社会支持及其不同类型对克罗恩病的影响:一项双重病例对照研究,研究对象是经历发作或缓解的患者,以及健康个体。

IF 3.4 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Therapeutic Advances in Gastroenterology Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI:10.1177/17562848251372274
María José de Dios Duarte, Andrés Arias, Juan Brea Iglesias, Iria de la Osa Subtil, Ana Barrón
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引用次数: 0

摘要

背景:已经研究了社会支持对几种疾病的影响,并发现社会支持是有益的,既可以促进对疾病的适应和改善对疾病的管理,也可以影响导致疾病的生物反应。目的:本研究的目的是探讨不同阶段克罗恩病(CD)患者获得的社会支持及其不同类型(信息、物质和情感)的作用,并与健康个体进行比较。设计:采用观察性双病例对照研究,采用经验证的量表来评估所接受的社会支持及其不同类型对CD的影响。方法:将样本分为三组:健康个体、急性发作的CD患者和缓解期CD患者。测量三组的研究变量,并进行多变量方差分析以检验统计学意义。此外,使用Tukey检验或Games-Howell检验(取决于方差的同质性)进行事后分析,以确定哪些组存在差异。结果:主要结果显示,在接受社会支持(p = 0.001)、对这种支持的满意度(p = 0.018)、物质支持类型(p = 0.002)和信息支持类型(p = 0.016)方面,两组间的差异有统计学意义。在大多数情况下,最显著的差异是在健康个体组和缓解期的乳糜泻患者之间,以及后者组和突然发作的乳糜泻患者之间。结论:我们建议直接与处于缓解期的乳糜泻患者接触,从而提高他们所感知到的社会支持水平,从而提高他们对这种支持的满意度。我们还建议具体的互动,以增加物质和信息支持的感知。这种方法还与保健专业人员提供的支持类型直接相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The impact social support and its different types have upon Crohn's disease: a double, case-control study on patients experiencing a flare-up or in remission, and healthy individuals.

The impact social support and its different types have upon Crohn's disease: a double, case-control study on patients experiencing a flare-up or in remission, and healthy individuals.

The impact social support and its different types have upon Crohn's disease: a double, case-control study on patients experiencing a flare-up or in remission, and healthy individuals.

The impact social support and its different types have upon Crohn's disease: a double, case-control study on patients experiencing a flare-up or in remission, and healthy individuals.

Background: The influence of social support upon several diseases has been studied and has been found to be beneficial, either by facilitating adjustment to the disease and improving its management, or by influencing the biological responses that lead to disorders.

Objective: The aim of this study was to investigate the role of received social support and its different types (informational, material and emotional) in people with varying stages of Crohn's disease (CD), compared to a sample of healthy individuals.

Design: An observational, double case-control study was conducted using validated scales to assess the impact of received social support and its different types upon CD.

Methods: The sample was divided into three groups: healthy individuals, CD patients experiencing a flare-up and CD patients in remission. Study variables were measured in the three groups, and a multivariate analysis of variance was performed to examine statistical significance. In addition, post hoc analyses were performed using either Tukey's test or the Games-Howell test (depending on the homogeneity of variances) to determine which groups differed.

Results: The principal results revealed statistically significant differences between the groups studied regarding received social support (p = 0.001), satisfaction with this support (p = 0.018), material support type (p = 0.002) and informational support type (p = 0.016). In the majority of cases, the most significant differences were observed between the group of healthy individuals and CD patients in remission, and between the latter group and CD patients experiencing a flare-up.

Conclusion: We propose directly engaging with CD patients in remission to thereby increase their perceived level of received social support, to consequently increase their satisfaction with such support. We also suggest specific interactions to increase the perception of material and informational support. This approach is also directly linked to the type of support provided by healthcare professionals.

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来源期刊
Therapeutic Advances in Gastroenterology
Therapeutic Advances in Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
6.70
自引率
2.40%
发文量
103
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Gastroenterology is an open access journal which delivers the highest quality peer-reviewed original research articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of gastrointestinal and hepatic disorders. The journal has a strong clinical and pharmacological focus and is aimed at an international audience of clinicians and researchers in gastroenterology and related disciplines, providing an online forum for rapid dissemination of recent research and perspectives in this area. The editors welcome original research articles across all areas of gastroenterology and hepatology. The journal publishes original research articles and review articles primarily. Original research manuscripts may include laboratory, animal or human/clinical studies – all phases. Letters to the Editor and Case Reports will also be considered.
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