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炎症性肠病患者疲乏现况及影响因素路径关系

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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.
Fatigue status and path analysis of influencing factors in patients with Inflammatory Bowel Disease
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.

Inflammatory Bowel Diseasefatiguetheory of unpleasant symptomsinfluencing factorpath analysis

王千、李军、丁雪丽、万巧琴、王嘉敏

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北京大学第三医院消化内科,100191 北京市

青岛大学附属医院消化内科

北京大学护理学院

炎症性肠病 疲乏 不悦症状理论 影响因素 路径分析

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(5)
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