择期手术的成年患者产生术前焦虑的相关因素分析

发布时间：2018-02-04 13:48

本文关键词： 术前焦虑应对方式社会支持人格　出处：《新疆医科大学》2007年硕士论文　论文类型：学位论文

【摘要】： 目的:探讨择期手术成年患者术前焦虑的发生情况及相关因素。方法:采用一般状况调查问卷、焦虑自评量表、社会支持评定量表、医学应对方式问卷、艾森克人格问卷对201例择期手术患者进行问卷调查。结果:201例病人中术前焦虑77例,占38.31%。相关分析揭示术前焦虑与担心麻醉医师与外科医生与自己交流不充分,患者对病情的知情程度、是否了解术前准备的内容及其意义、是否了解术前检查的内容及其意义、担心手术会影响家庭生活等认知因素和主观支持评分、社会支持总分、epq-E分等社会心理因素副相关,相关系数分别为-0.179、-0.183、-0.234、-0.192、-0.145、-0.274、-0.257、-0.217,P＜0.05,与担心医生对患者的诊断与病情不吻合、屈服应对方式、epq-N、P分分正相关,相关系数分别为0.170、0.376、0.175,P＜0.05。多元逐步回归分析示:人格N分、屈服应对评分、认知因素中的是否了解术前准备的内容及其意义等3项对焦虑有影响,R~2分别为0.141、0.045、0.022、P＜0.05。结论:神经质个性特征、屈服应对方式、认知因素中的是否了解术前准备的内容及其意义是影响术前焦虑的主要因素,有必要针对这些因素进行心理干预,从而为患者轻松愉快的接受手术提供了理论依据,提高麻醉质量和麻醉安全,缩短住院周期,提高临床效价比。
[Abstract]:Objective: to investigate the incidence and related factors of preoperative anxiety in adult patients undergoing elective surgery. Methods: general status questionnaire, Self-Rating anxiety scale, Social support rating scale and Medical coping style questionnaire were used. Eysenck Personality questionnaire (Eysenck Personality questionnaire) was conducted in 201 patients undergoing elective surgery. Results 77 of 201 patients were preoperatively anxious. Related analysis revealed that preoperative anxiety and concern that the anesthesiologist and the surgeon and their own communication is inadequate, the patient's knowledge of the disease, whether to understand the content and significance of preoperative preparation. Whether to understand the content and significance of preoperative examination, worry that surgery will affect the cognitive factors such as family life and subjective support score, social support total score epq-E score and other psychosocial factors. The correlation coefficients were -0.179U -0.183U -0.234U -0.192U -0.145U -0.274U -0.257U -0.217g (P < 0.05). There was a positive correlation between the score of epq-NNU P and that of the doctor's diagnosis and the patient's condition, the correlation coefficient was 0.170 ~ 0.376n ~ (0.175), respectively. P < 0.05. Multiple stepwise regression analysis showed that: personality N score, yield coping score, cognitive factors of whether to understand the content and significance of preoperative preparation had an impact on anxiety. RX2 was 0. 141 ~ 0. 045 ~ 0. 022 (P < 0. 05). Conclusion: neurotic personality characteristics, yield coping style. Cognitive factors of whether to understand the content and significance of preoperative preparation are the main factors affecting preoperative anxiety, it is necessary to carry out psychological intervention against these factors. It provides a theoretical basis for patients to accept surgery easily and pleasantly, improves the quality and safety of anesthesia, shortens the hospitalization period, and improves the clinical titer ratio.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R614;R395

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