assessing the Impact of Irritable Bowel Syndrome on Quality of Life in Patients at Family Medicine and Primary Health Care Clinics of the National Guard Health Affairs, Riyadh.

作者信息

AlDosari Mohammed N, Alotaibi Rakan M, Algahtani Mohammad N, Alshammari Turki S, Almziri Bader F

机构信息

Family and Community Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

出版信息

Cureus. 2024 Dec 21;16(12):e76158. doi: 10.7759/cureus.76158. eCollection 2024 Dec.

Abstract

Introduction Irritable bowel syndrome (IBS) is one of the most prevalent GI conditions, characterized by symptoms such as abdominal pain relieved by defecation, changes in bowel habits (e.g., diarrhea, constipation, or both), and bloating. These symptoms can profoundly impact the quality of life (QoL) and psychological state of patients. Despite a high prevalence in the Kingdom of Saudi Arabia, estimated at around 18.2%, there is a significant lack of studies assessing and documenting the impact of IBS on life satisfaction and the overall mental well-being of individuals within the kingdom. This study aims to bridge this gap by assessing the impact of IBS on the QoL in patients attending family medicine and primary health care clinics at National Guard Health Affairs in Riyadh, Saudi Arabia. Methods A total of 379 IBS patients who met the eligibility criteria participated in this cross-sectional study. The study was conducted at family medicine clinics within the National Guard Health Affairs in Riyadh. Participants were selected through a non-probability consecutive sampling technique. The Irritable Bowel Syndrome-Quality of Life Measure (IBS-QOL) questionnaire was primarily used for assessment. Both descriptive and inferential statistics were performed. Results In this study, males comprised 57% of the sample, and 79% were married. Forty percent held a bachelor's degree, while 30% earned between 5,000 and 9,000 riyals a month. The QoL of these individuals was profoundly affected by IBS. They frequently reported feelings of vulnerability, isolation, depression, and helplessness due to their bowel problems. The two most common concerns were monitoring dietary intake and food choices and difficulty controlling bowels in public. The IBS-QOL measure did not significantly correlate with smoking status, and no evident gender differences were found in the emotional reactions associated with IBS. Noticeable variations in the impact of IBS-QOL among age groups were observed, but no clear pattern emerged. Conclusion This study highlights the impact of IBS on various facets of daily living, including dietary, psychological, emotional, social, and functional aspects. Recognizing these outcomes helps in developing strategies to minimize patient suffering and enhance overall satisfaction.

摘要

引言

肠易激综合征(IBS)是最常见的胃肠道疾病之一,其特征包括排便后腹痛缓解、排便习惯改变(如腹泻、便秘或两者兼有)以及腹胀等症状。这些症状会对患者的生活质量(QoL)和心理状态产生深远影响。尽管沙特阿拉伯王国的患病率很高,估计约为18.2%,但严重缺乏评估和记录IBS对该国个体生活满意度和整体心理健康影响的研究。本研究旨在通过评估IBS对沙特阿拉伯利雅得国民警卫队卫生事务部家庭医学和初级卫生保健诊所患者生活质量的影响来填补这一空白。

方法

共有379名符合入选标准的IBS患者参与了这项横断面研究。该研究在利雅得国民警卫队卫生事务部的家庭医学诊所进行。参与者通过非概率连续抽样技术选取。主要使用肠易激综合征生活质量量表(IBS-QOL)问卷进行评估。同时进行了描述性和推断性统计分析。

结果

在本研究中,男性占样本的57%,79%已婚。40%拥有学士学位,30%每月收入在5000至9000里亚尔之间。这些个体的生活质量受到IBS的严重影响。他们经常报告由于肠道问题而产生的脆弱感、孤立感、抑郁感和无助感。最常见的两个担忧是监测饮食摄入和食物选择以及在公共场合难以控制排便。IBS-QOL量表与吸烟状况无显著相关性,在与IBS相关的情绪反应中未发现明显的性别差异。观察到IBS-QOL在不同年龄组中的影响存在显著差异,但未出现明显模式。

结论

本研究强调了IBS对日常生活各个方面的影响,包括饮食、心理、情感、社交和功能方面。认识到这些结果有助于制定策略,以尽量减少患者的痛苦并提高总体满意度。

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