择期手术病人术前心理健康状况的调查分析

Analysis of Preoperative Mental Health of Patients

目的 了解择期手术病人术前心理健康状况。方法 采用临床症状自评量表、自制术前心理应激相关因素量表测试了 10 2例择期手术病人 ,所获数据采用方差分析 ,求P值用t检验。结果 发现择期手术病人的SCL - 90得分除偏执、敌对 2因子外。其余因子平均分明显高于常模 (P <0 .0 5 ) ;心理应激相关因素分析显示各因子所起作用的大小依次为对手术不了解、术前处置及准备、惧怕手术意外等。结论 择期手术病人术前比普通人有更多的心理应激 ,针对心理应激原做好心理干预 。

Objective To understand the preoperative mental health of patients who was operated at a selecting time. Methods 102 patients were tested with the auto-evaluation table of the clinical symptoms and the self-made preoperative mental stress correlation factor table. The data obtained were tested with t. Results The patients' SCL-90 mark showed: the average marks of all the other factors were much higher than that of normal mode (P<0.05) except paranoid and hostile factors. The mental stress correlation factor analyses showed, the big or small roles that each factor played were, without understanding the operation, preoperative disposal and preparation,worrying about operative accident and so on. Conclusion Before operation the patients to be operated at a selecting time have more mental stress than that of the normal people.In accordance with mental stress making good preparations for mental interference is important to prevent postoperative complication and side effect.