腸易激綜合徵患者的生活素質研究30例

Quality of Life of 30 Cases of Patients with Irritable Bowel Syndrome

馮新偉(Hsin-Wei Feng)

《台灣中醫臨床醫學雜誌》 15卷4期 (2009/12) Pp. 272-277

https://doi.org/10.6968/TJCCM.200912.0272

摘要

腸易激綜合徵是一種常見的消化症狀，其病因複雜，發病率高，加上病機至令未明，嚴重影響患者的生活素質，國內外以往的研究大多集中在流行病學上。生活素質能涵蓋生理、心理及社交等各方面的內容，亦能評價腸易激綜合徵病人的健康狀況。本文旨在對30名確診爲腸易激綜合徵的門診病人的證候特徵及生活素質的改變作深入的調查，並探討利用生活素質的測定重表作爲腸易激綜合徵其中一種診斷及治療評價工具的可行性。結果發現確診腸易激綜合徵患者在心理功能和腸易激綜合徵特殊模組的評分比非腸易激綜合徵患者的爲低，且呈統計學意義，但與對照組在生活素質的總體評分的差異卻無統計學上的意義，研究並且引證了使用生活素質測定量表作爲腸易激綜合徵的診斷或治療的評價工具仍有很大的侷限性。

關鍵字

腸易激綜合徵 ； 生活素質 ； 香港特別行政區 ； 評價工具

並列摘要

Irritable Bowel Syndrome (IBS) is a very common digestive symptom with complicated etiology, high morbidity and unclear mechanism, It impacts heavily on patients' quality of life that covers physiological, psychological and sociological factors. This article study the characteristics of syndromes and the change of quality of life of 30 cases of IBS patients, and it researches on the feasibility of applying quality of life assessment as an assessment tool of diagnosis and treatment of IBS. The result shows lower value of psychological functions in IBS patients than those of non-IBS patients with significant difference statistically. However, the comparison of quality of life between treatment group and control group shows no significant difference. The result shows great deal of limitation in terms of applying quality of life assessment as the assessment tool of diagnosis or treatment of IBS.

並列關鍵字

IBS ； quality of life ； Hongkong district ； assessment tool