炎症性肠病患者疲乏现况及影响因素路径关系
Fatigue status and path analysis of influencing factors in patients with Inflammatory Bowel Disease
王千 1李军 1丁雪丽 2万巧琴 3王嘉敏1
作者信息
- 1. 北京大学第三医院消化内科,100191 北京市
- 2. 青岛大学附属医院消化内科
- 3. 北京大学护理学院
- 折叠
摘要
目的:调查炎症性肠病(Inflammatory Bowel Disease,IBD)患者疲乏的现况及其影响因素,探索运动、睡眠质量、抑郁、疲乏和疾病感知之间的路径关系,为IBD患者疲乏的管理提供科学依据.方法:采用便利抽样法调查北京市和青岛市消化科门诊 289 例IBD患者的疲乏现状,采用分层回归分析影响因素,并基于不悦症状理论,采用最大似然法进行疲乏相关路径分析.结果:259 例(89.6%)IBD患者存在不同程度的疲乏症状.分层回归分析显示,BMI、激素治疗、疾病活动、运动、抑郁和睡眠质量是IBD患者疲乏的影响因素(P<0.05).路径分析显示,运动、抑郁和睡眠质量可对疲乏产生直接效应,并通过疲乏的完全中介效应间接影响IBD患者的疾病感知.结论:IBD患者疲乏的发生率高,医护人员可通过有针对性的干预措施缓解IBD患者的疲乏症状,降低其负性疾病感知水平,提升其生活质量.
Abstract
Objective:To investigate the current status and influencing factors of fatigue in patients with Inflammatory Bowel Disease(IBD),and to explore the pathway relationship between exercise,sleep quality,depression,fatigue and disease perception,so as to provide a scientific basis for the subsequent management of fatigue in patients with IBD.Methods:The fatigue status of 289 IBD patients in gastroenterology outpatient clinics in Beijing and Qingdao was investigated by convenience sampling.The influencing factors were analyzed by hierarchical regression,and the fatigue-related pathway analysis was carried out by maximum likelihood method based on the theory of unpleasant symptoms.Results:Totally 89.6%of IBD patients had fatigue symptoms of varying severity.Hierarchical regression analysis showed that BMI,hormone therapy,active disease,exercise,depression and sleep quality were the influencing factors of fatigue in IBD patients(P<0.05).Pathway analysis showed that exercise,depression and sleep quality had a direct effect on fatigue,and indirectly affect the disease perception of IBD patients through the complete mediating effect of fatigue.Conclusion:The incidence of fatigue in IBD patients is high.Medical staff can alleviate the fatigue symptoms,reduce their negative disease perception,and improve their quality of life through targeted intervention measures.
关键词
炎症性肠病/疲乏/不悦症状理论/影响因素/路径分析Key words
Inflammatory Bowel Disease/fatigue/theory of unpleasant symptoms/influencing factor/path analysis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据