消化系统疾病合并焦虑症状患者的临床特征

Objective To explore the clinical characteristics of patients with digestive system diseases complicated with anxiety symptoms in primary medical and health institutions, analyze the influencing factors for the high incidence of anxiety symptoms, and provide a reference for clinical intervention at the primary level. Methods The clinical data of 286 patients with digestive system diseases admitted to the Central Health Center of Guangwushan Town, Nanjiang County from April 2017 to March 2022 were collected. According to whether the patients were complicated with anxiety symptoms [defined by a score of ≥50 on the Self-Rating Anxiety Scale(SAS)], the patients were divided into the anxiety-complicated group(92 cases) and the non-anxiety group(194 cases). Indicators including age, gender, disease type, disease course, medical visit frequency and living habits(smoking, alcohol consumption, staying up late) were compared between the two groups, and Logistic regression analysis was adopted to identify the influencing factors for the high incidence of anxiety symptoms. Results Among the 286 patients with digestive system diseases, the proportion of those complicated with anxiety symptoms was 32.17%(92/286). The anxiety-complicated group was mainly composed of patients with functional dyspepsia(43.48%) and irritable bowel syndrome(31.52%). The proportions of patients with a disease course of ≥1 year(78.26%) and those with medical visits ≥2 times per month(45.65%) in the anxiety-complicated group were both higher than those in the non-anxiety group(51.03% and 18.04%, respectively), and the proportions of staying up late(56.52%) and irregular diet(73.91%) were also higher in the anxiety-complicated group(P<0.05). Logistic regression analysis showed that the disease course ≥ 1 year, medical visits ≥2 times per month, staying up late and irregular diet were independent risk factors for anxiety symptoms in patients with digestive system diseases(P<0.05). Conclusion The incidence of anxiety symptoms complicated with digestive system diseases is relatively high in primary medical and health institutions. Long disease course, frequent medical visits and bad living habits are the main influencing factors.