Mao Hai-Jian, Wang Lin-Fei, Lin Chun
Department of Surgical Anesthesiology, The First People's Hospital of Lin'an District, Hangzhou, Hangzhou 311300, Zhejiang Province, China.
Department of Gastrointestinal Surgery, Hangzhou First People's Hospital, Hangzhou 310006, Zhejiang Province, China.
World J Psychiatry. 2024 Aug 19;14(8):1199-1207. doi: 10.5498/wjp.v14.i8.1199.
Surgery is an effective method for treating certain diseases. Factors such as disease, preoperative fear and tension, surgical stress, postoperative pain, and related complications directly affect the smooth progression and outcome of surgery. Patients may experience a series of psychological and physiological changes during the perioperative period, resulting in anxiety and depression, which may reduce the pain threshold and worsen their prognosis.
To investigate the effects of a psychological intervention among perioperative patients, based on social cognitive theory (SCT).
We enrolled 200 patients who underwent surgical care at The First People's Hospital of Lin'an District, Hangzhou between January and December 2023. They were categorized into a routine intervention group ( = 103) and a psychological intervention group ( = 97), based on the intervention strategies used. Various assessment tools, including the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the Connor-Davidson Resilience scale, were used to measure patients' negative states and emotions. The pre- and post-intervention scores for these metrics in the two groups were then analyzed.
In the psychological intervention group, the SAS and SDS scores (31.56 ± 5.18 and 31.46 ± 4.57, respectively) were significantly reduced compared to the routine intervention group ( < 0.05). The visual analog scale pain scores at 12 and 24 hours after intervention (6.85 ± 1.21, 4.24 ± 0.72) were notably higher than those in the routine intervention group ( < 0.05). The psychological intervention group also demonstrated superior scores in perseverance (36.08 ± 3.29), self-reliance (22.63 ± 2.91), optimism (11.42 ± 1.98), and resilience (70.13 ± 5.37), compared to the routine intervention group ( < 0.05). Additionally, the psychological intervention group's confrontation score (23.16 ± 4.29) was higher ( < 0.05). This group also reported lower scores in avoidance (9.28 ± 1.94) and yielding (6.19 ± 1.92) ( < 0.05). Lastly, the Short Form 36 Health Survey scores were significantly higher in the psychological intervention group, indicating a better quality of life ( < 0.05).
Psychological intervention measures based on SCT can effectively alleviate pain, anxiety, and depression in perioperative patients.
手术是治疗某些疾病的有效方法。疾病、术前恐惧与紧张、手术应激、术后疼痛及相关并发症等因素直接影响手术的顺利进行和结局。患者在围手术期可能会经历一系列心理和生理变化，导致焦虑和抑郁，这可能会降低疼痛阈值并使预后恶化。
基于社会认知理论（SCT），探讨心理干预对围手术期患者的影响。
我们纳入了2023年1月至12月期间在杭州市临安区第一人民医院接受手术治疗的200例患者。根据所采用的干预策略，将他们分为常规干预组（n = 103）和心理干预组（n = 97）。使用包括自评焦虑量表（SAS）、自评抑郁量表（SDS）和康纳-戴维森心理韧性量表在内的各种评估工具来测量患者的负面状态和情绪。然后分析两组这些指标在干预前后的得分。
心理干预组的SAS和SDS得分（分别为31.56±5.18和31.46±4.57）与常规干预组相比显著降低（P < 0.05）。干预后12小时和24小时的视觉模拟量表疼痛评分（6.85±1.21，4.24±0.72）明显高于常规干预组（P < 0.05）。心理干预组在毅力（36.08±3.29）、自立（22.63±2.91）、乐观（11.42±1.98）和心理韧性（70.13±5.37）方面的得分也优于常规干预组（P < 0.05）。此外，心理干预组的对抗得分（23.16±4.29）更高（P < 0.05）。该组在回避（9.28±1.94）和屈服（6.19±1.92）方面的得分也更低（P < 0.05）。最后，心理干预组的简明健康调查量表得分显著更高，表明生活质量更好（P < 0.05）。
基于SCT的心理干预措施可有效减轻围手术期患者的疼痛、焦虑和抑郁。
