子宫内膜息肉宫腔镜术后患者自我效能感情况及影响因素分析

Analysis of the self-efficacy of patients with endometrial polyp after hysteroscopic surgery and its influencing factors

目的:分析子宫内膜息肉(EP)患者宫腔镜术后的自我效能感状况及影响因素。方法:收集2022年1月-2023年3月在本院接受宫腔镜手术治疗的100例EP患者临床资料,分析患者术后自我效能感及其相关影响因素。结果:100例术后一般自我效能感量表评分21.85±4.20分,效能低组(35例,35%)未婚和离异占比、术后并发症发生率、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均高于效能良好组(65例),社会支持评定量表(SSRS)评分低于效能良好组(均P<0.05);logistic回归分析显示,未婚、术后出现并发症、HAMA评分≥11.98分、HAMD评分≥14.30分、SSRS评分<28.23分均是EP患者宫腔镜手术后自我效能感下降的影响因素(均P<0.05)。结论:EP患者宫腔镜术后自我效能感评分较低,未婚、术后出现并发症、负面情绪严重、社会支持度低均是影响患者术后自我效能感的主要因素。

Objective:To analyze the self-efficacy of patients with endometrial polyp(EP)after hysteroscopic surgery,and to study its influencing factors of the self-efficacy of the patients.Methods:The clinical data of 100 patients with EP who received hysteroscopic surgery in the hospital from January 2022 to March 2023 were collected.The postoperative self-efficacy of the patients was analyzed,and the related factors affecting the postoperative self-efficacy of the patients were also analyzed.Results:The average score of the general self-efficacy scale(GSES)of 100 patients was 21.85±4.20 points.There were 35(35%)patients with low self-efficacy in group A and 65(35%)patients with high self-efficacy in group B.The proportion of the unmarried or divorced patients,the incidence of the postoperative complications,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)of the patients in group A were significantly higher than those of the patients in group B,and the score of social support rating scale(SSRS)of the patients in group A was significantly lower than that of the patients in group B(all P<0.05).Logistic regression analysis showed that the unmarried,the postoperative complications,the HAMA score≥11.98 points,the HAMD score≥14.30 points and the SSRS score<28.23 points of the patients with EP were the influencing factors of their postoperative declined self-efficacy(all P<0.05).Conclusion:After hysteroscopic surgery,the self-efficacy of the patients with EP is low.The unmarried,the postoperative complications,the severity of negative emotions and the low social support of the patients with EP are the main factors affecting their postoperative self-efficacy.