经内镜结肠息肉电切患者心理应激反应及相关因素研究

The study on psychological stress reaction and related-factor in colon polyps patients undergoing colonoscopic polypectomy

目的:探讨引起内镜结肠息肉电切患者的心理应激反应的应激源,及其相关因素对应激水平、应对方式所产生的影响。方法:采用《患者一般资料调查表》、《应激源调查表》、《状态-特质焦虑问卷》、《自评抑郁量表》对64例患者进行测试,并进行相关性分析。结果:患者术前存在心理应激水平的升高,医疗费用支付形式、文化程度、内镜治疗经历与患者的焦虑程度有关,具有统计学意义(P<0.05)。结论:患者心理应激强度受多种因素影响,明确患者的心理应激原因及相关因素、进行针对性健康教育,可有效改善患者心理应激水平。

Objective： To explore the stressors what cause psychological stress response undergoing colonoscopic polypectomy to patients,and related factors which impact on the level of stress and coping style. Methods： Totally 64 patients were investigated and made a correlation analysis by the general information questionnaire, the stressor questionnaire, the state - trait anxiety inventory, self-rating depression scale. Results： The patients before operation had strongly psychological stress. It was related to payment forms of medical expenses, education and experience with endoscopic therapy with statistically significant （P 〈0.05）. Conclusion： The intensity of psychological stress is ＇affected by many factors. It can effectively improve the level of psychological stress in patients that knowing the cause and related factors of psychological stress for targeted health education.