| Objectives To explore:(1)the main complaints,long-term symptoms,number of symptoms and their influencing factors of digestive tract diseases;(2)the correlation between symptoms of different digestive tract diseases.Provide a basis for optimizing the outpatient service of the digestive medicine clinic and the disease management of the integration of medicine and prevention based on the digestive clinic.Methods Select patients from the gastroenterology clinics of public hospitals above the second level and some patients with chronic diseases in the community as the survey subjects.Use self-designed and developed web questionnaires,paper questionnaires,and patient process observations to conduct the survey,using Microsoft Excel 2010 As well as SPSS19.0 for data analysis,the data analysis includes:(1)Basic information of the survey object;(2)Complaints of digestive tract diseases and long-term symptoms of respondents recruited from hospitals;(3)Single factor analysis of main complaints and long-term symptoms of digestive tract diseases of respondents recruited from hospitals;(4)Binomial multivariate logistic regression analysis of the main complaints of digestive tract diseases and long-term symptoms of respondents recruited from hospitals;(5)Cluster analysis of the main complaints and long-term symptoms of digestive tract diseases of respondents recruited from hospitals;(6)Single factor analysis of the main complaints and long-term symptoms of digestive tract disease of respondents recruited from hospitals;(7)Comparison of the incidence of long-term symptoms of digestive tract disease of respondents recruited from community and respondents recruited from hospitals;(8)Questionnaire survey status of respondents recruited from hospitals and patient visits process observation comparison.Results(1)Basic information of respondents: A total of 789 hospital respondents and3347 community respondents were surveyed in this study.After eliminating the questionnaires with many missing ones,a total of 714 valid hospital questionnaires and 3347 valid community questionnaires were recovered,with the effective rate of hospital questionnaires being 90.5%.Among the hospital respondents,there were 343 males,accounting for 48.0%,and 371 females,accounting for 52.0%.Among the community respondents,there were 1,329 males,accounting for 39.7%,and 2,018 females,accounting for 60.3%.The average age of the hospital respondents was(50.54±14.65)years old,and that of the community respondents was(57.51±10.70)years old.(2)Symptoms of digestive tract diseases of respondents recruited from hospitals: among the chief complaints of symptoms of upper digestive tract diseases,162 patients(22.7%)saw a doctor because of "stomachache".Among the chief symptoms of lower digestive tract diseases,87 patients(12.2%)saw the doctor because of "abdominal pain".Among the long-term symptoms of upper digestive tract diseases,the number of patients with "frequent or repeated stomach distention" was the largest,accounting for 17.60%.Among the long-term symptoms of lower digestive tract diseases,the number of patients with "unformed stools or thin stools" was the largest,accounting for 9.2%(64 patients).(3)Analysis results of influencing factors for symptoms of digestive tract diseases of respondents recruited from hospitals: Age had a statistical effect on "bloating"(P= 0.042),"unformed or thin stools"(P= 0.012),long-term symptoms "frequent or repeated bloating"(P= 0.007),"frequent or repeated diarrhea"(P=0.049),and "frequent or repeated unformed or thin stools"(P=0.047)Learn meaning;The drinking history(P=0.032)had statistical significance on the chief symptoms of "stomachache"(P=0.032),"bad appetite or bad eating taste"(P=0.032),long-term symptoms of "frequent or repeated stomachache"(P=0.003)and "frequent or repeated abdominal distension"(P=0.009).Education level of the chief symptoms of "stomach distension"(P= 0.045),"unformed or thin stools"(P= 0.003),long-term symptoms of "frequent or repeated abdominal distension"(P= 0.023),"frequent or repeated diarrhea"(P=0.002),"frequent or repeated unformed or thin stools"(P=0.021).The effect was statistically significant.A family history of cancer had statistically significant effects on the chief symptoms of "repeated belching or belching"(P<0.001),"heartburn"(P=0.012),and long-term symptoms of "frequent or repeated repeated belching or belching"(P=0.001).(4)Results of binomial multivariate logistic regression analysis of digestive tract disease of respondents recruited from hospitals: Patients aged 40-54 years were more likely to suffer from "belching OR belching" and "heartburn" than those aged ≤ 39 years(OR=2.382;OR = 1.024);In terms of education level,patients with high school education OR above were less likely to have "stomachache","stomach distension" and "frequent OR repeated stomach distension" than patients without school education(OR=0.413;OR = 0.169;OR=0.356),but more prone to "diarrhea"(OR=1.275),"unformed stool OR thin stool"(OR=1.344);Patients with a family history of cancer were more likely to have "belching OR belching"(OR=3.154),"heartburn"(OR=3.833),and "frequent OR repeated belching OR belching"(OR=1.976)than those without a family history of cancer.Those with a history of alcohol consumption were more likely to have "frequent OR recurrent stomachache" than those without a history of alcohol consumption(OR=3.470).(5)Analysis results of influencing factors for the number of symptoms of digestive tract diseases of respondents recruited from hospitals: the distribution difference of the number of symptoms complained of upper digestive tract diseases was statistically significant in whether there was history of taking medicine for upper digestive tract diseases(P <0.001)and education level(P=0.041);The distribution difference of symptom number in education level(P=0.017),marital status(P=0.042),systolic blood pressure group(P=0.015)and history of taking medicine for diseases of lower gastrointestinal tract(P< 0.001)was statistically significant.The distribution difference of the number of long-term symptoms of upper gastrointestinal diseases was statistically significant in whether they had medication history for upper gastrointestinal diseases(P < 0.001)and marital status(P=0.012).(6)Comparison of long-term symptoms of digestive tract diseases in hospital and community respondents: Hospital survey population and community survey on "often appeared poor appetite or anorexia," stool "harden or solution difficulty","defecate carries blood or mucus or black" long-term incidence of symptoms aspects had significant statistical significance(P < 0.005).(7)The digestive tract symptoms questionnaire for situation and clinic observation comparison results of respondents recruited from hospitals: "Food reflux or acid reflux"(P=0.026),"stool hardened or difficult to defecate"(P=0.034),and "black stool"(P=0.019)had statistical significance in the distribution of the symptoms of digestive tract disease questionnaire and the observation of the process of treatment.Conclusion(1)Among the patients in the hospital’s gastroenterology department,the number of patients with upper gastrointestinal diseases was far more than that of lower gastrointestinal diseases.(2)Patients with different disease symptoms had different influencing factors,prompting us to fully consider these influencing factors when intervening in the later stage of the patient,and combining the patient’s own factors and analyzing the specific symptoms in order to achieve a better personalized intervention effect.(3)There was a big difference between the respondents recruited from hospitals and the respondents recruited from community,and health education knowledge should be promoted frequently in the community to improve the health knowledge level and self-care awareness of the community population.(4)Doctors cannot fully understand the patient’s disease symptoms due to time constraints and other reasons,and should optimize the outpatient process of gastroenterology. |
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