여대생의 과민성 장 증후군과 스트레스 지각정도,식습관 및 과민성 장 증후군관련 삶의 질
Irritable bowel syndrome, stress, and diet, and their effects onquality of life in women college students
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초록
연구배경 과민성 장 증후군은 그 자체가 생명을 위협하는 것은 아니지만 생활에서 극심한 불편감을 주고 삶의 질을 저하시키므로 예방관리를 위한 식이요법 및 스트레스 관리를 위주로 한 생활습관 개선이 시급하다. 따라서 본 연구에서는 과민성 장 증후군의 유병률과 스트레스 및 식습관과의 관련성, 과민성 장 증후군 관련 삶의 질을 알아보고자 한다. 방 법 본 연구의 대상자는 서울과 경기지역의 8개 대학에 재학 중인 여대생 1,456명으로 자기 기입식 설문지를 통해 조사하였다. 과민성 장 증후군 진단기준은 ROME II를 이용하였고, 스트레스 측정도구로는 A Global Assessment of Recent Stress Scale(GARS) 한국어판, 식습관은 대한영양사회(1991)의 설문지를 이용하고 과민성 장 증후군 관련 삶의 질은 Irritable Bowel Syndrome Quality of Life(IBSQOL) 한국어판을 이용하였다. 결 과 ROME II 에 의해 분류된 과민성 장 증후군은 25.7%였다. 총 과민성 장 증후군 대상자 중 유형별로는 설사형이 32.3%, 변비형이 42.0%, 교대형이 25.7%로 나타났다. 과민성 장 증후군(IBS)군은 정상군에 비해 스트레스 점수가 높게 나타났으며(p<.001), IBS군과 정상군에 있어 식습관에는 유의한 차이가 없었다. ROME II에 의해 IBS를 진단 받은 대상자의 IBS관련 삶의 질은 세부항목 중 신체적 기능과 관련된 삶의 질 점수가 가장 낮았으며, 유형에 따른 에너지 관련 삶의 질에서 변비형이 가장 낮은 점수를 나타냈다. 결 론 이상의 연구결과를 통해 과민성 장 증후군을 가지고 있는 여대생의 경우 스트레스 지각정도가 높으므로 이와 관련된 건강증진 프로그램이 필요하며, 신체적 기능관련 삶의 질 향상을 위한 프로그램 개발이 우선적임을 알 수 있다.
Abstract
Background Irritable bowel syndrome (IBS) is associated with various uncomfortable abdominal symptoms, including the combination of continuous diarrhea and constipation. Although not fatal, IBS causes serious inconveniences and deteriorates the quality of life. To prevent and control symptoms, it is critical to improve habits of daily life focusing on diet and reducing stress. Methods Subjects included 1,456 female college students. ROME II was used to diagnose IBS and stress was measured using the Global Assessment of Recent Stress Scale Korean Version. A questionnaire put out by the Korean Dietetic Association (1991) was used to measure eating habits. The Irritable Bowel Syndrome Quality of Life (IBSQOL) was used to measure QOL related to IBS. Results The prevalence of IBS in this study was 25.7%. More specifically, diarrhea-type occupied 32.3%, constipation-type 42.0%, and non-specific 25.7%. Compared to the normal group, the IBS group scored higher stress (t=5.645, p<.000) while there were no significant differences in eating habits between the two. The lowest score in the IBSQOL was in physical function, and the diarrhea-type ranked energy-related QOL the lowest. Conclusions Based on this study, female students with IBS were highly perceptive to stress. Thus, appropriate health improvement programs are needed. Specifically, priority should be given to developing programs to improve physical function-related QOL.
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