Irritable bowel syndrome in haemodialysis: Prevalence, link with quality of life and depression.

Nephrology (Carlton, Vic.) Pub Date : 2010-03-01 DOI:10.1111/j.1440-1797.2009.01189.x

Baris Afsar, Rengin Elsurer, M Ilker Yilmaz, Tayfun Eyileten, Müjdat Yenicesu

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引用次数: 8

Abstract

Aim: Health-related quality of life (HRQOL) is decreased in haemodialysis (HD) patients. Irritable bowel syndrome (IBS) is highly prevalent in general population. This study evaluated the prevalence of IBS and its association with HRQOL and depression in HD.

Methods: Sociodemographic and laboratory variables were recorded. Severity of depressive symptoms and HRQOL were assessed by the Beck Depression Inventory (BDI) and Short Form 36 (SF-36), respectively. Diagnosis of IBS was based on Rome II criteria.

Results: Among 236 patients 69 (29.2%) had IBS. Patients with IBS had lower SF-36 scores and had higher depressive symptoms than patients without IBS. Presence of IBS was associated with sleep disturbance (odds ratio (OR) = 2.012; P = 0.045), physical component summary score (OR = 0.963, P = 0.029), mental component summary score (OR = 0.962, P = 0.023), BDI score (OR = 1.040, P = 0.021) and albumin (OR = 0.437, P = 0.01).

Conclusion: IBS is highly prevalent in HD patients. Presence of IBS is closely related with HRQOL and depression.

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血液透析中的肠易激综合征:患病率，与生活质量和抑郁的关系。

目的:血液透析(HD)患者健康相关生活质量(HRQOL)下降。肠易激综合征(IBS)在普通人群中非常普遍。本研究评估了肠易激综合征的患病率及其与HD患者HRQOL和抑郁的关系。方法:记录社会人口学和实验室变量。分别采用贝克抑郁量表(BDI)和SF-36量表(SF-36)评估抑郁症状的严重程度和HRQOL。肠易激综合征的诊断基于Rome II标准。结果:236例患者中有69例(29.2%)患有肠易激综合征。肠易激综合征患者的SF-36评分较低，抑郁症状高于非肠易激综合征患者。肠易激综合征的存在与睡眠障碍相关(优势比(OR) = 2.012;P = 0.045)、身体成分综合评分(OR = 0.963, P = 0.029)、精神成分综合评分(OR = 0.962, P = 0.023)、BDI评分(OR = 1.040, P = 0.021)、白蛋白评分(OR = 0.437, P = 0.01)。结论:肠易激综合征在HD患者中高发。IBS的存在与HRQOL和抑郁密切相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nephrology (Carlton, Vic.)

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