Evaluation of the COVID-19 Fear and Quality of Life in Patients with Inflammatory Bowel Disease During the Pandemic

Abstract

Aim: Novel Coronavirus disease (COVİD-19) pandemic had caused various problems in follow up and treatment of many chronic diseases such as Inflammatory Bowel Diseases (IBD). This study aimed to determine the level of fear and anxiety of COVID-19 and evaluate the quality of life of patients with IBD during the pandemic. Materials and Methods: This study was conducted as a cross-sectional study, and a total of 150 participants (IBD patient group=75, control group=75) were included. In order to evaluate the level of COVID-19 fear and anxiety, the Fear of COVID-19 Scale (FCV-19S) and Coronavirus Anxiety Scale (CAS) were used. In addition, Short Form-36 (SF-36) test was used to evaluate health-related quality of life. Results: FCV-19S and CAS scores were significantly higher in IBD patients compared to the control group. (p<0.05). In IBD patients some subscores of SF-36 were significantly lower than the control group (p<0.05). Univariate regression analyses showed that university degree of education, having Crohn’s disease, and using anti-TNF drugs were significantly correlated with the high level COVID-19 fear (p<0.05). FCV-19S results were found to be negatively correlated with emotional role limitation, energy, and mental health subscores of SF-36 in patients with IBD (p<0.05). Conclusion: This study showed that IBD patients had higher levels of fear and anxiety regarding COVID-19. Increased levels of fear and anxiety decreased quality of life specifically mentally. One should keep in mind that the probability of nonadherence to drugs in patients with IBD during the pandemic and psychiatric support should be provided if necessary.

Keywords

• COVID-19
• inflammatory bowel diseases
• anxiety
• pandemic
• anti-TNF

Pandemi döneminde inflamatuvar barsak hastalığı olan hastalarda COVİD-19 korkusu ve yaşam kalitesinin değerlendirilmesi

Abstract

Amaç: Yeni koronavirüs hastalığı (COVİD-19) pandemisi, İnflamatuvar Barsak Hastalıkları (İBH) gibi birçok kronik hastalığın takip ve tedavisinde çeşitli sorunlara neden olmuştur. Bu çalışma pandemi döneminde İBH’lı hastaların COVİD-19 korku ve anksiyete düzeylerini ve hayat kalitelerini değerlendirmeyi amaçladı. Gereç ve yöntem: Bu çalışma kesitsel bir çalışma olarak yapılmış ve toplamda 150 hasta (İBH hasta grubu=75, kontrol grubu=75) çalışmaya dahil edilmiştir. COVİD-19 korku ve anksiyete seviyelerini değerlendirmek için COVİD-19 korku skalası (FCV-19S) ve koronavirüs anksiyete skalası (CAS) kullanıldı. Ayrıca sağlıkla ilgili yaşam kalitesini değerlendirmek için kısa form-36 (SF-36) testi kullanıldı. Bulgular: İBH hastalarında kontrol grubuna göre FCV-19S ve CAS puanları anlamlı olarak daha yüksek, SF-36’nın bazı alt parametreleri anlamlı olarak daha düşük bulundu (p<0.05). Univaryant regresyon analizinde üniversite mezunu olmak, Crohn hastalığı tanılı olmak ve anti-TNF ilaç kullanmak yüksek COVİD-19 korkusuyla anlamlı olarak ilişkili olduğu saptandı (p<0.05). İBH hastalarında FCV-19S puanları ile SF-36’nın emosyonel rol kısıtlaması, enerji ve mental sağlık parametreleri arasında negatif korelasyon olduğu görüldü (p<0.05). Sonuç: Bu çalışma İBH hastalarının COVİD-19 ile ilgili daha yüksek korku ve anksiyete seviyesine sahip olduğunu gösterdi. Artan korku ve anksiyete seviyeleri özellikle mental olarak yaşam kalitesini düşürmüştür. Bu dönemde İBH’lı hastalarda ilaç uyumsuzluğu olabileceği akılda tutulmalı ve gerekirse bu hastalara psikiyatrik destek sağlanmalıdır.

Keywords

• COVİD-19
• inflamatuvar barsak hastalıkları
• anksiyete
• pandemi
• anti-TNF

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