摘要
目的 调查多发性子宫肌瘤患者术后复发恐惧现状,并分析其与心理弹性、社会支持的相关性。方法 收集2021年1月至2023年1月在郑州大学第一附属医院行手术治疗的90例多发性子宫肌瘤患者临床资料进行回顾性研究,采用恐惧疾病进展量表(FoP-Q-SF)、心理弹性量表(CD-RISC)、社会支持评定量表(SSRS)评估术后复发恐惧、心理弹性及社会支持情况。Pearson检验分析FoP-Q-SF评分和CD-RISC、SSRS评分的相关性,单因素及多因素logistic回归分析术后复发恐惧的影响因素。结果 90例多发性子宫肌瘤患者术后FoP-Q-SF评分为(32.72±3.34)分、CD-RISC评分为(60.74±7.58)分、SSRS评分为(41.58±4.75)分。不同年龄、受教育程度、家庭韧性评定量表中文简化版(FRAS-C)评分的患者术后FoP-Q-SF评分比较,差异有统计学意义(P<0.05)。多元线性回归分析显示,年龄<35岁、FRAS-C评分<80分是多发性子宫肌瘤患者术后复发恐惧的影响因素(P<0.05)。多发性子宫肌瘤患者FoP-Q-SF评分与CD-RISC、SSRS评分均呈负相关(P<0.05)。结论 多发性子宫肌瘤患者术后复发恐惧主要与年龄、家庭韧性、心理弹性、社会支持等有关,需采取针对性措施消除患者术后复发恐惧,促进其身心健康发展。
Objective To investigate the current situation of recurrent fear after multiple uterine fibroids surgery,and to analyze its correlation with psychological resilience and social support.Methods A retrospective study was conducted on the clinical data of 90 patients with multiple uterine fibroids who underwent surgical treatment in the First Affiliated Hospital of Zhengzhou University from January 2021 to January 2023,the fear of progression questionnaire-short form(FoP-Q-SF),connor-davidson resilience scale(CD-RISC)and social support rating scale(SSRS)were used to evaluate postoperative fear of recurrence,mental resilience and social support.Pearson test was used to analyze the correlation between FoP-Q-SF scores and CD-RISC and SSRS scores.Univariate and multivariate logistic regression were used to analyze the influencing factors of postoperative recurrence fear.Results The FoP-Q-SF score,CD-RISC score and SSRS score were(32.72±3.34),(60.74±7.58)and(41.58±4.75)points respectively in 90 patients with multiple uterine fibroids.Postoperative FoP-Q-SF scores of patients with different age,education level and family resilience assessment scale-chineseversion(FRAS-C)were significantly different(P<0.05).Multiple linear regression analysis showed that age<35 years old and FRAS-C score<80 points were influential factors for recurrence fear in patients with multiple uterine fibroids after surgery(P<0.05).FoP-Q-SF scores were negatively correlated with CD-RISC and SSRS scores in patients with multiple uterine fibroids(P<0.05).Conclusion The recurrence fear of patients with multiple uterine fibroids is mainly related to age,family toughness,psychological resilience and social support.Targeted measures should be taken to eliminate the recurrence fear of patients and promote their physical and mental health development.
作者
刘艳
王文君
张瑞涛
LIU Yan;WANG Wenjun;ZHANG Ruitao(Department of Gynaecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2024年第10期1761-1765,共5页
Henan Medical Research
关键词
多发性子宫肌瘤
术后复发恐惧
心理弹性
社会支持
multiple uterine fibroids
fear of recurrence after operation
mental resilience
social support
