甲状腺乳腺手术病人术前焦虑水平、人格特征对术后恢复的影响分析  

Thyroid and Breast Surgery Patients Preoperative Anxiety Level and Personality Characteristics Analysis of Postoperative Recovery

作　　者：付薇[1] 霍薇[1] 高薇[1] 周方慧[1] 王晶[1] 崔岩[1] 

机构地区：[1]哈尔滨医科大学附属第一临床医学院普外科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2012年第6期1153-1156,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨甲状腺、乳腺患者术前不同程度的焦虑水平及人格特征对术后恢复的影响。方法:选取我院普外科2010年7月--2011年7月甲状腺乳腺手术病人1500例,采用焦虑自评量表SAS进行焦虑程度评估,采用卡特尔16种人格因素测验(16PF)对患者进行人格特征测定。结果:甲状腺、乳腺患者术前焦虑水平与术后并发症、卧床时间、住院时间、心理适应、镇痛药使用次数五个指标存在关联性,P均<0.05;甲状腺、乳腺患者术后恢复状况与O(忧虑性)、Q4(紧张性)、(I敏感性)、C(稳定性)及A(乐群性)呈现相关性,P均<0.05,与其它因子均无相关性。结论:患者术前焦虑水平及人格特征对术后恢复有一定的影响,护理人员要及时了解患者的心理,及时给予调节和治疗,使患者以积极的心态顺利度过围手术期,保障住院患者的安全,促进患者康复和预后。Objective： To investigate the effect of the thyroid and breast preoperative anxiety level and personality characteristics on postoperative recovery.Methods： 1500 cases of thyroid breast surgery patients were chosen,SAS was used for self-rating anxiety scale assessed anxiety,Cattell＇s16 PersonalityFactorTest（16PF）wasused forpersonalitycharacteristicsofpatientsdetermination.Results： Thyroid and breast preoperative anxiety and postoperative complications,bed time,hospital stay,psychological adjustment,the number of analgesic use five indicators of association,P 0.05;Thyroid,breast,and postoperative recovery of O（anxiety）,Q4（tension）,I（sensitivity）,C（stability） and A（Lok Kwan） showed correlation,P0.05,but they were not correlated with other factors.Conclusion： Preoperative anxiety and postoperative recovery of personality characteristics have an impact on the nursing staff to keep abreast of the patient＇s psychological adjustment and timely treatment of patients with a positive attitude to survive the perioperative period to ensure the safety of hospitalized patients and promote patient rehabilitation and prognosis.

关 键 词：甲状腺乳腺病人 焦虑水平 人格特征 术后恢复 

分 类 号：R581[医药卫生—内分泌] R473.6[医药卫生—内科学]