Health status by gastrointestinal diagnosis and abuse history
Health status by gastrointestinal diagnosis and abuse history
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按胃肠道诊断和虐待史分列的健康状况
DOI：
10.1053/gast.1996.v110.pm8613034
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发表时间：
1996-04-01
期刊：
影响因子：
29.4
通讯作者：
Hu, YMJB
中科院分区：
文献类型：
--
作者：
Drossman, DA;Li, ZM;Hu, YMJB
背景和目标：以前没有研究过通过诊断（功能性与器质性）对健康状况进行标准化评估以及滥用史对健康状况的相对影响。本研究的目的是估计健康状况和滥用史的胃肠道诊断中看到的患者在三级保健胃肠病诊所，并评估诊断和滥用史对健康状况的相对预测作用。方法：采用性虐待史、躯体虐待史标准化量表和6项健康状况量表，对确诊的精神分裂症患者进行评估。进行协方差分析，以确定诊断类型和滥用历史的健康状况措施的相对贡献。结果如下：功能性胃肠道诊断患者的健康状况较差，严重类型的虐待频率高于结构性诊断患者。独立的滥用历史，功能诊断显着相关的更大的疼痛严重程度和心理困扰和较差的日常功能。独立的诊断，滥用历史显着有助于更大的疼痛严重程度，更多的日子在床上，更多的心理困扰，和较差的日常功能。结论：诊断类型和滥用史是影响该人群健康状况的独立因素。因此，仅凭医学症状可能不足以了解患者的健康状况。还必须注意心理社会因素。
Background & Aims: Standardized assessment of health status by diagnosis (functional vs. organic) and the relative influence of abuse history on health status have not been studied previously. The aim of this study was to estimate the health status and abuse history for gastrointestinal diagnoses among patients seen in a tertiary-care gastroenterology clinic and to evaluate the relative predictive effects of diagnosis and abuse history on health status. Methods: Standardized measures of sexual and physical abuse history and six health status measures were estimated for the patients by diagnosis. Analysis of covariance was performed to determine the relative contributions of diagnosis type and abuse history on the health status measures. Results: Patients with functional gastrointestinal diagnoses had poorer health status and a higher frequency of severe types of abuse than patients with structural diagnoses. Independent of abuse history, functional diagnosis was significantly associated with greater pain severity and psychological distress and poorer daily function. Independent of diagnosis, abuse history significantly contributed to greater pain severity, more days in bed, more psychological distress, and poorer daily function. Conclusions: The type of diagnosis and abuse history independently contributed to the health status of this population. Therefore, medical symptoms alone may not be sufficient to understand patients' health status. Attention must also be paid to contributing psychosocial factors.