肛肠手术患者术后疲劳认知现状调查及其影响因素分析

Investigation of fatigue cognitive status quo and analysis of influencing factors in anorectal surgery patients

目的:调查肛肠手术患者术后疲劳认知现状及分析其影响因素。方法:选取本院2019年9月—2023年9月收治的接受肛肠手术术后疲劳患者280例,分析肛肠手术患者术后疲劳的影响因素及其与术后疲劳的相关性。结果:重度组年龄、性别、文化程度、医疗费用来源、术后并发症、吸烟占比及VAS、PSQI以及POMS-SF量表评分均高于轻度组(P<0.05);中度组各指标均高于轻度组(P<0.05);年龄、术后并发症、VAS、PSQI、POMS-SF评分高均是肛肠手术患者术后疲劳的影响因素(P<0.05);年龄、术后并发症、VAS、PSQI、POMS-SF评分与肛肠手术患者术后疲劳程度均呈正相关(P<0.05)。结论:年龄大、术后并发症发生、VAS、PSQI、POMS-SF高评分是肛肠手术患者发生术后疲劳的独立危险因素,其与术后疲劳程度呈正相关。

Objective:To investigate the fatigue cognitive status quo and influencing factors of postoperative patients with anorectal surgery.Methods:A total of 280 patients admitted to our hospital from September 2019 to September 2023 who underwent anorectal surgery were selected to analyze the influencing factors of postoperative fatigue in patients with anorectal surgery and their correlation with postoperative fatigue.Results:Age,sex,education level,sources of medical expenses,postoperative complications,smoking proportion,high VAS,PSQI and OMS-SF scale scores in severe group were different from those in mild group(P<0.05).The indexes of moderate group were different from those of mild group(P<0.05).Age,postoperative complications,VAS,PSQI and POMS-SF scores were all factors influencing postoperative fatigue in anorectal surgery patients(P<0.05)and were positively correlated with postoperative fatigue degree of anorectal surgery patients(P<0.05).Conclusion:Age,postoperative complications,high scores of VAS,PSQI and POMS-SF are independent risk factors for postoperative fatigue in anorectal surgery patients,and they are positively correlated with postoperative fatigue degree.