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논문 상세정보

과민대장증후군 여대생을 위한 동기강화 자가관리 프로그램의 효과

The Effects of a Motivation-Enhanced Self-Management Program for Female College Students with Irritable Bowel Syndrome


Purpose: The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS. Methods: The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n= 24) participated in the all eight weekly MESM sessions, and the control group (n= 25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks. Results: The experimental group showed improvement in the IBS-SSS (p< .001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p= .008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p= .035), self-determined behavior (p= .023), and psychological distress (p= .044) compared to the control group. Conclusion: Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.


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핵심어 질문 논문에서 추출한 답변
기질적인 이상 없이 복통 혹은 복부불편감이 배변습관의 변화와 동반하여 발생하는 만성적인 기능성 장질환

과민성장증후군(irritable bowel syndrome, IBS)은 기질적인 이상 없이 복통 혹은 복부불편감이 배변습관의 변화와 동반하여 발생하는 만성적인 기능성 장질환으로[1] 전 세계적으로 IBS의 유병률은 약 10-20%이며, 국내 유병률 또한 6.6-9%로 매년 증가하는 추세이다[2].

과민성장증후군이 호발하는 성별은?
남성보다 여성에서 2-3배 더 흔하게 발생

6-9%로 매년 증가하는 추세이다[2]. 특히 IBS는 남성보다 여성에서 2-3배 더 흔하게 발생하며[3], 국내 여대생을 대상으로 한 연구의 유병률은 26.7%로 보고되었다[4].

전세계적으로 IBS의 유병률은?
약 10-20%

과민성장증후군(irritable bowel syndrome, IBS)은 기질적인 이상 없이 복통 혹은 복부불편감이 배변습관의 변화와 동반하여 발생하는 만성적인 기능성 장질환으로[1] 전 세계적으로 IBS의 유병률은 약 10-20%이며, 국내 유병률 또한 6.6-9%로 매년 증가하는 추세이다[2].

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참고문헌 (35)

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