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P249 Worries in IBD patient relatives. Why and how much do they worry?

E. Berroa, L. Fernández-Salazar*, B. Velayos, A. Macho, N. Alcaide, J.M. González

Hospital Clínico Universitario, Gastroenterology, Valladolid, Spain

Background

The Rating Form of IBD Patient Concerns (RFIPC) is a self-administered questionnarie covering 25 important worries graded from 0 to 100 with a horizontal visual analogue scale. These ítems can be resumed in factors. IBDQ32 expresses HRQoL in IBD patients. We want to establish the worries and concerns in IBD relatives, to compare relatives and patients worries and to analyze predictor for a high relative RFIPC sum score.

Methods

From June to September 2014 70 IBD patients with one relative or friend were asked to participate in our study. Finally 61 patients (22 UC and 39 CD) and 51 relatives accepted. The colaboration consisted in some basic questions, IBDQ32 and RFIPC answered by the patient and RFIPC answered by the relative. Five factors were identified with RFIPC factor analysis: "consequences", "social aspects", "intimacy/couple relationship", "surgery/assistance" and "physical appearance". Patient clinical data were obtained from medical charts. Spearman correlation and Wilcoxon test were used to compare patients and relatives factor and mean RFIPC sum scores. We analyzed predictors for a high relative RFIPC sum score with univariant and multivariant lineal regression analysis.

Results

Patients and relatives RFIPC sum scores were similar (47,1 DS19,8 vs 49,1 DS19,6, pNS). The factor with a highest score was "surgery/asistance" for patients and "consequences" for relatives. Relatives had a higher score than patients in the factor "consequences" (65,8 DS22,4 vs 56,7 DS23,5 p 0,019). "Medicine adverse event" was the most worrying item for patients (70,3 DS29,3) and "cancer risk" was the most worrying ítem for relatives (79,4 DS28,3). Spearman test showed correlation betwen patients and relatives in factors: "consequences" (r 0,299 p 0,039), "social aspects" (r 0,459 p 0,001), "intimacy/couple relationship" (r 0,327 p 0,021) and "surgery/assistance" (r 0,286 p 0,044). There was also Spearman correlation in 11 of the 25 items. Type of relationship, relative sex, time from the last corticosteroid treatment, time from surgery, patient RFIPC sum score and 11 of 32 IBDQ32 items predicted of a higher relative RFIPC sum score in the univariant analysis. Time from surgery and three (emotional) items in IBDQ32 were independent predictors of a higher relative RFIPC sum score.

Conclusion

Relatives and patients worries are not strictly the same. Relatives seem to worry about consequences of the disease more than patients. Some aspects of medical history and emotional aspects of patient QoL predict a higher relative RFIPC score.