克罗恩病患者中的耻辱及其相关物质:在中国进行的横截面研究
Dandan He1,2,3, Lanzhen He1,2,3, Yijuan Yuan1,2,3
1Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
污名显著影响克罗恩病患者,超过85%的患者经历了中度至高水平的污名. 影响这种耻辱的关键因素包括公众意识,收入,年龄和自我效能.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 克罗恩氏病是一种无法治愈的炎症性肠病,引起不可预测的症状.
- 这种情况往往会导致患者严重的痛苦和社会耻辱感.
研究的目的:
- 调查克罗恩病患者的污名的流行率和影响因素.
- 为了确定对有针对性的干预开发的耻辱的相关性.
主要方法:
- 在中国南部的146名住院克罗恩病患者的便利抽样.
- 使用问卷,包括社会影响量表 (SIS),炎性肠病自我效率量表 (IBD-SES) 和社会支持评级量表 (SSRS).
- 进行了多变量线性回归分析,以确定耻辱预测因素.
主要成果:
- 大多数患者 (85.6%) 报告了中度至高水平的耻辱感 (SIS平均得分:58.14 ± 10.74).
- 感知到的公众意识,家庭收入,年龄和自我效能被确定为影响耻辱的重要因素.
- 这些因素共同解释了52%的污名度差异.
结论:
- 克罗恩病中的耻辱是多因素的,受社会经济和心理因素的影响.
- 干预措施应侧重于提高自我效能和提高公众意识,以减少耻辱感.
- 应特别注意老年患者 (≥40岁) 和家庭收入较低的患者.
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