Background

To decision to undergo surgical intestinal resection is among the most difficult that patients with inflammatory bowel disease (IBD) may be required to make during the disease course. Although the clinical outcomes and QoL after intestinal resection are well established, few studies have focused on psychological acceptance of the surgery, that is, how patients feel about the results of intestinal resection. The aim of this study was therefore to evaluate psychological acceptance of the surgical outcome in patients undergoing intestinal resection.

Methods

We administered a cross-sectional questionnaire survey to patients at five IBD centres in Japan who had undergone intestinal resection at least 1 month before the survey. Patients were asked to complete a visual analogue scale (VAS) questionnaire, consisting of 20 questions related to surgical acceptance and concerns related to IBD (body image, burden of treatment, interpersonal relationships), before and after surgery. The VAS scores before surgery were described by the patient looking back on recollection. Pre- and post-surgical VAS scores were compared using a Wilcoxon’s rank-sum test.

Results

A total of 64 patients participated in this study (median age at surgery 37.9 (range 12–67) years, median years after surgery 5.0 (range 0.1–21) years). The VAS scores before and after surgery were summarised in the figure. The score for ‘pleased to have surgical resection of my intestine’ improved significantly after the surgery in both UC and CD (p < .0001).Furthermore, the score for ‘burdened with treatment for my IBD’ improved significantly after surgery in UC patients (p < .0001).

Conclusion

Our findings indicate that surgical intestinal resection outcomes were psychologically well accepted by most IBD patients.

中文翻译：

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P564肠切除的炎症性肠病患者手术的心理接受

背景

决定进行外科手术肠切除是炎症性肠病（IBD）患者在病程中可能需要做的最困难的事情之一。尽管肠道切除术后的临床结局和生活质量已得到很好的确立，但很少有研究集中于手术的心理接受性，即患者对肠道切除结果的感觉如何。因此，本研究的目的是评估接受肠切除的患者对手术结局的心理接受程度。

方法

我们对日本五个IBD中心在调查前至少1个月接受了肠切除术的患者进行了横断面问卷调查。要求患者在手术前后填写一个视觉模拟量表（VAS）调查表，其中包括20个与手术接受性有关的问题以及与IBD有关的问题（身体形象，治疗负担，人际关系）。回顾回忆，患者描述了手术前的VAS评分。使用Wilcoxon的秩和检验比较手术前后的VAS评分。

结果

共有64位患者参加了这项研究（手术中位年龄37.9（范围12-67）岁，手术后中位年龄5.0（范围0.1-21）岁）。图中总结了手术前后的VAS评分。UC和CD手术后，``乐于接受肠切除手术''的评分均显着改善（p <.0001）;此外，UC患者手术后``负担我的IBD负担''的评分显着提高（p <.0001）。

结论

我们的研究结果表明，手术肠切除结局在心理上被大多数IBD患者接受。