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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

26卷

期数:

2020年02期

页码:

178-182

栏目:

预防医学

出版日期:

2020-04-30

文章信息/Info

Title:

Study on perceived stress and its influencing factors of patients with inflammatory bowel disease

文章编号:

1006-8147(2020)02-0183-05

作者:

刘辉; 史宝欣

（天津医科大学护理学院临终关怀研究中心，天津300070）

Author(s):

LIU Hui;  SHI Bao-xin

（Hospice Research Center , School of Nursing, Tianjin Medical University, Tianjin 300070, China）

关键词:

炎症性肠病; 压力知觉; 心理压力

Keywords:

inflammatory bowel disease;  perceived stress;  psychological pressure

分类号:

R574.6

DOI:

-

文献标志码:

A

摘要:

目的：调查炎症性肠病患者压力知觉现状，探讨影响炎症性肠病患者压力知觉的主要因素。方法：采用便利抽样方法，应用一般资料调查表、压力知觉量表、匹兹堡睡眠质量指数、简单应对方式问卷、炎症性肠病自我效能量表、医院焦虑抑郁量表，对天津市某三级甲等医院消化内科就诊的164例炎症性肠疾病患者进行横断面研究。结果：炎症性肠病患者知觉压力得分为（30.72±4.75）分，不同文化程度、人均月收入的炎症性肠病患者压力知觉水平差异具有统计学意义（P＜0.05）。多元线性回归分析显示，炎症性肠病患者睡眠质量、自我效能、应对方式、心理状态是影响患者压力知觉水平的主要因素。结论：医务人员应了解炎症性肠病患者压力知觉水平及其主要影响因素，关注患者的心理状态，引导患者以积极的心态面对问题，减轻压力知觉，提高生活质量。

Abstract:

Objective: To investigate the status and influencing factors of perceived stress in patients with inflammatory bowel disease. Methods: A cross-sectional study using convenience sampling was conducted. The self-designed demographic questionnaire, the Perceived Stress Scale, Pittsburgh Sleep Quality Index, Simplified Coping Style Questionnaire, Inflammatory Bowel Disease- Self-Efficacy Scale, and Hospital Anxiety and Depression Scale were delivered to 164 patients with inflammatory bowel disease in the Department of Gastroenterology of a Tertiary Hospital in Tianjin. Results: The total perceived stress score of inflammatory bowel disease patients was (30.72±4.75). There were statistically significant differences in the level of stress perception in patients with inflammatory bowel disease with different levels of education and monthly income(P<0.05). Multiple linear regression analysis showed that sleep quality, self-efficacy, coping style, psychological status were the main factors affecting the level of stress perception in patients with inflammatory bowel disease. Conclusion: Nursing staff should understand the perceived stress level of patients with inflammatory bowel disease and its mainly influencing factors, pay attention to the psychological state of patients, guide patients to face problems with a positive attitude, reduce psychological pressure, and improve the quality of life.

参考文献/References:

[1] Torres J, Mehandru S, Colombel J F, et al. Crohn’s disease[J].Lancet,2016,67(27):822
[2] Roose L, D’Cunja J, Biedermann L. Ulcerative colitis[J].Brit Med J,2016,2(5754):297
[3] Ng S C, Whitney T, Ching J Y, et al.Incidence and phenotype of inflammatory bowel disease based on results from the Asiapacific Crohn’s and colitis epidemiology study[J]. Gastroenterology, 2013, 145(1):158
[4] Zhang M, Hong L, Zhang T, et al. Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease[J]. Patient Prefer Adher, 2016,10:2387
[5] 陈晨,戴新娟.炎症性肠病病人生活质量与自我效能、焦虑、抑郁水平的相关性研究[J].护理研究,2016,30(5):556
[6] Neuendorf R, Harding A, Stello N, et al.Depression and anxiety in patients with inflammatory bowel disease: A systematic review [J].J Psychosom Res,2016,87:70
[7] Edman J S, Greeson J M, Roberts R S, et al. Perceived stress in patients with common gastrointestinal disorders:associations with quality of life,symptoms and disease management [J]. Explore (NY), 2017, 13(2):124
[8] Cohen S, Kamark T, Mermelstein R. A gloal measure of perceived stress [J]. J Health Soc Behav, 1983, 24(4):385
[9] Lazarus R, Folkman S. Stress, appraisal, andcoping[M]. New York: Springer, 1984:22
[10] Folkman S, Lazarus R S, Dunkel-Schetter C, et al. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes[J]. J Pers Soc Psychol, 1986,50 (5):992
[11] Pereiraa M G, Fincham F D.Anxiety,depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners[J]. Eur J Oncol Nurs, 2012,16(3): 227
[12] 中华医学会消化病学分会炎症性肠病学组. 炎症性肠病诊断与治疗的共识意见(2012年·广州)[J]. 中华内科杂志, 2012,51(10):818
[13] 杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志,2003，(9):11
[14] 李杨,刘春娥,宋琴芬.肠造口患者压力知觉及影响因素的研究[J].护士进修杂志,2018，(7):593
[15] 刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,2(29):103
[16] 解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):114
[17] 徒文静,徐桂华.中文版炎性肠病自我效能量表的信效度研究[J].中国实用护理杂志,2014,30(22):18
[18] Zigmond A S, Snaith R P. The hospital anxiety and depression scale[J].Acta Psychiatr Scand,1983,67(6):361
[19] 何志荣.分级干预对乳腺癌患者知觉压力及焦虑抑郁的影响[J]. 社区医学杂志, 2017, 15(4):49
[20] 王娟,王茜,况成云,等.中青年冠心病患者正念水平与压力知觉和压力应对的关系研究[J].中国卫生事业管理, 2017,34(6):458
[21] Defenbaugh N L.Revealing and concealing ill identity:a performance narrative of IBD disclosure [J]. Health Commun,2013,28(2):159
[22] 罗丹,林征,卞秋桂,等.炎症性肠病患者感知病耻感现状及其对生活质量、服药依从性和心理状态的影响[J].中华护理杂志, 2018,53(9):1078
[23] 范一宏,王诗怡.治疗的艺术:重视炎症性肠病患者的心理健康[J].世界华人消化杂志,2016,24(16):　2445
[24] 徒文静,徐桂华.自我管理理论在炎症性肠病患者中的应用研究进展[J].中华护理杂志,2014,49(2):220
[25] 施琪,孔婕,戴新娟,等.炎症性肠病患者睡眠质量调查及其影响因素分析[J].中国护理管理,2016, 16(9):1206
[26] Milne B,Joachim G,Niedhardt J.A stress management programme for inflammatory bowel disease patients[J]. J Adv Nurs,2010,11(5):561
[27] 朱迎,丁霞芬,林征,等.炎症性肠病患者生活质量及影响因素调查[J].护理管理杂志,2013,13(4):240
[28] Graff L A, Sexton K A, Walker J R, et al. Validating a measure of patient self-efficacy in disease self-management using a population-based IBD Cohort: the IBD self-efficacy scale[J]. Inflamm Bowel Dis,2016, 22(9):2165
[29] Hoffman A, Von-Eye A A, Given B, et al. Testing a theoretical model of perceived self-efficacy for cancer-related fatigue self-management and optimal physical functional status[J]. Nurs Res, 2009, 58(1):32
[30] Bandura A.Selfefficacy:toward a unifying theory of behavioral change[J].Psychol Rev,1977,84(2):191
[31] 郭阳, 邹静, 张仲菲, 等.炎症性肠病患者医学应对方式与社会支持的相关性研究[J].实用临床医药杂志, 2016,20(5) :171
[32] 张倬秋,江葳,程蓉,等.肾移植受者应对方式和社会支持与术前情绪的相关分析[J].四川医学,2012,33(11):1909
[33] Targownik L E, Sexton K A, Bernstein M T, et al. The relationship among perceived stress, symptoms, and inflammation in persons with inflammatory bowel disease[J]. Am J Gastroenterol, 2015, 110(7):1001
[34] 朱迎,林征,丁霞芬,等. 炎症性肠病患者疾病知识与需求调查分析[J].中华护理杂志,2014,49(1):66
[35] 王华芬, 马燕, 吕敏芳,等. 网络互动式健康教育对炎症性肠病患者生存质量的影响[J].中华护理杂志,2013,48(2):163

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备注/Memo

备注/Memo:

作者简介 刘辉（1987-），女，硕士在读，研究方向：临床护理；
通信作者:史宝欣，E-mail：shibaoxin88@126.com。

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更新日期/Last Update: 2020-06-02