术前压力、抑郁、社会支持和自我同情对手术患者心理弹性的影响。
Effects of preoperative stress, depression, social support, and self-compassion on resilience in surgical patients.
作者信息
Lee Heejoung, Ko Hana
机构信息
College of Nursing, Gachon University, Incheon, South Korea.
出版信息
PLoS One. 2025 Apr 30;20(4):e0322609. doi: 10.1371/journal.pone.0322609. eCollection 2025.
BACKGROUND
Limited research has been conducted on the psychological factors experienced by patients before surgery. This study examined the effects of preoperative stress, depression, social support, and self-compassion on the resilience of surgical patients.
METHODS
Using convenience sampling, 150 patients admitted for surgery at Nasaret International and Seoul Barun Chuckdo Hospitals in I City, South Korea were included in the study. Data was collected from July 1-31, 2022. Using SPSS WIN 26.0, the data was analyzed using descriptive statistics, a t-test, ANOVA, Scheffé's test, Pearson's correlation coefficient, and multiple regression.
RESULTS
Resilience exhibited a statistically significant negative correlation with surgical stress and depression, and a significant positive correlation with social support. Surgical stress, depression, and obstetrics and gynecological surgery had statistically significant negative effects on resilience, while education level and economic status had positive effects.
CONCLUSION
Enhancing resilience in surgical patients requires the development of tailored interventions to mitigate surgical stress and depression, which are patient-centered and account for educational and economic status, particularly in obstetric and gynecological surgery.
背景
关于患者术前经历的心理因素的研究有限。本研究考察了术前应激、抑郁、社会支持和自我同情对手术患者心理弹性的影响。
方法
采用便利抽样法，纳入了韩国I市纳萨雷特国际医院和首尔巴伦楚克多医院150例拟行手术的患者。于2022年7月1日至31日收集数据。使用SPSS WIN 26.0软件，采用描述性统计、t检验、方差分析、谢弗检验、皮尔逊相关系数和多元回归分析数据。
结果
心理弹性与手术应激和抑郁呈显著负相关，与社会支持呈显著正相关。手术应激、抑郁和妇产科手术对心理弹性有显著负向影响，而教育水平和经济状况有正向影响。
结论
提高手术患者的心理弹性需要制定针对性的干预措施，以减轻手术应激和抑郁，这些措施应以患者为中心，并考虑教育和经济状况，尤其是在妇产科手术中。
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