本文關(guān)鍵詞： 術(shù)前焦慮 應(yīng)對方式 社會支持 人格　出處：《新疆醫(yī)科大學(xué)》2007年碩士論文　論文類型：學(xué)位論文

【摘要】： 目的:探討擇期手術(shù)成年患者術(shù)前焦慮的發(fā)生情況及相關(guān)因素。方法:采用一般狀況調(diào)查問卷、焦慮自評量表、社會支持評定量表、醫(yī)學(xué)應(yīng)對方式問卷、艾森克人格問卷對201例擇期手術(shù)患者進行問卷調(diào)查。結(jié)果:201例病人中術(shù)前焦慮77例,占38.31%。相關(guān)分析揭示術(shù)前焦慮與擔(dān)心麻醉醫(yī)師與外科醫(yī)生與自己交流不充分,患者對病情的知情程度、是否了解術(shù)前準(zhǔn)備的內(nèi)容及其意義、是否了解術(shù)前檢查的內(nèi)容及其意義、擔(dān)心手術(shù)會影響家庭生活等認知因素和主觀支持評分、社會支持總分、epq-E分等社會心理因素副相關(guān),相關(guān)系數(shù)分別為-0.179、-0.183、-0.234、-0.192、-0.145、-0.274、-0.257、-0.217,P＜0.05,與擔(dān)心醫(yī)生對患者的診斷與病情不吻合、屈服應(yīng)對方式、epq-N、P分分正相關(guān),相關(guān)系數(shù)分別為0.170、0.376、0.175,P＜0.05。多元逐步回歸分析示:人格N分、屈服應(yīng)對評分、認知因素中的是否了解術(shù)前準(zhǔn)備的內(nèi)容及其意義等3項對焦慮有影響,R~2分別為0.141、0.045、0.022、P＜0.05。結(jié)論:神經(jīng)質(zhì)個性特征、屈服應(yīng)對方式、認知因素中的是否了解術(shù)前準(zhǔn)備的內(nèi)容及其意義是影響術(shù)前焦慮的主要因素,有必要針對這些因素進行心理干預(yù),從而為患者輕松愉快的接受手術(shù)提供了理論依據(jù),提高麻醉質(zhì)量和麻醉安全,縮短住院周期,提高臨床效價比。
[Abstract]:Objective: to investigate the incidence and related factors of preoperative anxiety in adult patients undergoing elective surgery. Methods: general status questionnaire, Self-Rating anxiety scale, Social support rating scale and Medical coping style questionnaire were used. Eysenck Personality questionnaire (Eysenck Personality questionnaire) was conducted in 201 patients undergoing elective surgery. Results 77 of 201 patients were preoperatively anxious. Related analysis revealed that preoperative anxiety and concern that the anesthesiologist and the surgeon and their own communication is inadequate, the patient's knowledge of the disease, whether to understand the content and significance of preoperative preparation. Whether to understand the content and significance of preoperative examination, worry that surgery will affect the cognitive factors such as family life and subjective support score, social support total score epq-E score and other psychosocial factors. The correlation coefficients were -0.179U -0.183U -0.234U -0.192U -0.145U -0.274U -0.257U -0.217g (P < 0.05). There was a positive correlation between the score of epq-NNU P and that of the doctor's diagnosis and the patient's condition, the correlation coefficient was 0.170 ~ 0.376n ~ (0.175), respectively. P < 0.05. Multiple stepwise regression analysis showed that: personality N score, yield coping score, cognitive factors of whether to understand the content and significance of preoperative preparation had an impact on anxiety. RX2 was 0. 141 ~ 0. 045 ~ 0. 022 (P < 0. 05). Conclusion: neurotic personality characteristics, yield coping style. Cognitive factors of whether to understand the content and significance of preoperative preparation are the main factors affecting preoperative anxiety, it is necessary to carry out psychological intervention against these factors. It provides a theoretical basis for patients to accept surgery easily and pleasantly, improves the quality and safety of anesthesia, shortens the hospitalization period, and improves the clinical titer ratio.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2007
【分類號】：R614;R395

【引證文獻】

相關(guān)期刊論文 前1條

1 謝敏;孫曉嘉;;術(shù)前焦慮的研究現(xiàn)狀及進展[J];衛(wèi)生職業(yè)教育;2012年15期

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本文編號：1490361