Hangzhou 3 Armour Hospital Night Nurse Functional Gastrointestinal Disease Epidemiology Investigation And Study

Aims Functional gastrointestinal disease is a digestive system such as abdominal distension, abdominal pain, diarrhea and constipation symptoms, but the lack of physical problem, such as gastritis, enteritis, etc.) or other evidence of a group of diseases. Is very common in clinical functional gastrointestinal diseases, especially the functional dyspepsia and irritable bowel syndrome and functional constipation is the most common chronic functional disease of digestive diseases at home and abroad. With the development of science and technology, social economic rapid increase, people living standard rise, and the change of the diet, the incidence of functional gastrointestinal disease at home and abroad have the trend of increased year by year. Functional gastrointestinal disease must be based on eliminate organic disease diagnosis of gastrointestinal diseases, is different from the tumor, inflammation, and other significant implement qualitative sex pathological change. Functional gastrointestinal disease duration long, complex condition, most deferment ups and downs, difficult to cure, significant impact on the patient’s quality of life, make its repeated many doctor cause medical cost and medical resources waste. Patients with long-term bear not only the body is unwell, and extremely easy with mental illness.For a long time, the Roman standards are the gold standard in the diagnosis of functional gastrointestinal disease.2006, the Roman functional gastrointestinal disease committee to revising the Roman standards, Rome Ⅲ, since foreign relevant epidemiological investigation and study more, and the application of more Roman Ⅱ standard in the diagnosis of functional gastrointestinal disease, Rome Ⅲ criteria used less. In recent years, along with professor ke meiyun famous expert of digestive diseases such as continuous efforts, Rome Ⅲ standard clinical application promotion in China gradually cause the attention of clinicians.So far, functional gastrointestinal disease epidemiological studies in the general population, such as soldiers, college students,but there is little nurses the research of the specific peoplein China, this study is the first application of Rome Ⅲ standard 3 armour hospital in hangzhou city night nurse functional gastrointestinal disease epidemiology and related influence factors of research.Methods From January to December,2014, respondents voluntary participation, USES the hierarchical, multi-level, overall, random sampling from fill in the questionnaire survey method. Random sample more than 3 armour hospital of hangzhou night nurse during six hospitals about the incidence and related factors of functional gastrointestinal disease. Goal setting study population, aged between 20-50 years old, have independent nursing are qualified, work in the night of June (more than 24 weeks), and eliminate organic disease. Questionnaire content except special functional gastrointestinal disease common type design questionnaire, also add a gender, level of education, growing environment and eating habits, and so on survey projects, epidemiological investigation, to find any correlation.3 armour hospital night nurse high degree of cultural understanding ability, good compliance, questionnaire has high reliability and accuracy of data resource. This study by zhejiang university of Chinese medicine ethics committee review.Special EXCEL spreadsheets all questionnaire recovery after into the computer, then by the digestive internal medicine and epidemiology of professional personnel to perform data filtering and system analysis. Literature with high reliability of Rome Ⅲ criteria of diagnosis of functional gastrointestinal disease diagnosis, hospital anxiety and depression rating scale questionnaire, negative life events scale, irritable bowel syndrome, the quality of life questionnaire, etc. Measurement and analysis of questionnaire in each scale score, as well as other potential factors such as eating, drinking and exercise. Results in the P value adopts two-way point values, P< 0.05 think significant difference was statistically significant, or select 95% ci calculated value. Calculated data are choose x2 test, measurement data are chosen t test, unit and multiple regression analysis and other methods.Result From hangzhou 3 armour hospital night-shift nurses physical and mental health questionnaire, effective questionnaire,95% efficient? Male person, questionnaire (%), female (%), respectively, and the average age, overall, according to the results of functional dyspepsia, functional constipation and incidence of irritable bowel syndrome are:, more common in women. In the psychological factors, multiple regression analysis showed that anxiety and depression in the irritable bowel syndrome group were significantly increased compared with normal group. Prompt anxiety and depression are independent risk factors for the development of irritable bowel syndrome. Irritable bowel syndrome, quality of life questionnaire score in life factors, dairy products Factors such as cold and drinking found no significant correlation and functional gastrointestinal disease.Conclusion Functional gastrointestinal disease in 3 armour hospital of hangzhou is very common in the night nurse, this survey shows that the functional dyspepsia, incidence of irritable bowel syndrome and functional constipation,21.69%(249/1148),17.07%(196/1148) % and 8.28%(95/1148) respectively. In terms of influencing factors, anxiety and depression are independent risk factors of irritable bowel syndrome, also less movement and are linked to the pathogenesis of irritable bowel syndrome.Functional gastrointestinal disease research in our country many II standard reference to Rome, Rome III standard application, the application of large sample in clinical has not been popular, especially in the high incidence of nursing specific people. This topic is the first large sample application Roman III standard 3 armour hospital in hangzhou city night nurse functional gastrointestinal disease morbidity and epidemiological investigation and study treatment, the data and key conclusion of Roman III all breadth and depth of the standard in clinical promotion has certain academic value. At the same time to nurse a specific group of functional gastrointestinal disease morbidity and epidemiological data first-hand objective basis, so as to safeguard the rights and interests of nurses and physical and mental health, provide the basis for clinical nursing staff reasonable scheduling, have important practical significance.