رابطه ی بین ادراک بیماری و شدت علایم در بیماران مبتلا به سندرم روده ی تحریک پذیر

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه روان‌پزشکی، دانشکده‌ی پزشکی، مرکز تحقیقات روان-تنی(سایکوسوماتیک)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استادیار، گروه روان‌پزشکی، دانشکده‌ی پزشکی، مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، مرکز تحقیقات علوم رفتاری، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دانشیار، گروه داخلی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

5 دانشیار، گروه آمار زیستی و اپیدمیولوژی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: ادراک بیماری در فرد بیمار بر پایه‌ی جذب اطلاعات از منابع مختلف و باورهای بیمار شکل می‌گیرد و می‌تواند سلامت روانی و توانایی فرد در تطابق با بیماری را تحت تأثیر قرار دهد. هدف این مطالعه بررسی ارتباط بین ادراک بیماری و شدت علایم‌ در بیماران مبتلا به سندرم روده‌ی تحریک‌پذیر (Irritable bowel syndrome  یا IBS) بود.روش‌ها: در یک مطالعه‌ی مقطعی 160 بیمار مبتلا به IBS مراجعه ‌کننده به درمانگاه سایکوسوماتیک و گوارش وابسته‌ی به بیمارستان خورشید اصفهان انتخاب شدند. بیماران با استفاده از مقیاس‌های ادراک بیماری و شدت علایم‌ در مبتلایان به IBS مورد بررسی قرار گرفتند. داده‌های پژوهش با استفاده‌ی از مدل‌های ضریب همبستگی Pearson و رگرسیون چند متغیری مورد تجزیه و تحلیل قرار گرفت.یافته‌ها: بین ادراک بیماری و شدت علایم‌ مبتلایان ضریب همبستگی معنی‌دار‌ مشاهده شد (546/0 = r ، 001/0 > P). نتایج تحلیل رگرسیون نشان داد که 39 درصد از تغییرات شدت علایم‌ مبتلایان به IBS توسط متغیرهای ادراک بیماری قابل تبیین است (63/0 = R، 39/0 = R square). ضرایب رگرسیون نشان داد که ‌این توانایی پیش‌بینی کنندگی مربوط به دو زیرمقیاس شناخت علایم (04/0 = P)‌ و عواطف (04/0 = P)‌ بود. با این وجود سایر زیرمقیاس‌ها تأثیری در این رابطه نداشتند.نتیجه‌گیری: این مطالعه نشان داد که بین ادراک بیماری و شدت علایم‌ در مبتلایان به  IBS رابطه وجود دارد و تغییرات شدت علایم‌ مبتلایان به IBS، تا حدی توسط متغیرهای ادراک بیماری پیش‌بینی می‌شود. بنابراین مداخلات روان‌شناختی بر پایه‌ی ادراک بیماری به منظور کنترل شدت علایم‌ در درمان مبتلایان IBS پیشنهاد می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Illness Perception and Symptom Severity in Pa-tients with Irritable Bowel Syndrome

نویسندگان [English]

  • Hamid Afshar 1
  • Reza Bagherian 2
  • Nasim Foroozandeh 3
  • Newsha Khorramian 3
  • Hamed Daghaghzadeh 4
  • Mohammad Reza Maracy 5
  • Peyman Adibi 4
1 Associate Professor, Department of Psychiatry, School of Medicine, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
2 Assistant Professor, Department of Psychiatry, School of Medicine, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
3 Student of Medicine, Student Research Committee, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
4 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
5 Associate Professor, Department of Epidemiology & Biostatistics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Background: Patient`s illness perception is formed base on patient`s beliefs and perceived information about their condition and it may influence the individual’s mental health and how the patient deal with the medical condition. The aim of this study was to determine the relationship between illness perception and symptom severity in patients with irritable bowel syndrome (IBS).Methods: In a cross-sectional study, 160 consecutive IBS patients, referred to the gastrointestinal and psychosomatic clinics at khorshid hospital in Isfahan, were selected. The patients completed illness perception questionnaires and the IBS Symptom Severity Scoring System (IBS-SSS). Data was analyzed by pearson correlation and multi variant regression models.Finding: A relationship between illness perception and symptom severity in patients with IBS was observed (R = 0.546, P = 0.001). The results showed that 39% of variation in symptom severity is predicted by variation in illness perception components (R = 0.63, R Squer = 0.39). Rregression model showed that only the identity and emotion components of illness perception can predict symptom severity variation (P = 0.04). However, there is no relationship between other subscales of illness perception and symptom severity.Conclusion: This study showed that there is a relationship between illness perception and symptom severity. So the interventions based on illness perception is proposed for managing symptom severity in IBS.Keywords: Illness perception, Symptom severity, Irritable bowel syndrome, Psychological factors.

کلیدواژه‌ها [English]

  • Illness Perception
  • Symptom severity
  • Irritable Bowel Syndrome
  • Psychological factors

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مجله دانشکده پزشکی اصفهان
دوره 29، شماره 137 - شماره پیاپی 137
خرداد و تیر 1390
صفحه 526-536

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