Gastrointestinal symptoms of undergraduate nursing students with irritable bowel syndrome and the relationship with anxiety and depression:network analysis
Objective To construct a symptom network of gastrointestinal symptoms of nursing undergraduates with irritable bowel syndrome(IBS),to identify the core symptoms within this network,and to investigate interactions with anxiety and depression,aiming to provide a reference for identifying intervention targets for IBS.Methods A total of 232 nursing undergraduates with IBS were surveyed using the Gastrointestinal Symptoms Severity Questionnaire,Self-rating Anxiety Scale(SAS),and Self-rating De-pression Scale(SDS).Network structure was developed using R4.2.3 software.Results Network analysis revealed that heartburn had the highest strength centrality(Str=2.500),betweenness centrality(Bet=2.017)and closeness centrality(Clo=2.379)in the IBS gastrointestinal symptoms network,followed by alternating diarrhea and constipation,with the Str of 1.491 and Bet of 1.712.Anxiety(r=0.019 to 0.109)and depression(r=0.017 to 0.025)were positively correlated with certain gastrointestinal symptoms.Conclusion Heartburn is the central gastrointestinal symptom of nursing undergraduates with IBS,and alternating diar-rhea and constipation is a meaningful defecation-related symptom.Anxiety and depression are closely related with gastrointestinal symptoms.Healthcare professionals can develop precise symptom management strategies to ameliorate these core symptoms,re-sulting in enhancing the effectiveness of symptom management.
万方数据
维普
