Volicer B J, Burns M W
Nurs Res. 1977 Nov-Dec;26(6):408-15. doi: 10.1097/00006199-197711000-00009.
More than 450 general medical and surgical patients were surveyed as part of an ongoing study of psychosocial factors in illness. Patients completed the Social Readjustment Rating Scale (Holmes and Rahe, 1967) as a measure of life stress prior to hospitalization and a hospital stress rating scale as a measure of hospital stress. Additional data included demographic variables, information about prior hospitalizations, and diagnosis, coded according to the Seriousness of Illness Rating Scale (Wyler et al., 1968). Analysis using multiple regression procedures indicated age (negatively) and life stress (positively) as predictors of hospital stress, for both medical and surgical patients. In addition, for medical patients, recency of previous hospitalization was a significant predictor of hospital stress, those with recent hospitalization reporting more stress than others. For surgical patients, those with serious illnesses reported more stress than others, and women reported more stress than men. Results revealed several preexisting correlates of hospital stress that can be easily identified at the time of hospital admission.
作为一项正在进行的疾病心理社会因素研究的一部分，对450多名普通内科和外科患者进行了调查。患者完成了社会再适应评定量表（霍姆斯和拉赫，1967年），作为住院前生活压力的一种测量方法，并完成了一份医院压力评定量表，作为医院压力的一种测量方法。其他数据包括人口统计学变量、既往住院信息以及根据疾病严重程度评定量表（怀勒等人，1968年）编码的诊断信息。使用多元回归程序进行的分析表明，年龄（呈负相关）和生活压力（呈正相关）是内科和外科患者医院压力的预测因素。此外，对于内科患者，既往住院的近期性是医院压力的一个重要预测因素，近期住院的患者报告的压力比其他人更大。对于外科患者，患有严重疾病的患者报告的压力比其他人更大，女性报告的压力比男性更大。结果揭示了几个在入院时很容易识别的医院压力的预先存在的相关因素。
