根据罗马三号和罗马四号标准,刺激性肠综合征的患病率和心理社会特征在医学和护理学生中的差异
Ji Hwan Park1, Hyeok Jun Jeong1, Ka Eun Lee1
1College of Medicine, Inje University, Busan, Korea.
Journal of neurogastroenterology and motility
|October 14, 2024
概括
刺激性肠综合征 (IBS) 的流行率在韩国学生中仍然很高,与罗马III标准相比,罗马IV标准识别的病例较少,但症状更严重,生活质量较差.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 精神病体医学是一种精神病体医学.
背景情况:
- 韩国"罗马四号"更新后,刺激性肠综合征 (IBS) 患病率的变化尚未得到充分研究.
- 之前的研究并没有广泛分析罗马IV诊断标准修订后的IBS患病率转变.
- 了解IBS患病率和风险因素对于公共卫生倡议至关重要.
研究的目的:
- 在韩国医学和护理学生中使用罗马三号和罗马四号标准来比较IBS的流行率.
- 根据罗马III和罗马IV标准,调查与IBS诊断相关的心理社会风险因素.
- 评估诊断标准对症状严重程度和生活质量的影响.
主要方法:
- 在2021年8月至10月进行的在线调查,招收医学和护理学生.
- 使用了36项简短形式的调查,简短的接触心理社会仪器-韩国版本,以及医院焦虑和抑郁量表.
- 根据罗马三号和罗马四号标准诊断出IBS,分析人口统计和心理社会数据.
主要成果:
- 在440名学生中,IBS患病率为17.7% (罗马III) 和11.6% (罗马IV).
- 符合罗马四号标准的学生报告说,身体功能明显降低,严重程度得分更高.
- 严重程度得分是区分罗马IV和罗马III诊断的唯一预测因素 (aOR=1.01,P=0.022).
结论:
- 尽管罗马四号标准更新,但韩国学生的IBS患病率仍然很高.
- 罗马四项标准确定IBS队列较小,但症状较严重,生活质量较差.
- 该研究强调了在IBS诊断中考虑症状严重程度和心理社会因素的重要性.
相关概念视频
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
146
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
146
Irritable Bowel Syndrome III: Medical and Nursing Management
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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Irritable Bowel Syndrome I: Introduction
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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Assessment of the Gastrointestinal System II: Health Perception Pattern
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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
81
Assessment of the Gastrointestinal System I: Subjective Data
152
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
152
Chronic Bowel Disorders: Introduction
397
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
397


