Chinese General Practice-Channel: Hot Research：Bowel Disease Channel: Hot Research：Bowel Disease https://www.chinagp.net EN-US https://www.chinagp.net/EN/1007-9572/current.shtml https://www.chinagp.net 1007-9572 <![CDATA[]]> https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2021.02.112 Sexually transmitted infections (STIs) may cause symptomatic proctitis, proctocolitis and enteritis. Given that there are still many questions in the management of proctitis, proctocolitis and enteritis caused by STIs. On July 23, 2021, CDC released the latest guidelines on the diagnosis and treatment of STIs. Combining the latest literature and clinical experience, we focused on the interpretation of the differences between the new version and the previous version. We also compared part of the 2021 European Guideline on the Management of Proctitis, Proctocolitis and Enteritis Caused by Sexually Transmissible Pathogens with the essentials for the management of sexually transmitted proctitis, proctocolitis and enteritis in the CDC's Sexually Transmitted Infections Treatment Guidelines, 2021, aiming to assist clinicians in the management of proctitis, proctocolitis and enteritis caused by STIs.

]]> <![CDATA[]]> https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2021.02.085 Background

Patients with inflammatory bowel disease (IBD) are vulnerable to a variety of negative emotions due to recurrence of disease symptoms and prolonged unhealing. With the rise of positive psychology, scholars have discovered that in addition to the perceived negative emotions in the process of illness, individuals also conduct cognitive reappraisal on stressful events and explore the positive meaning brought by the disease, that is, benefit finding.

Objective

To explore the potential categories and influencing factors of benefit finding in patients with IBD.

Methods

A cross-sectional investigation was conducted among outpatients and inpatients with IBD selected by convenient sampling from the First Affiliated Hospital with Nanjing Medical University from September 2020 to April 2021. The General Demographic Information questionnaire, Revised Chinese Version of Benefit Finding Scale (BFS-RC), Chinese Version of Berkeley Expressivity Questionnaire (BEQ), and Social Support Rating Scale (SSRS) were administered to the participants. We applied ordinal and multinomial Logistic regression analyses to identify the factors associated with the potential categories of benefit finding.

Results

A total of 226 of the 230 returned questionnaires were valid, resulting an effective response rate of 98.3%. According to the results of latent profile analysis, we classified the respondents into three categories by benefit finding, namely low benefit finding-coping disability group (n=115), moderate benefit finding group (n=64) and high benefit finding-perceived loved group (n=47), accounting for 50.9%, 28.3%, and 20.8% of the total respondents, respectively. Three groups showed statistically significant differences in employment status, annual household income, disease activity, total score and dimension scores of Chinese Version of BEQ and SSRS (P<0.05). Ordinal and multinomial Logistic regression analyses showed that positive emotion expression score 〔OR=1.246, 95%CI (1.040, 1.492) 〕, negative emotion expression score 〔OR=1.206, 95%CI (1.038, 1.402) 〕, and perceived support score〔OR=2.746, 95%CI (2.114, 3.565) 〕were associated with benefit finding in patients with IBD (P<0.05) .

Conclusion

Patients with IBD had obvious differences in characteristics by benefit finding. Low benefit finding-coping disability group accounted for a relatively larger proportion (50.9%). The influencing factors involved positive emotion expression, negative emotion expression and perceived support. To improve benefit finding of these patients, medical workers should pay more attention to those with low benefit finding-coping disability, encourage them to express disease related feelings and promote their perception of social support.

]]> <![CDATA[]]> https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2021.02.065 Background

Diet has been proven to be an important factor affecting the occurrence, development and outcome of inflammatory bowel disease (IBD), but there are few studies in China on dietary restriction, a common diet management problem in patients with IBD.

Objective

To investigate the prevalence and associated factors of kinds of dietary restrictions in patients with IBD.

Methods

From January to October in 2020, a field survey was conducted with a convenience sample of IBD patient volunteers who were selected from gastroenterology and anorectal departments in four general hospitals in Nanjing, including Jiangsu Province Hospital of Chinese Medicine/Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing Hospital of Chinese Medicine/Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing Drum Tower Hospital and Zhongda Hospital, Southeast University. A self-made questionnaire was used to collect general demographic information, disease-related conditions, dietary restriction behaviors and prevalence of receiving dietary guidance in these patients. Multiple linear regression analysis was used to analyze the associated factors of kinds of dietary restrictions.

Results

Altogether, 622 cases attended the survey, and 608 of them gave an effective response, with a response rate of 97.7% (608/622). Of the responders, 92.4% (562/608) had at least one kind of dietary restrictions, with 6.9 kinds of dietary restrictions on average. The kinds of dietary restrictions differed significantly by gender, body mass index, living status (living alone or with others), economic burden, type of IBD, course of IBD, prevalence of surgical treatment, incidence of complications, prevalence of receiving dietary guidance, and receiving dietary guidance from dietitian or gastroenterologist in IBD patients (P<0.05). Multiple linear regression analysis results showed that, gender (β=0.697), body mass index (β=0.777), living status (β=1.141), and incidence of complications (β=0.884) were associated with the kinds of dietary restrictions in IBD patients (P<0.05) .

Conclusion

Dietary restrictions are common and serious in IBD patients, whose kinds may be related to patients' gender, body mass index, living status and incidence of complications.

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