胆道术后患者急性应激反应与心理弹性和焦虑的相关性

Correlation between acute stress response and mental resilience and anxiety after biliary tract surgery

目的调查胆道术后患者急性应激反应情况,探讨心理弹性、焦虑与急性应激反应的相关性。方法于2017年10月—2018年3月,选取唐山市某三级甲等医院203例胆道术后患者,采用自编的一般情况问卷、斯坦福急性应激反应问卷(SASRQ)、心理弹性量表(CD-RISC)和医院焦虑抑郁量表(HADS)进行调查。结果 203例胆道术后患者中有25.12%(51例)的患者有急性应激障碍(ASD),SASRQ得分为65.37±13.95;多元线性回归分析显示,家人有无患相同疾病、入院前发病次数、术后呕吐、术后腹痛、术后有无引流管、有无肝病史、焦虑和心理弹性是胆道术后患者SASRQ的影响因素(P<0.05)。结论胆道术后患者存在一定的急性应激反应,应降低其焦虑情绪和提高心理弹性,以便减少急性应激反应的发生,改善其身心健康。

[Objective]To investigate the acute stress reaction of patients after biliary tract surgery,and to explore the correlation between psychological resilience,anxiety and acute stress reaction.[Methods]From October 2017 to March 2018,203 cases of postoperative biliary tract patients in a tertiary hospital in Tangshan City were selected and investigated by self-designed general condition questionnaire,Stanford acute stress response quest ionnair e(SASRQ),psychological resilience scal e(cd-risc)and hospital anxiety and depression scale(HADS).[Results]Among the 203 patients after biliary tract surgery,25.12%(51 patients)had acute stress disorder(ASD),and the SASRQ score was 65.37±13.95.Multiple linear regression analysis show ed that the influencing factors of SASRQ in patients with biliary tract surgery were family members with or without the same disease,frequency of occurrence before admission,postoperative vomiting,postoperative abdominal pain,postoperative drainage tube,liver disease history,anxiety and psychological resilience(P<0.05).[Conclusion]Patients with certain acute stress reaction after biliary tract surgery should reduce their anxiety and improve their psychological resilience,so as to reduce the occurrence of acute stress reaction and improve their physical and mental health.