育龄期卵巢囊肿患者腹腔镜术后心理社会适应水平及其影响因素分析

Psychosocial Adaptation Level of Patients with Ovarian Cysts of Childbearing Age After Laparoscopic Surgery and Its Influencing Factors

目的分析育龄期卵巢囊肿(OC)患者腹腔镜术后社会适应水平及其影响因素。方法选择汝州市第一人民医院2018年11月至2020年11月收治的100例育龄期OC患者为研究对象。所有患者均接受腹腔镜手术治疗,出院时对患者均采用疾病心理社会适应量表(PAIS-SR)评估其心理社会适应水平,统计患者临床资料,比较不同特征(年龄、病程、受教育程度、婚姻情况、家庭平均月收入、居住地、工作状态、医保类型、社会支持、希望水平)育龄期OC患者腹腔镜术后PAIS-SR评分,分析可能导致育龄期OC患者腹腔镜术后心理社会适应水平变化的影响因素。结果100例育龄期OC患者腹腔镜术后PAIS-SR评分为18~103分,平均(51.96±14.20)分,心理社会适应水平处于中差水平;不同特征育龄期OC患者术后PAIS-SR评分在病程、社会支持度、希望水平上比较,差异有统计学意义(P<0.05);其他不同特征(年龄、受教育程度、婚姻情况、家庭月收入、医保类型)育龄期OC患者腹腔镜术后PAIS-SR评分比较,差异无统计学意义(P>0.05);经多元线性回归分析,提示病程<3个月、具有一般社会支持度、低希望水平均为育龄期OC患者腹腔镜术后心理社会适应水平差的影响因素(P<0.05)。结论育龄期OC患者腹腔镜术后心理社会适应水平属于中差水平,育龄期OC患者受病程<3个月、具有一般社会支持度、低希望水平等因素的影响,可能会导致其腹腔镜术后心理社会适应水平较差,可针对以上因素进行干预,以此提高患者心理社会适应水平。

Objective To analyze the psychosocial adaptation level of patients with ovarian cyst(OC)of childbearing age after laparoscopic surgery and its influencing factors.Methods One hundred OC patients of childbearing age treated in Ruzhou First People’s Hospital from November 2018 to November 2020 were prospectively selected as the research subjects.All patients underwent laparoscopic surgery for treatment,at the time of discharge,the psychosocial adaptation level of all patients were assessed with self-report psychosocial adjustment to illness scale(PAIS-SR).The clinical data were collected.The PAIS-SR scores of OC patients of childbearing age with different characteristics(age,course of disease,education level,marital status,average monthly family income,residence,work status,medical insurance type,social support,hope level)after laparoscopic surgery were compared.The influencing factors that might lead to the changes of psychosocial adaptation in OC patients of childbearing age after laparoscopic surgery were analyzed.Results The PAIS-SR score of 100 OC patients of childbearing age after laparoscopic surgery were 18-103 points,with an average of(51.96±14.20)points,the level of psychosocial adaptation of OC patients of childbearing age after laparoscopic surgery was in the medium to poor level.There was difference on the course of disease,social support degree and hope level among OC patients of childbearing age with different characteristics(P<0.05).There were no differences in PAIS-SR score among OC patients of childbearing age with other different characteristics(age,education level,marital status,monthly family income,medical insurance type)after laparoscopic surgery(P>0.05).Multiple linear regression analysis showed that the course of disease<3 months,general social support and low level of hope were the influencing factors of poor psychosocial adaptation in OC patients of childbearing age after laparoscopic surgery(P<0.05).Conclusion The level of psychosocial adaptation of OC patients of childbearing age after laparoscopic surgery is moderate to poor.OC patients of childbearing age are affected by the course of disease<3 months,general social support and low level of hope,which may lead to poor psychosocial adaptation after laparoscopic surgery.The above factors can be intervened to improve the psychosocial adaptation level of patients.