内镜黏膜下剥离术患者术前焦虑现状及影响因素分析  

The Status and Influencing Factors of Anxiety in Preoperative Patients Undergoing Gastric Endoscopic Submucosal Dissection

作　　者：刘亚男[1] 于洪燕[1] 陈泓磊[1] LIU Yanan , YU Hongyan, CHEN Honglei(The Sixth Affiliated Hospital of Sun Yat - sen University, Guangzhou 510000, China)

机构地区：[1]中山大学附属第六医院,广东广州510000

出　　处：《现代医院》2018年第10期1557-1560,共4页Modern Hospitals

基　　金：广东省医学科研基金项目(编号:A2017273)

摘　　要：目的探讨内镜黏膜下剥离术患者的术前焦虑状况,并分析相关的影响因素。方法采用一般资料调查表、状态焦虑问卷、医学应对方式问卷和心理弹性量表对行内镜黏膜下剥离术的169名患者进行问卷调查。结果患者的术前焦虑得分为(49. 86±4. 68)分,处于较高水平。多元线性回归分析结果显示,影响患者焦虑水平的因素包括家庭人均月收入、屈服方式和心理弹性,标准化回归系数分别为-1. 127、0. 333、-0. 086(P <0. 05)。结论护理人员应关注内镜黏膜下剥离术患者的术前焦虑情况,针对经济水平较差、屈服应对疾病及心理弹性较差的患者提供相应的心理护理。Objective To investigate the anxiety status in preoperative patients with gastric endoscopic submueosal dissection and to analyse its related factors. Methods 169 preoperative patients undergoing gastric endoscopic submucosal dissection were investigated with general information questionnaire, State Anxiety Inventory, Medical Coping Mode Questionnaire and Conner - Davidson Resilience Scale. Results The anxiety score of preoperative patients undergoing gastric endoscopic submucosal dissection was （49. 86 ±4. 68 ）, which indicated a higher anxiety. The multiple linear regression analysis showed that factors influencing the anxiety level of patients including household per capita monthly income, resignation and resilience whose standardized regression coefficients were - 1. 127, 0. 333 and - 0. 086 respectively（P 〈 0. 05 ）. Conclusion The nursing staff should pay attention to patients＇ anxietysituation before the treatment of gastric endoscopic submucosal dissection. Corresponding psychological nursing should be given to those patients with poor economic level, yielding to disease and with poor resilience.

关 键 词：内镜粘膜下剥离术 病人 焦虑 影响因素分析 

分 类 号：R473.73[医药卫生—护理学]