Sociodemographic Features and Life Quality of Irritable Bowel Syndrome Patients

Öz

Object: Irritable bowel disease (IBS) is common in Turkey, as in the World, but is often mis-diagnosed. In this study, the diagnosis, follow up and wellbeing of the patients with irritable bowel disease and the effects of their complaints on their quality of life, has been aimed. Methods: 202 patients were joined prospectively (n=146, %72,3). Sociodemographic status, Rome III Criteria and WHOQOL quality of life index were recorded by face-to-face questionnaire. Analysis were applied using q-square, t-test, Oneway Annova tests and descriptive statistical methods in SPSS20,0programme. Results: Most of the participants were women. The only statistically significant association between sociodemographic characteristics was between gender and types of irritable bowel disease. The only statistically significant relationship between sociodemographic characteristics was between gender and types of IBS. Accordingly, constipation (IBS-C) was more common in women and diarrhea(IBS-D) was more common in men(p=0.018). Scores in the physical and environmental quality of life domains of the WHOQOL index and total scores were higher in men (p=0.04, p=0.002, p=0.007). There was a significant relationship in the physical domain scores of housewives and blue-collar workers compared to other occupational groups (p<0.001). Conclusion: IBS is a disease that can be confused with other events and can affect the quality of daily life. It should be known that there are not only physical complaints in this disease, but also social, environmental and mental complaints.

Anahtar Kelimeler

• Irritable bowel syndrome
• life quality
• primary care

İrritabl Bağırsak Sendromu Hastalarının Sosyodemografik Özellikleri ve Yaşam Kalitesi

Öz

Amaç: İrritabl bağırsak hastalığı (İBS) tüm dünyada olduğu gibi Türkiye'de de yaygın olarak görülmekte, ancak sıklıkla atlanmaktadır. Bu çalışmada irritabl bağırsak hastalığı olan hastaların tanı, takip ve iyilik halleri ile şikayetlerinin yaşam kaliteleri üzerine etkilerinin araştırılması amaçlanmıştır. Yöntem: Şişli Hamidiye Etfal Hastanesi Aile Hekimliği polikliniklerine gastrointestinal sistem şikayeti ile başvuran 202 gönüllü hasta çalışmaya dahil edildi. Çalışma prospektif bir çalışmaydı. Katılımcıların sosyodemografik durumları, Roma III Tanı Kriterleri ve WHOQOL yaşam kalitesi indekslerinden oluşan değerlendirme formu araştırmacı tarafından yüz yüze anket yöntemi kullanılarak kaydedildi. Analizler yapılarken ki-kare, t-testi, Oneway Annova testleri ve tanımlayıcı istatistiksel yöntemler kullanılarak yapıldı. SPSS20,0 paket programı analizler sırasında kullanıldı. Bulgular: Katılımcıların büyük çoğunluğu kadın populasyondan oluşmaktaydı (n=146, %72,3). Sosyodemografik özellikler arasında istatistiksel olarak anlamlı tek ilişki cinsiyet ile irritabl bağırsak hastalığı tipleri arasındaydı. Bu sonuca göre kadınlarda kabızlık (IBS-C), erkeklerde ise diyare (IBS-D) daha fazlaydı (p=0.018). WHOQOL indeksinin fiziksel ve çevresel yaşam kalitesi alanlarındaki puanları ve toplam puanları erkeklerde daha yüksekti (p=0.04, p=0.002, p=0.007). Ev kadınlarında ve mavi yakalılarda fiziksel alan puanlarında diğer meslek gruplarına göre anlamlıydı. (p<0.001). Sonuç İBS başka klinik olaylarla karıştırılabilen ve günlük yaşam kalitesini etkileyebilen bir hastalıktır. Bu hastalıkta sadece fiziksel şikayetleri olmadığı, aynı zamanda sosyal çevresel ve ruhsal şikayetleri de olabileceği bilinmelidir.

Anahtar Kelimeler

• İrritabl bağırsak sendromu
• yaşam kalitesi
• birinci basamak.

Kaynakça

1. Özgen K. Prevalence of Irritable Bowel Syndrome and Characteristics of Patients who applied to Çanakkale Region Family Health Center, Master's Thesis. Canakkale: T.C. Çanakkale Onsekiz Mart University Faculty of Medicine, Department of Family Medicine. 2013.
2. Hillestad E M R, van der Meeren A., Nagaraja B H, Bjørsvik B R, Haleem N, Benitez-Paez A, et al. Gut bless you: The microbiota-gut-brain axis in irritable bowel syndrome. World journal of gastroenterology, 2022; 28.4: 412.
3. Alhan C. Quality of Life in Patients with Irritable Bowel Syndrome, Interaction of the Disease with Mental Status and Psychiatric Comorbidities, M.Sc., T.C. Abant İzzet Baysal University Faculty of Medicine, Department of Mental Health and Diseases, Bolu; 2012.
4. Kaya M, Kaçmaz H. Re-evaluation of functional bowel diseases according to Roma IV criteria. Current Gastroenterology, 2016; 20.4: 393-407.
5. Müezzinoğlu T. Quality of Life Bulletin of Urooncology 2005:1;25–29.
6. Rakel R, Rakel D. Textbook of Family Medicine. 9th Edition, Saunders, 2015.
7. Camıllerı M. Diagnosis and treatment of irritable bowel syndrome: a review. Jama, 2021; 325.9: 865-877.
8. Pangal M. Determination of Irritable Bowel Syndrome Prevalence and Related Factors in Primary Health Care Workers, Specialization Thesis. Izmir: T.C. Erciyes University Faculty of Medicine, Department of Family Medicine. 2012.

9. Özden A, Köksal AS, Dilek O, Çiçek B, Yılmaz U, Dağlı Ü. The incidence of irritable bowel syndrome in primary health care institutions in Turkey. Academic Journal of Gastroenterology 2006; 5(1):4-14.
10. Varlı M. Common Gastrointestinal Problems in the Elderly. Journal of Clinical Development 2012; 25:56-65.
11. Ersryd A, Posserud I, Abrahamsson H, Simren M. Subtyping the irritable bowel Syndrome by predominant bowel habit: Rome II versus Rome III. Aliment Pharmacol Ther 2007; 26:953-61.
12. El-Heliawi's M. Association and Possible Factors of Irritable Bowel Syndrome in Patients with Gastroesophageal Reflux Complaints in Turkey, Specialization Thesis. Ankara: T.C Hacettepe University Faculty of Medicine, Department of Internal Medicine. 2013.
13. Uzan M M, Polat A O, Uzan G S, Toprak D et al. Irritable Bowel Syndrome Prevalence and Sociodemographic, Clinical and Lifestyle Features of Patients Admitted to Family Medicine Policlinic. Ankara Medical Journal. 2018; 18(4):690-698.
14. Si J M, Wang L J, Chen S J, Sun L M, Dai N. Irritable bowel syndrome consulters in Zhejiang province: the symptoms pattern, predominant bowel habit subgroups and quality of life. World J Gastroenterol. 2004; 10:1059-64.
15. Gralnek I M, Hays R D, KIlbourne A, Nalıboff B, Mayer E A. The impact of irritable bowel syndrome on health–related quality of life. Gastroenterelogy. 2000; 119: 654-660.
16. Enck P, Aziz Q, Barbara G, Farmer AD, Fukudo S, Mayer EA et al. Irritable bowel syndrome. Nat Rev Dis Primers. 2016; 2:16014.
17. Keskin A, Ünlüoğlu İ, Bilge U, Yenilmez Ç. The Prevalence of Psychiatric Disorders Distribution of Subjects Gender and its Relationship with Psychiatric Help-Seeking. Archives of Neuropsychiatry. 2013; 50: 344-351.
18. Böhn L, Störsrud S, Törnblom H, Bengtsson U, Simrén M. Selfreported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. The American journal of gastroenterology. 2013; 108(5):634.