炎症性肠病患者压力知觉及影响因素调查

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。

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

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.