摘要
目的观察断指患者再植术后心理状态水平并分析其影响因素.方法选取2017年2月~2018年2月在该院行断指再植术的80例患者作为研究对象,分别在术后3 d、1个月、3个月采用症状自评量表SCL-90对患者心理状态进行评估,并分析心理状态与患者年龄、性别、文化程度、病情严重程度、社会支持、自我效能和人格特征的关系.结果术后1 d患者焦虑、恐怖两维度得分显著高于常模(P<0.05),性别、伤后入院时间、热缺血时间、社会支持四项与术后1 d患者心理状态密切相关(P<0.05);术后1个月,患者躯体化、抑郁、偏执三个维度得分显著高于常模(P<0.05),性别、家庭收入、社会支持、医学应对方式四项与术后1个月患者心理状态有关(P<0.05);术后3个月,患者强迫、人际关系、敌对和偏执四个维度得分显著高于常模(P<0.05),家庭收入、婚姻状况、社会支持、艾森克人格及医学应对方式五项与术后3个月患者心理状态有关(P<0.05);性别是术后1d和术后1个月患者心理状态的独立危险因素,家庭收入是术后1个月和术后3个月患者心理状态的独立危险因素,社会支持是术后各阶段患者心理状态的独立危险因素.结论断指再植术后不同时期患者存在不同的心理问题,其影响因素也有不同,其中社会支持影响患者各个时期的心理状态,可针对患者所处时期和特征进行干预以提高断指再植成活率.
Objective To observe the psychological state of patients after digital replantation and analyze its influencing factors.Methods A total of 80 cases of patients with digital replantation in this hospital from February 2017 to February 2018 were selected as the research objects.The psychosocial status of the patients was assessed by the symptom self-rating scale(SCL-90)at 3 days,1 month and 3 months after the operation,respectively,and the relationship between the psychosocial status and the patients' age,gender,education level,severity of the disease,social support,self-efficacy and personality characteristics were analyzed.Results The scores of anxiety and honor at 1 day after operation were significantly higher than those in norm(P<0.05).The gender,post-injury admission time,warm ischemia time and social support were closely related to the psychological state of patient at 1 day after operation(P<0.05).At 1 month after operation,the three dimensions scores of somatization,depression and paranoia were significantly higher than those in norm(P<0.05).Gender,family income,social support and medical coping style were lated to psychological state of patients 1 month after surgeiy(P<0.05).At 3 months after operation,the four dimensions scores of coercion,interpersonal relationship,hostility and paranoia were significantly higher than those in norm(P<0.05).Family income,marital status,social support,Eysenck's personality traits and medical coping style were related to the psychological state of patients at 3 months after operation(P<0.05).Gender was an independent risk factor for patients' psychological state 1 clay after surgeiy and 1 month after surgeiy.Family income was an independent risk factor for patients' psychological state 1 month after surgery and 3 months after surgery,and social support was an independent risk factor for patients' psychological state at each stage after surgery.Conclusions Patients at different stages after replantation have different psychological problems and their influencing factors are
作者
李丽
Li Li(Hand and Foot Surgery,the First Affiliated Hospital of Hubei University of Science and Technology,Xianning Central Hospital of Hubei Province,Xianning 437000,China)
出处
《国际护理学杂志》
2019年第21期3515-3520,共6页
international journal of nursing
基金
咸宁市科技局科研项目(No201101)。
关键词
断指再植术后
心理状态
影响因素
After replantation
Psychological state
Influencing factors
