The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
The graduate school of Zhejiang Chinese Medicine University, Hangzhou, Zhejiang, China.
BMC Psychiatry. 2023 Nov 1;23(1):796. doi: 10.1186/s12888-023-05315-5.
Surgery, as one of the main diagnostic and treatment methods, is a routine work in medical settings. Patients undergoing surgery often experience acute procedure anxiety due to uncertainty. There is ample evidence showing that uncertainty is a risk factor for the acute procedure anxiety in surgical patients. However, little is known about the psychological processes mediating this relationship. Therefore, this study aims to evaluate resilience as a mediator of the association between uncertainty and anxiety.
A population-based cross-sectional survey with a convenience sampling method was conducted, involving 243 surgical patients in Jiaxing, Zhejiang province of China was carried out. Relevant data were collected by self-reporting questionnaires, including demographic characteristics questionnaire, Amsterdam Preoperative Anxiety and Information Scale (APAIS-C), Mishel's Illness Uncertainty Scale (MUIS), Connor-Davidson Resilience Scale (CD-RISC). Pearson correlation analysis was employed to examine correlations between various variables. A path model was used to assess the mediation effect of resilience with respect to uncertainty and acute procedure anxiety.
In the path model, uncertainty have an indirect effect on acute procedure anxiety through resilience. The results suggest that resilience has a mediating role in uncertainty and acute procedure anxiety among surgical patients.
These findings call for the development of interventions targeting the role of resilience in effectively predicting and preventing acute procedure anxiety and uncertainty among surgical patients.
手术作为主要的诊断和治疗方法之一，在医疗环境中是一项常规工作。由于不确定性，接受手术的患者通常会经历急性手术焦虑。有大量证据表明，不确定性是手术患者急性手术焦虑的一个风险因素。然而，对于这种关系的心理过程知之甚少。因此，本研究旨在评估韧性作为不确定性与焦虑之间关联的中介。
采用基于人群的横断面调查和便利抽样方法，对中国浙江省嘉兴市的 243 名手术患者进行了研究。通过自报问卷收集相关数据，包括人口统计学特征问卷、阿姆斯特丹术前焦虑和信息量表（APAIS-C）、米舍尔疾病不确定感量表（MUIS）、康纳-戴维森韧性量表（CD-RISC）。采用 Pearson 相关分析来检验各变量之间的相关性。采用路径模型来评估韧性对急性手术焦虑和不确定性的中介效应。
在路径模型中，不确定性通过韧性对急性手术焦虑产生间接影响。结果表明，韧性在手术患者的不确定性和急性手术焦虑之间具有中介作用。
这些发现呼吁针对韧性在有效预测和预防手术患者急性手术焦虑和不确定性方面的作用开展干预措施。
