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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Bowel symptoms, self-image and comorbidity impact on well-being of women with coeliac disease
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Bowel symptoms, self-image and comorbidity impact on well-being of women with coeliac disease

机译：肠症状，自我形象和合并症对腹腔疾病妇女的幸福感的影响

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Bowel symptoms, self-image and comorbidity impact on well-being of women with coeliac disease Aim. To explore if gastrointestinal (GI) symptoms, self-image and comorbidity are related to well-being in women with coeliac disease (CD) and whether a history of CD in childhood impacts on well-being in adulthood. Background. Women in Sweden living with CD show a reduced level of well-being and report a high rate of GI complaints for unclear reasons. The self-image of these women is unknown. Design. A cross-sectional survey of 231 Swedish women with CD on long-term treatment (>5= years) with a gluten-free diet (GFD) was conducted in 2010. Results. The study showed that well-being is related to a high rate GI symptoms (OR 16.9, 95% CI 5.6-507), a negative self-image (OR 8.9, 95% CI 3.5-22.9) and comorbidity (OR 3.3, 95% CI 1.7-6.4). There was no impact of childhood symptoms on well-being, GI symptoms, self-image or comorbidity in adulthood. Half of the study population showed reduced well-being compared with norms. Practically all women (97%) declared that they were always or usually following a GFD and 62% reported at least one disease besides CD. Conclusion. The study demonstrated that the well-being of women living with CD is affected by GI complaints, self-image and a high rate of comorbidity whereas a history of signs and symptoms of CD in childhood not seems to impact on the well-being in adulthood. Relevance to clinical practice. Gastrointestinal symptoms, self-image and comorbidity are factors contributing to a low level of well-being of CD women living on a GFD. Launching a multi-disciplinary team for follow-up would represent a novel approach to support these women and may prove valuable in improving their subjective health.
机译：肠症状，自我形象和合并症对腹腔疾病妇女的健康产生影响。探讨胃肠道（GI）症状，自我形象和合并症是否与腹腔疾病（CD）妇女的福祉相关，以及儿童时期CD的病史是否影响成年后的福祉。背景。瑞典患有CD的妇女的幸福感有所下降，由于不清楚的原因，他们对胃肠道疾病的投诉率很高。这些妇女的自我形象是未知的。设计。 2010年对231名接受无麸质饮食（GFD）长期治疗（> 5 =年）的瑞典CD妇女进行了横断面调查。结果。研究表明，幸福感与高比例的胃肠道症状（OR 16.9，95％CI 5.6-507），负面的自我形象（OR 8.9，95％CI 3.5-22.9）和合并症（OR 3.3，95）有关。 ％CI 1.7-6.4）。童年时期的症状对成年后的幸福感，胃肠道症状，自我形象或合并症没有影响。与正常人相比，一半的研究对象的幸福感降低了。几乎所有妇女（97％）都宣称她们一直或通常在接受GFD治疗，并且62％的妇女报告了CD以外的至少一种疾病。结论。这项研究表明，患有CD的女性的幸福感会受到GI投诉，自我形象和高合并症的影响，而儿童时期CD的体征和症状史似乎不会影响成年后的幸福感。 。与临床实践有关。胃肠道症状，自我形象和合并症是导致生活在GFD上的CD女性健康水平低下的因素。成立一个多学科小组进行随访将代表一种支持这些妇女的新颖方法，并可能在改善其主观健康方面具有重要意义。

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