介入治疗患者术前焦虑水平及其影响因素

Pre-Operative Anxiety of Patients Receiving Intervention Therapy

目的:评估介入治疗患者的焦虑水平,探讨产生焦虑情绪的影响因素。方法:对98例准备接受介入治疗的心血管、脑血管和肿瘤病人施测焦虑自评量表(SAS)、社会支持问卷(SSRS)和中国人人格量表(QZPS)。结果:1.病人的SAS 总均分(33.84±15.0)显著高于常模组(29.78±0.5)(t=2.48.P<0.05);心血管、脑血管和肿瘤病人的SAS 总分分别为39.6±13.4,28.6±16.3,32.4±14.9,差异有统计学意义(F=3.90,P<0.05);2.受教育程度高与病人的焦虑分数存在显著的负相关(r=-0.55,P<0.01),主观社会支持与焦虑水平有显著负相关(r=-0.55,P<0.01);3.人格特质是影响焦虑水平的重要因素,相关和回归分析的结果表明,耐性、乐观、宽和、合群等人格因素对焦虑水平具有预测力(R^2=0.40)。结论:介入治疗患者在接受治疗前会产生焦虑情绪,受教育程度和人格特征与焦虑水平密切相关。

Objeetive： Assess levels of anxiety and antecedent factors of patients before treated by intervention therapy. Methods： Self-report Anxiety Scale （SAS）, Social Support Scale （SSRS） and Chinese Personality Scale （QZPS） were applied to ninety-eight patients with cardio-vascular, cerebral-vascular disease and tumor before intervention therapy. Results： 1. Patients have higher SAS scores （33.84± 15.0） than the norm （29.78±0.5, t=2.48,P〈0. 05）,and patients with different diseases （cardio-vascular, cerebral-vascular and tumor） differed significantly on SAS （39.6± 13.4,28.6± 16.3,32.4± 14.9 respectively, F=3.90, P〈0.05）; 2. Patients have more years of education and more subjective social support showed less anxiety （r= -0.55, P〈0.01）; 3. Personality traits were found to have important influence on patients＇ anxiety level. Correlation and regression analysis indicated that the Patience, Optimistic, Generous, and Gregariousness of QZPS could predict levels of SAS （ R^2=0.40 ）. Conclusion： Years of education and personality characteristics could significantly influence levels of anxiety for patients before intervention therapy.