达芬奇机器人辅助全子宫切除术后患者正念影响因素的线性回归及改善策略分析  

Linear regression analysis on mindfulness influencing factors in patients undergoing Da Vinci robot-assisted total hysterectomy and its improvement strategy

作　　者：赵栎珺 张亚敏 蔺黎 张洁[3] ZHAO Yuejun;ZHANG Yamin;LIN Li;ZHANG Jie(Department of Anesthesiology and Surgery,Northwest Women’s and Children’s Hospital,Xi’an 710061,China;Department of Cardiovascular Medicine,the First Affiliated Hospital of Air Force Medical University,Xi’an 710032,China;Operating Room,the First Affiliated Hospital of Xi’an Jiao tong University,Xi’an 710061,China)

机构地区：[1]西北妇女儿童医院麻醉手术科,陕西西安710061 [2]空军军医大学第一附属医院心血管内科,陕西西安710032 [3]西安交通大学第一附属医院手术室,陕西西安710061

出　　处：《机器人外科学杂志（中英文）》2024年第3期466-471,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(81690053)。

摘　　要：目的:分析达芬奇机器人辅助下广泛性全子宫切除术患者正念水平影响因素及相应护理对策。方法:回顾性收集2023年1月—2023年9月在西北妇女儿童医院接受达芬奇机器人辅助下广泛性全子宫切除术的80例患者的临床资料。收集患者人口学及临床资料,采用正念注意觉知量表(MAAS)评估患者正念水平,采用社会影响量表(SIS)、领悟社会支持量表(PSSS)评估患者社会支持度及病耻感。分析不同临床特征达芬奇机器人辅助下广泛性全子宫切除术患者正念水平的差异,评估患者正念水平与病耻感、社会支持的相关性,并采用多元线性回归分析影响达芬奇机器人辅助下广泛性全子宫切除术患者正念水平的危险因素。结果:不同文化程度、不同月收入患者的正念水平存在显著差异,多元线性回归分析发现,文化程度、病耻感、社会支持度是广泛性全子宫切除术患者正念水平影响因素,可解释总变异的84.2%(P<0.05)。结论:文化程度、病耻感、社会支持度是广泛性全子宫切除术患者正念水平的影响因素,临床还需采取针对性干预措施,提高患者的正念水平,促进患者术后恢复和心理健康。Objective:To analyze the factors affecting the mindfulness level in patients undergoing Da Vinci robot-assisted extensive total hysterectomy,and propose corresponding nursing countermeasures.Methods:A total of 80 patients who underwent Da Vinci robot-assisted extensive total hysterectomy in Northwest Women’s and Children’s Hospital from January 2023 to September 2023 were selected.Demographic and clinical data of the 80 patients were collected.Mindfulness Attention Awareness Scale(MAAS)was used to assess patients’mindfulness level.Social Support Scale(SIS)and perceptive Social Support Scale(PSSS)were used to assess patients’social support,health-related shame,and social support.The difference of mindfulness level in patients with different clinical characteristics underwent Da Vinci robot-assisted extensive total hysterectomy were analyzed,and the correlation between mindfulness level,health-related shame,and social support were evaluated.The risk factors affecting mindfulness level in Da Vinci robot-assisted extensive total hysterectomy were analyzed using multiple linear regression.Results:There were significant differences in mindfulness level among patients with different education levels and monthly incomes.Multiple linear regression analysis showed that education level,health-related shame,and social support were mindfulness level affecting factors in patients Da Vinci robot-assisted extensive total hysterectomy,which accounts for 84.2%of the total variation(P<0.05).Conclusion:Education level,health-related shame and social support were factors affecting the mindfulness level of patients underwent Da Vinci robot-assisted extensive total hysterectomy.Clinical intervention measures should be targeted to improve the mindfulness level to promote patients’postoperative recovery and mental health.

关 键 词：线性回归 手术机器人 广泛性全子宫切除术 危险因素 

分 类 号：R608[医药卫生—外科学] R713[医药卫生—临床医学]