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炎症性腸疾患におけるライフスタイルと心理的要因:流行,影響,動機付け,支援の必要性
Karlijn Demers1,2,3, Evelien M B Hendrix1,3, Ashkan Rezazadeh Ardabili1,3
1Department of Gastroenterology and Hepatology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
PloS one
|August 29, 2025
まとめ
炎症性腸疾患 (IBD) の患者は,しばしば不適切な生活様式と心理社会的要因を経験し,その症状への影響を認識し,変化を望む. しかし 病院 の 支援 が 十分 に ない 場合 も 少なく あり ます.
科学分野:
- 胃腸内科
- 公衆衛生
- 心理学
背景:
- ライフスタイルと心理的要因は,炎症性腸疾患 (IBD) の粘膜炎と患者の健康状態に大きく影響します.
- 現在のIBDのケアでは ライフスタイルや心理的社会要素の 体系的な評価や介入が欠けていることが多いのです
研究 の 目的:
- IBD患者における不利なライフスタイルと心理的社会的要因の流行を推定する.
- IBD患者の視点と 病への影響について
主な方法:
- 多中心研究では,遠隔医療プラットフォームを使用して,IBD患者の疾患活動,ライフスタイル,および心理社会的要因に関するデータを収集しました.
- オランダのIBD患者団体が 実施した全国的なオンライン調査で 患者の視点が捉えられました
主要な成果:
- IBD患者の大部分は不十分な運動,喫煙,過剰なアルコール摂取を報告しました.
- 多くの患者は高いストレス,睡眠不足,感情的苦痛を経験し,これらの要因が腸の症状を悪化させると信じていました.
- 患者の約20%は変化を望むが,生活様式や心理的社会問題に対する病院のサポートを受けなかった.
結論:
- IBD患者は通常,有害な生活様式や心理的社会要因に直面し,その症状への影響を認識しています.
- ライフスタイルや心理的社会的な要因を改変する強い患者の動機づけがあり, 標的を絞った介入の必要性を強調しています.
- IBDのケアに ライフスタイルと心理的支援を体系的に統合することは 患者中心の管理に不可欠です
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