Mental health status and its influencing factors among patients with inflammatory bowel disease

Abstract

Objective To explore the mental health status among patients with inflammatory bowel disease (IBD) and analyze its influencing factors so as to provide a reference for improving the quality of life among these patients. Methods A total of 160 outpatients and inpatients with IBD in the Department of Gastroenterology at Wuxi Second People's Hospital were selected by convenience sampling from June 2015 to February 2017. They were investigated with the self-designed general information questionnaire, symptom checklist (SCL-90) , social support scale (SSRS) , adaptation, partnership, growth, affection and resolve (APGAR) . Results The positive detection rate of mental health among patients with IBD was 25.6%. The total score of SCL-90 (144.81±46.01) was significantly higher than the national norm of 2006 (P<0.05) . Compared with the national norm of 2006, the scores of factors in somatization, depression, anxiety were higher with significant differences (P<0.05) . There were statistically significant differences in mental health levels among different ages, monthly income, duration and severity of disease, social support, family function and negative life events (P<0.05) . Multiple linear stepwise regression analysis showed that the major influencing factors of mental health among patients with IBD were the duration of disease, social support, family function and negative life events interpreting 28.1% of the total variance on mental health status among patients. Conclusions The mental health status among patients with IBD is poor. The duration of disease, social support, family function and negative life events are the major influencing factors of mental health status of patients. Nurses should carry out correspondingly mental nursing intervention in time to improve the quality of life of patients. Key words: Psychology; Inflammatory bowel disease; Influencing factors