摘要
目的:探讨宫腔镜手术患者社会支持在疾病认知与术前焦虑间的作用,从而为改善其术前焦虑提供理论依据。方法:采取连续抽样法选取福建省2所三级甲等医院537例择期行宫腔镜手术患者,使用领悟社会支持量表、简易疾病认知量表和中文版阿姆斯特丹术前焦虑量表进行问卷调查,运用SPSS 22.0进行统计分析。结果:宫腔镜手术患者术前焦虑、社会支持、疾病认知评分分别为(11.23±4.23)分、(58.58±13.29)分和(36.88±9.87)分。宫腔镜手术患者术前焦虑与疾病认知评分正相关(r=0.589,P<0.05),与社会支持评分负相关(r=-0.441,P<0.05),疾病认知评分与社会支持评分负相关(r=-0.351,P<0.05)。患者治疗后匹兹堡睡眠质量指数(PSQI)各项评分均明显低于治疗前,差异有统计学意义(均P<0.05)。结论:社会支持是宫腔镜手术患者疾病认知和术前焦虑之间的中介变量,医务人员应采取有效干预方法提高社会支持和疾病认知水平,从而减轻宫腔镜手术患者术前焦虑。
Objective:To explore the mediating effect of social support between disease cognition and preoperative anxiety in patients undergoing hysteroscopic surgery,so as to provide a theoretical basis for improving preoperative anxiety.Methods:A total of 537 patients undergoing elective hysteroscopic surgery from two ClassⅢGrade A hospitals in Fujian Province were selected by continuous sampling method.The patients were investigated with Perceived Social Support Scale,Mini-Illness Cognitive Scale and the Chinese version of Amsterdam Preoperative Anxiety Scale.SPSS 22.0 was used for statistical analysis.Results:The scores of preoperative anxiety,social support and disease cognition were(11.23±4.23),(58.58±13.29)and(36.88±9.87),respectively.Preoperative anxiety were positively correlated with disease cognition(r=0.589,P<0.05),negatively correlated with social support(r=-0.441,P<0.05),and negatively correlated with disease cognition and social support(r=-0.351,P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores of the patients after treatment were significantly lower than those before treatment(P s<0.05).Conclusion:Social support is a mediating variable between disease cognition,preoperative anxiety of patients undergoing hysteroscopic surgery.Medical staff should adopt effective intervention methods to improve social support and reduce the level of disease cognition,so as to reduce preoperative anxiety of patients undergoing hysteroscopic surgery.
作者
张静
念金霞
官玉梅
林双
袁倩
ZHANG Jing;NIAN Jinxia;GUAN Yumei;LIN Shuang;YUAN Qian(Operation Room,Fujian Maternal and Child Health Hospital,Fuzhou 350000,China)
出处
《世界睡眠医学杂志》
2022年第12期2381-2384,共4页
World Journal of Sleep Medicine
关键词
术前焦虑
社会支持
疾病认知
中介效应
Preoperative anxiety
Social support
Disease cognition
Mediating effect
