胆囊结石腹腔镜胆囊切除术患者术后心理痛苦现状及其影响因素分析  

Analysis of postoperative psychological pain status and influencing factors in patients undergoing laparoscopic cholecystectomy for gallstones

作　　者：宋丽霞 宋琪琪 谭珊珊 SONG Lixia;SONG Qiqi;TAN Shanshan(Surgery Department,Yishui County Mental Health Center,Linyi 276420,China;Internal Medicine Department,Yishui County Mental Health Center,Linyi 276420,China;Yishui County Center for Disease Control and Prevention,,Linyi 276420,China)

机构地区：[1]沂水县精神卫生中心外科,山东临沂276420 [2]沂水县精神卫生中心内科,山东临沂276420 [3]沂水县疾控中心,山东临沂276420

出　　处：《心理月刊》2025年第4期33-35,共3页

摘　　要：目的调查胆囊结石腹腔镜胆囊切除术患者术后心理痛苦现状,分析其影响因素。方法回顾性分析2021年7月~2024年7月于沂水县精神卫生中心行腹腔镜胆囊切除术的82例胆囊结石患者的临床资料,采用心理痛苦温度计(DT)评估心理痛苦程度,并收集患者的一般资料,采用单因素、多元线性回归分析影响胆囊结石腹腔镜胆囊切除术后患者心理痛苦的相关因素。结果(1)82例胆囊结石腹腔镜胆囊切除术患者DT评分为4.95±1.12分;(2)单因素显示,家庭人均月收入、受教育程度、锻炼频率、心理弹性评分、睡眠质量评分、社会支持与胆囊结石腹腔镜胆囊切除术后患者心理痛苦有关(P<0.05);(3)多元线性回归分析显示,家庭人均月收入、受教育程度、锻炼频率、心理弹性、睡眠质量与社会支持是影响胆囊结石腹腔镜胆囊切除术后患者心理痛苦的影响因素(P<0.05)。结论胆囊结石腹腔镜胆囊切除术后患者术后心理痛苦处于中等水平,与家庭人均月收入、受教育程度、锻炼频率、心理弹性、睡眠质量与社会支持均相关,临床需据此采取有效护理措施,以减轻患者心理痛苦。Objective To investigate the status quo of psychological distress in patients with cholecystolithiasis after laparoscopic cholecystectomy and analyze its influencing factors.Methods The clinical data of 82 patients with gallstones who underwent laparoscopic cholecystectomy in Yishui County Mental Health Center from July 2021 to July 2024 were retrospectively analyzed.Distress thermometer(DT)was used to evaluate the degree of psychological distress,and general data of the patients were collected.Single factor and multiple linear regression were used to analyze the related factors of psychological distress in patients with cholecystolithiasis after laparoscopic cholecystectomy.Results(1)The DT score of 82 patients with cholecystolithiasis was 4.95±1.12.(2)Single factor showed that family per capita monthly income,education level,exercise frequency,mental resilience score,sleep quality score and social support were related to psychological distress of patients after laparoscopic cholecystectomy(P<0.05).(3)Multiple linear regression analysis showed that family per capita monthly income,education level,exercise frequency,mental resilience,sleep quality and social support were the influencing factors of psychological distress after laparoscopic cholecystectomy(P<0.05).Conclusion The psychological pain of patients after laparoscopic cholecystectomy is at a moderate level,which is related to the per capita monthly family income,education level,exercise frequency,mental resilience,sleep quality and social support.Effective nursing measures should be taken to alleviate the psychological pain of patients.

关 键 词：胆囊结石 腹腔镜胆囊切除术 心理痛苦现状 影响因素 

分 类 号：R47[医药卫生—护理学]