臨牀消化器内科 Vol.15 No.1(5)


特集名 消化器疾患とQOL
題名 過敏性腸症候群とQOL
発刊年月 2000年 01月
著者 河村 朗 島根医科大学第二内科
【 要旨 】 過敏性腸症候群(IBS)は生命予後は良好であるが患者の日常生活に支障をきたし,QOLを低下させる要因となっていることも多い.IBS患者は活動制限,失業,通院などが多い.仕事,家事,通学などに問題のある社会的非適応群には身体的,認知的,情緒的問題といったHRQOL(health-related quality of life)の障害がある.IBSの発現にはストレスが大きく関与しており,ストレス環境を遠ざけ,症状からくる患者の不安を取り除くとともに,患者自らが積極的にストレスを解消することも大切である.腸管運動の日内リズムの正常化や食事指導に加えて,薬物療法や心理療法は個々の患者に応じてきめこまかに行う必要がある.
Theme Quality of Life in Gastroenterological Disorders
Title lrritable Bowel Syndrome and Quality of Life
Author Akira Kawamura Second Department of Internal Medicine, Shimane Medical University
[ Summary ] lrritable bowel syndrome(IBS) is not life threatening, but frequently impairs patient's quality of life (QOL). Patients with IBS have significant impairment of social activity because of unemployment, frequent visits to the doctor, etc. Health-related quality of life (HRQOL), which consists of cognitive, affective and social indicators, is impaired in the socially non-adaptive group. Since psychological stress exacerbates symptoms of IBS, it is important to remove stressful environments, to relieve patients from fear of the disease and to get rid of stress brought on by patients themselves. Normalization of the bowel's daily rhythm and dietary cures are also effective. Pharmacotherapy and psychotherapy should be performed carefully on these patients.
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