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目的了解服刑人员中常见消化系统症状的发生情况及其影响因素。方法采用消化系统症状调查表、Zung氏抑郁自评量表(SDS)和焦虑自评量表(SAS)对1177例健康服刑人员进行调查,结合其身份特征分析得出消化系统症状发生的相关危险因素。结果消化系统症状总发生率为54.9%(646/1177),发生率由高到低依次为便秘28.7%(338/1177)、腹泻23.2%(273/1177)、腹痛20.9%(246/1177)、餐后饱胀20.6%(243/1177)、腹部不适17.7%(208/1177)、反流15.1%(178/1177)、恶心14.8%(174/1177)、嗳气13.6%(160/1177)、呕吐8.9%(105/1177)。有症状组SDS和SAS得分均高于无症状组(P<0.05),SDS和SAS得分与消化系统各症状积分均呈正相关(P<0.05)。多元回归分析显示,减刑次数多、年龄小、焦虑和抑郁是消化系统症状发生的危险因素(P<0.05)。结论减刑次数多、年龄小、焦虑和抑郁与消化系统症状的发生有关。
Objective To understand the incidence of common digestive system symptoms in prisoners and their influential factors. Methods A total of 1177 health prisoners were investigated using the Digestive System Symptom Inventory, Zung’s Depression Scale for Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), and analyzed their identity characteristics to find the relevant risk of digestive system symptoms factor. Results The overall incidence of digestive system symptoms was 54.9% (646/1177). The incidence of constipation was 28.7% (338/1177), diarrhea 23.2% (273/1177) and abdominal pain 20.9% (246/1177) in descending order, , Postprandial fullness 20.6% (243/1177), abdominal discomfort 17.7% (208/1177), reflux 15.1% (178/1177), nausea 14.8% (174/1177), belching 13.6% (160/1177) , Vomiting 8.9% (105/1177). The scores of SDS and SAS in the symptom group were higher than those in the asymptomatic group (P <0.05). SDS and SAS scores were positively correlated with the score of each symptom of digestive system (P <0.05). Multivariate regression analysis showed that more commutations, younger age, anxiety and depression were risk factors of digestive system symptoms (P <0.05). Conclusions The number of commutation sentences, younger age, anxiety and depression are related to the occurrence of digestive system symptoms.