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    普外科手術患者術前心理困擾情況及其影響因素分析

    來源:用戶上傳      作者:王偉娜 袁麗 喬曉斐 莢衛東 胡何節

      摘 要 目的:通^調查普外科手術患者術前心理困擾情況,分析影響患者心理的相關因素。方法:于2021年1―3月期間采用便利抽樣方法選取中國科學技術大學附屬第一醫院(安徽省立醫院)普外科收治的177例手術患者作為調查對象進行問卷調查,問卷內容包括一般資料問卷、心理痛苦溫度計和問題列表。本次調查共發放177份問卷,回收有效問卷177份,問卷有效回收率為100.0%。結果:177例普外科手術患者中,有98例患者的心理痛苦溫度計得分≥4分,即心理困擾檢出率為55.4%。年齡<60歲、夜間睡眠時長<7 h、陪護家屬存在心理困擾、無合并癥的患者心理困擾檢出率較高,差異均有統計學意義(P<0.05)。患者術前心理困擾的前5位問題分別為“擔憂”“疼痛”“緊張”“經濟問題”和“外表/形體”,其中“擔憂”是造成患者術前心理困擾的最主要因素。結論:無論手術級別大小,醫務人員均應耐心為患者進行詳細的術前講解,認真評估患者的心理狀態,并關注年齡<60歲、睡眠質量較差、家屬存在心理困擾和無合并癥的手術患者。
      關鍵詞 普外科手術患者;術前;心理困擾;影響因素
      中圖分類號:R395 文獻標志碼:A 文章編號:1006-1533(2022)14-0011-04
      引用本文 王偉娜, 袁麗, 喬曉斐, 等. 普外科手術患者術前心理困擾情況及其影響因素分析[J]. 上海醫藥, 2022, 43(14): 11-14; 25.
      Analysis of preoperative psychological distress and the influencing factors in patients undergoing general surgery
      WANG Weina, YUAN Li, QIAO Xiaofei, JIA Weidong, HU Hejie
      [Department of General Surgery of the First Hospital Affiliated to University of Science and Technology of China (Anhui Provincial Hospital) Hefei 230001, China]
      ABSTRACT Objective: By investigating the preoperative psychological distress of general surgery patients, to analyze the related factors affecting the psychology of the patients. Methods: From January to March 2021, the convenience sampling method was used to select 177 surgical patients in the Department of General Surgery in the First Hospital Affiliated to University of Science and Technology of China as the survey subjects for a questionnaire survey. The contents of the questionnaire included general information questionnaire, psychological pain thermometer and question list. A total of 177 questionnaires were distributed in this survey, 177 valid questionnaires were recovered, and the effective recovery rate of the questionnaire was 100.0%. Results: Among the 177 patients undergoing general surgery, 98 patients had a psychological distress thermometer score of ≥4 points, that was the detection rate of psychological distress was 55.4%. The detection rate of psychological distress was higher in patients with age<60 years, night sleep<7 h, family members with psychological distress, and no complications, and the difference was statistically significant(P<0.05). The top five problems of the patients’ preoperative psychological distress were“worry”, “pain”, “stress”, “economic problems” and “appearance/shape”, among them, "worry" was the most important factor causing preoperative psychological distress in patients. Conclusion: Regardless of the level of surgery, medical staff should be patient for patients with detailed preoperative explanation, carefully assess the psychological state of patients, and pay attention to patients less than 60 years old, poor sleep quality, family members with psychological distress and no complications.

    nlc202208181536



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