手术室待术区患者心理复原力现状及影响因素分析

Analysis on the status and infl uencing factors of psychological resilience on patients in waiting area of operating room

目的了解手术室待术区患者心理复原力现状以及影响因素,分析其与手术患者术前焦虑的相关性,为缓解术前焦虑提供理论基础。方法对2020年12月—2021年6月山西省某三甲医院手术室待术区的手术患者进行调查,采用患者一般情况资料表、心理复原力量表(CD-RISC)、状态焦虑量表(S-AI)进行问卷调查。结果手术室待术区患者心理复原力总分58.54±14.57分,各维度分别为坚韧29.93±9.13分、力量20.36±6.37分、乐观9.25±4.47分,术前状态焦虑(S-AI)平均分值为44.69±9.29分;心理复原力与术前焦虑之间存在相关关系(P<0.01)。单因素及多因素分析结果显示,性别、文化程度、病程对患者在手术等待期间心理复原力水平有影响(P<0.05)。结论手术室待术区手术患者心理复原力水平较低并且与焦虑程度相关,性别、文化程度、病程会对患者在手术等待期间心理复原力水平产生影响,建议手术室医护人员通过了解患者心理复原力状况,帮助其提高心理复原力水平来缓解术前焦虑。

Objective To understand the status and influencing factors of psychological resilience on patients in the operating room waiting area,and to analyze the correlation with preoperative anxiety of patients,to provide a theoretical basis for the alleviation of preoperative anxiety.Methods From December 2020 to June 2021,the operation patients in the waiting area of the operating room of a GradeⅢhospital in Shanxi Province were investigated.The patients'general condition data sheet,Psychological Resilience Scale(CD-RISC)and State Anxiety Inventory(S-AI)were used to operate the questionnaire survey.Results The total score of psychological resilience was 58.54±14.57 points,the dimensions were tenacity 29.93±9.13 points,strength 20.36±6.37 points,optimism 9.25±4.47 points,the average score of preoperative State Anxiety Inventory(S-AI)was 44.69±9.29 points.There was a correlation between psychological resilience and preoperative anxiety(P<0.01).Univariate and multivariate analysis showed that gender,education level and disease course had an impact on the psychological resilience of patients during the waiting period(P<0.05).Conclusion Patients in waiting area of operating room had low level of psychological resilience and surgery patients associated with anxiety,gender,educational level,course of disease could eff ect the patients with psychological impact resilience level during operation waiting time,suggested that the operating room nurses through to understand the status of the patients psychological resilience,help them improve the level of psychological resilience to alleviate the preoperative anxiety.