在先进治疗方案时代克罗地亚炎症性肠病患者的生活质量受损。
Impaired Quality of Life in Croatian IBD Patients in the Era of Advanced Treatment Options.
作者信息
Bišćanin Alen, Palac Leon, Dorosulić Zdravko, Kralj Dominik, Ćaćić Petra, Babić Filip, Ogresta Doris, Hrabar Davor, Tomašić Vedran
机构信息
Department of Gastroenterology, Sestre Milosrdnice University Hospital Centre, 10000 Zagreb, Croatia.
School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
出版信息
Healthcare (Basel). 2025 Jul 12;13(14):1681. doi: 10.3390/healthcare13141681.
Inflammatory bowel disease (IBD) is a chronic gastrointestinal disorder marked by relapsing episodes of gastrointestinal inflammation, potentially causing severe symptoms. These unpredictable acute episodes, paired with chronic disabilities, such as fatigue and malabsorption, and extensive pharmacological and surgical treatments, can severely impact patients' quality of life. This study aimed to assess which aspects of the patients' lives IBD impacts, and how IBD patients perceive their disease. All IBD patients who had an appointment in our tertiary centre from 10 October 2022 to 21 February 2023, were invited to complete anonymous questionnaires. The questionnaires used were IBDQ-32, WPAI, and IBD Disk, all designed specifically to assess the IBD patients' quality of life. : The questionnaires were completed by a total of 159 participants, 51% of whom were males, 47.9% who had UC, and 49.4% who had been or were currently treated with biologics. There was no statistically significant difference in the answers from patients with CD compared to UC, as well as those treated with conventional therapies compared to those with advanced options. Most of them considered their health to be good, but only a few (12.8%) claimed, with absolute certainty, that their health was at the level of healthy individuals, and only 13 (8.3%) claimed their health was excellent. A total of 95 (60.1%) participants expressed at least minor limitations when performing strenuous activities, but lighter forms of activities were not affected as much by the disease. A significant portion (48.7%) of the participants believed they were exposed to more stress than others, and their current pharmacological therapy was the cause of fear in 26.5%. A total of 119 (75.3%) participants believed that the disease affected their lives at least mildly during remission. : Our study showed that IBD patients have diminished quality of life, not only in the periods of active disease but also during clinical remission. The decline in quality of life was not solely attributed to physical symptoms, as previously thought. Other factors, such as mental health issues, were found to impact quality of life as well. We firmly believe that restoring quality of life should be emphasised in guidelines as one of the most important therapeutic goals.
炎症性肠病(IBD)是一种慢性胃肠道疾病,其特征为胃肠道炎症反复发作,可能导致严重症状。这些不可预测的急性发作,再加上慢性残疾,如疲劳和吸收不良,以及广泛的药物和手术治疗,会严重影响患者的生活质量。本研究旨在评估IBD对患者生活的哪些方面产生影响,以及IBD患者如何看待自己的疾病。2022年10月10日至2023年2月21日在我们三级中心预约就诊的所有IBD患者均被邀请填写匿名问卷。所使用的问卷包括IBDQ - 32、WPAI和IBD Disk,所有问卷均专门设计用于评估IBD患者的生活质量。共有159名参与者完成了问卷,其中51%为男性,47.9%患有溃疡性结肠炎(UC),49.4%曾接受或正在接受生物制剂治疗。与UC患者相比,克罗恩病(CD)患者的回答以及接受传统疗法的患者与接受先进治疗方案的患者的回答在统计学上没有显著差异。他们中的大多数人认为自己的健康状况良好,但只有少数人(12.8%)绝对肯定地声称自己的健康状况处于健康个体的水平,只有13人(8.3%)声称自己的健康状况极佳。共有95名(60.1%)参与者表示在进行剧烈活动时至少有轻微限制,但较轻形式的活动受疾病影响较小。相当一部分(48.7%)参与者认为他们比其他人承受更多压力,26.5%的人认为他们目前的药物治疗是恐惧的原因。共有119名(75.3%)参与者认为该疾病在缓解期至少对他们的生活有轻微影响。我们的研究表明,IBD患者的生活质量下降,不仅在疾病活动期,而且在临床缓解期也是如此。生活质量的下降并不像以前认为的那样仅仅归因于身体症状。其他因素,如心理健康问题,也被发现会影响生活质量。我们坚信,恢复生活质量应在指南中作为最重要的治疗目标之一加以强调。