Psychological Status and Irritable Bowel Syndrome among Healthcare Workers

A Kasemy, A. Sakr, A Elbasyouny, M. Eldalatony
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引用次数: 2

Abstract

Introduction: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder with a global prevalence characterized by disturbances in bowel habits in the absence of known organic pathology. Psychological stress has been blamed to be a major factor leading to gastrointestinal symptoms. Aim of work: To assess the prevalence and predictors of irritable bowel syndrome (IBS) among healthcare workers (HCWs) together with assessment of the psychological status of this affected cohorts. Materials and methods: A retrospective cohort study was carried out during the period from November 2018 to June 2019 at a tertiary care hospitals in an Egyptian governorate on 622 participants distributed as HCWs (No=402) working at the studied hospitals and a control group (No=220) visiting the Family Medicine outpatient clinic at the same hospitals. A questionnaire including Rome III diagnostic criteria had been administered to the studied groups. Regarding the psychiatric state of the studied participants, the Arabic version of Taylor Manifest Anxiety Scale (TMA) and Beck Depression Inventory (BDI) scale were used. Results: The study showed that the prevalence of IBS was 14.4% among HCWs vs. 8.8% among controls. Regarding awareness of IBS, 73.4% of HCWs reported awareness vs. 23% among controls but regarding misconception of IBS, it was reported among 32.3% of controls vs. 17.7% among HCWs. . Regarding psychiatric status, emotional stress, anxiety, depression, and mixed-status; the study reported higher percentage among IBS patients P<0.001. Logistic regression was performed to ascertain the effects of sex, emotional stress, anxiety, depression, working hours and specialty on the likelihood that participants who have IBS and it was statistically significant, χ2= 75.15, p < 0.001. The model correctly classified 87.6% of cases. HCWs suffering from emotional stress or depression were 2 and 3 times respectively more likely to exhibit IBS. Conclusion: IBS was more prevalent among HCWs together with psychiatric disorders giving high priority to in-depth analysis of the work environment to stand on all factors and finding a solution to this critical problem.
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医护人员心理状况与肠易激综合征的关系
肠易激综合征(IBS)是一种全球流行的功能性胃肠道疾病,其特征是在没有已知器质性病理的情况下排便习惯紊乱。心理压力一直被认为是导致胃肠道症状的主要因素。工作目的:评估卫生保健工作者(HCWs)中肠易激综合征(IBS)的患病率和预测因素,并评估受影响人群的心理状态。材料和方法:2018年11月至2019年6月,在埃及某省的一家三级医疗医院开展了一项回顾性队列研究,研究对象为在所研究医院工作的622名卫生保健员(编号402)和在同一家医院的家庭医学门诊就诊的对照组(编号220)。对研究组进行了包括罗马III诊断标准的问卷调查。研究对象的精神状态采用阿拉伯语版Taylor显性焦虑量表(TMA)和Beck抑郁量表(BDI)。结果:研究显示,卫生保健工作者肠易激综合征患病率为14.4%,对照组为8.8%。在IBS的认知方面,73.4%的卫生保健工作者对IBS的认知有所了解,对照组为23%;但在IBS的误解方面,对照组为32.3%,卫生保健工作者为17.7%。关于精神状态、情绪紧张、焦虑、抑郁和混合状态;研究报告肠易激综合征患者的比例更高P<0.001。通过Logistic回归确定性别、情绪压力、焦虑、抑郁、工作时间和专业对IBS发生可能性的影响,差异有统计学意义,χ2= 75.15, p < 0.001。该模型对87.6%的病例进行了正确分类。患有情绪压力或抑郁的医护人员表现为肠易激综合征的可能性分别高出2倍和3倍。结论:IBS与精神疾病在卫生保健工作者中更为普遍,应优先对工作环境进行深入分析,站在所有因素的立场上,找到解决这一关键问题的方法。
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