A cross-sectional study examining psychological status and quality of life in patients with Crohn's disease following surgery

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Abstract

Background: This study aimed to explore the relationship between psychological status and quality of life following surgery in patients with Crohn's disease in an effort to provide a basis and reference for the development of psychological intervention strategies to help improve overall quality of life. Methods: A total of 100 postoperative patients with Crohn’s disease, all of whom were hospitalized in the surgical ward of a first-class hospital in Zhejiang Province from January 1, 2020, to June 30, 2021, were selected as research subjects. The General Information Questionnaire; McMaster Inflammatory Bowel Disease Questionnaire (IBDQ); and the Depression, Anxiety, and Stress Scale (DASS-21) were adopted in this research. Results: Quality-of-life score of patients with Crohn's disease after surgery was 147.45 ± 35.23, and the average score was 4.61 ± 1.1 points. The total score of the depression, anxiety, and stress scales was 38.21 ± 12.98 points, and the average score was 1.82 ± 0.62 points. Incidence rate of depression in patients with Crohn’s disease was 82.0%, the incidence rate of anxiety was 86.0%, and the incidence rate of stress was 49.9%. The results also showed that there was a negative correlation between depression–anxiety–stress and quality of life in patients with Crohn’s disease after surgery (P < 0.05). There was no causal relationships among demographics, depression, psychological stress, and quality of life in patients with Crohn’s disease after surgery, but anxiety exhibited the greatest impact on quality of life. Conclusion: This area of research requires further research. Future studies should focus on specific groups of patients with Crohn's disease after surgery and adjust intervention programs related to psychology and quality of life according to changes over time.

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