家庭功能与社会支持对老年手术患者术前心理状态的影响

发布时间：2018-01-12 12:13

本文关键词：家庭功能与社会支持对老年手术患者术前心理状态的影响　出处：《重庆医学》2016年27期 　论文类型：期刊论文

【摘要】：目的了解老年手术患者家庭功能、社会支持、术前焦虑和抑郁状况,并探讨其相互关系。方法采用家庭功能评定量表(APGAR)、社会支持评定量表(SSRS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对术前老年患者进行调查,进行描述性分析和推断性分析。结果全部295例老年手术患者家庭功能良好208例(70.51%),家庭功能中度障碍67例(22.71%),家庭功能严重障碍20例(6.78%);社会支持总分(40.42±9.03)分,其中主观支持(23.32±5.42)分,客观支持(9.45±3.73)分,支持利用度(7.65±1.86)分;术前焦虑152例(51.53%),抑郁98例(33.22%)。焦虑和抑郁发生率家庭功能良好组低于家庭功能障碍组(P0.05);抑郁发生率社会支持高分组高于低分组(P0.05);社会支持总分、主观支持、客观支持和支持利用度得分家庭功能良好组高于家庭功能障碍组(P0.05)。多因素Logistic回归分析显示术前心理异常影响因素有文化程度、是否患肿瘤性疾病、社会支持总分和家庭功能状况。结论老年手术患者术前存在一定程度的焦虑和抑郁情绪,术前焦虑和抑郁情绪与家庭功能和社会支持存在相关。
[Abstract]:Objective to investigate the family function, social support, preoperative anxiety and depression in elderly patients, and to explore the relationship between them. Methods the family function assessment scale (APGARL) was used. Social support rating scale (SSRS), self rating anxiety scale (SAS) and self rating Depression scale (SDS) were used to investigate the elderly patients before operation. Results all 295 elderly patients had good family function in 208 cases (70.51%) and moderate dysfunctions in 67 cases (22.71%). There were 20 cases with severe family dysfunction. The total score of social support was 40.42 卤9.03, of which subjective support was 23.32 卤5.42 and objective support was 9.45 卤3.73. The score of support utilization was 7.65 卤1.86; There were 152 patients with preoperative anxiety and 98 patients with depression. The incidence of anxiety and depression in the patients with good family function was lower than that in the patients with family dysfunction (P 0.05). The incidence of depression in the high score group of social support was higher than that in the low group (P 0.05). Total score of social support, subjective support. The scores of objective support and utilization of support were higher in the group with good family function than in the group with family dysfunction (P 0.05). Multivariate Logistic regression analysis showed that the factors affecting psychological abnormality before operation were educational level. Conclusion there is a certain degree of anxiety and depression in the elderly patients before operation. Preoperative anxiety and depression were associated with family function and social support.
【作者单位】：广东医科大学公共卫生学院;广东医科大学研究生学院;广东医科大学第一临床学院;
【基金】：2016年广东大学生科技创新培育专项资金立项项目(pdjh2016b0220) 广东医学院大学生创新实验重点项目(2014ZZZF005)
【分类号】：R473.6
【正文快照】： 人口老龄化已成为全球性的社会问题,中国同样面临日益严峻的老龄化问题,随之而来的老年患者在逐年增加。有关老年患者的心理健康问题正逐步受到人们的关注。手术是一种有创性的医疗手段,加上对手术的不确定感,常会导致术前患者的心理反应更为强烈,往往出现焦虑、抑郁、恐惧等

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