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功能性消化不良症患者的胃肠道症状和焦虑水平之间的关联
Vaisnavy Govindasamy1, Yashar Mashayekhi2, Marium Nadeem Khan3
1Medicine, South Tees NHS Trust, Middlesbrough, GBR.
Cureus
|June 26, 2025
概括
焦虑显著恶化功能性消化不良 (FD) 患者的症状和生活质量. 综合护理解决胃肠道和心理方面的关键是为了更好的管理和改善患者的福祉.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 功能性消化不良 (FD) 是一种普遍存在的胃肠道疾病,以慢性上腹部症状为标志.
- 众所周知,心理因素,特别是焦虑,会加剧FD症状并降低患者的生活质量.
研究的目的:
- 研究诊断为功能性消化不良的患者的胃肠道症状,焦虑水平和生活质量之间的相关性.
- 确定症状严重程度对FD患者心理健康的影响.
主要方法:
- 一项涉及300名通过罗马四号标准诊断的FD参与者的横截面相关性研究.
- 使用自我报告尺度收集的数据:胃肠道症状评分尺度 (GSRS),短形式喉消化不良指数 (SF-NDI) 和通用焦虑障碍-7 (GAD-7).
- 统计分析包括皮尔森相关性,t测试,ANOVA,奇平方测试和多重回归.
主要成果:
- 在胃肠道症状 (GSRS),生活质量 (SF-NDI) 和焦虑水平 (GAD-7) (p < 0.001) 之间发现了显著的正相关性.
- 使用药物的参与者报告的症状严重程度和焦虑水平明显高于非药物使用者 (p < 0.001).
- 多重回归分析表明,胃肠道和消化不良症状都与焦虑有显著的相关性 (p≤0.01).
结论:
- 在功能性消化不良患者中,胃肠道症状和焦虑之间存在显著的关联.
- 建议综合消化肠道和心理护理用于管理FD.
- 建议FD患者进行例行焦虑查,以改善治疗结果和生活质量.
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