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

Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoing upper-abdominal surgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI) and a self-developed patients' pre-operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every case compared with the base line measured at his (or her) admission was also recorded.After surgery, State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were 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 handicapped by pre-operative anxiety which might be influenced by stress-related psychosocial factors.