术前焦虑与术后心身康复的相关性及其心理社会影响因素.PDF

·200 · Chinese Journal of Clinical Psychology Vol.11 No.3 2003 , (浙江大学医学院医学心理教研室, 浙江杭州310031) :R395.1　　　:A　　　:1005-3611(2003)03-0200-02 RelationshipBetweenPre-operativeAnxiety andPost-operativePsychosomaticAdjustment andItsRelatedFactorsandNursingStrategies SHEN Xiao-hong, JIANG Qian-jin Medical School, Zhejiang niversity, Hangzhou 310031, China 【Abstract】　Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factorsin upper-abdominal surgery patients. ethods:Forty patients undergoing upper-abdominal surgery were assessed in thisreport.One day before surgery, the MedicalCoping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI)of State-Trait Anxiety Invento- ry (STAI)and a self-developed patients pre-operative appraisal questionnairewere used.In an hour before operation, the shift of the mean value of the pulse of every case comparedwith the base line measured at his (or her)admission was also recorded.Af- ter surgery, State Anxiety Inventory (SAI)of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scalewere used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded.Results:Firstly, pre-operative anxiety was remarkably correlated to many indexes of post-operative psychosomatic adjustment.Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre-operative anxiety.Conclusion:Post-operative psychosomatic adjustment could be han