心理健康状态对妇科术后快速康复的影响调查

叶婷婷; 解霞飞; 李竹君; 卜为伟; 章志国; 李洪言

doi:10.16766/j.cnki.issn.1674-4152.004048

心理健康状态对妇科术后快速康复的影响调查

doi: 10.16766/j.cnki.issn.1674-4152.004048

安徽医科大学第一附属医院妇产科，安徽合肥 230022

基金项目:

“十四五”国家重点研发计划项目 2022YFC2703000

详细信息

通讯作者:
李洪言，E-mail：359437879@qq.com

中图分类号: R713
计量
- 文章访问数: 25
- HTML全文浏览量: 10
- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2024-11-25
- 网络出版日期: 2025-09-04

An investigation into the impact of mental health on recovery speed following gynecological surgery

Department of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

摘要

摘要: 目的探讨心理健康对妇科术后患者康复的影响及其相关性，患者的心理状态可能影响术后恢复，了解其对术后康复的影响将有助于优化术后管理。方法选取2024年5—11月在安徽医科大学第一附属医院就诊的304例妇科患者。术前1 d通过问卷收集心理健康数据，包括抑郁情绪[患者健康问卷-9(PHQ-9量表)]、心理弹性[康纳-戴维森心理弹性量表(CD-RISC量表)]、社会支持(社会支持评定量表)和自我效能感[一般自我效能感量表(GSES量表)]。同时记录患者一般资料及临床康复指标，如导尿管留置时间、首次下床活动时间、首次肛门排气时间、住院时间等。使用Pearson相关性分析探讨心理健康与术后康复的关系。结果 Spearman相关性分析显示, 抑郁情绪(PHQ-9评分)与首次下床活动时间、首次肛门排气时间和住院时间均呈正相关关系(r=0.286, P < 0.001;r=0.316, P < 0.001;r=0.471, P < 0.001)；心理弹性(CD-RISC评分)与首次下床活动时间、首次肛门排气时间和住院时间均呈负相关关系(r=-0.282, P < 0.001;r=-0.288, P < 0.001;r=-0.405, P < 0.001)；自我效能感(GSES评分)与术后下床活动时间、术后肛门排气时间、住院时间呈负相关关系(r=-0.249, P < 0.001;r=-0.248, P < 0.001;r=-0.411, P < 0.001)；社会支持评定量表评分与住院时间呈负相关关系(r=-0.164, P＜0.05)。结论心理健康状态显著影响妇科患者术后的康复, 良好的心理弹性、社会支持和自我效能感能有效辅助促进患者的术后恢复。
- 心理健康 /
- 妇科 /
- 快速康复 /
- 相关性
Abstract: Objective This study aims to explore the impact and correlation of mental health on the postoperative recovery of patients undergoing gynecological surgery. Since psychological factors may recovery outcomes, understanding its impact will help optimize postoperative management strategies. Methods The study involved 304 gynecological patients treated at the First Affiliated Hospital of Anhui Medical University between May 2024 and November 2024. Mental health data were collected one day before surgery through a questionnaire survey administered one day before surgery, which included assessments of depressive mood [patient health questionnaire-9 (PHQ-9 scale)], psychological resilience [Connor-Davidson resilience scale (CD-RISC scale)], social support (social support rating scale), and self-efficacy [general self-efficacy scale (GSES scale)]. In addition, general patient information and clinical recovery indicators were also recorded, including retention time of urinary catheter, time to first mobilization, time to first anal exhaust, and length of hospital stay. Data were analyzed using Pearson correlation analysis. Results Spearman's rank correlation analysis showed significant positive associations between depressive symptoms (measured by PHQ-9 score) and three postoperative recovery indicators: time to first ambulation (r=0.286, P < 0.001), time to first flatus (r=0.316, P < 0.001), and length of hospital stay (LOS, r=0.471, P < 0.001). Conversely, resilience (assessed by CD-RISC score) exhibited significant negative correlations with time to first ambulation (r=-0.282, P < 0.001), time to first flatus (r=-0.288, P < 0.001), and LOS (r=-0.405, P < 0.001). Similarly, self-efficacy (measured by GSES score) was negatively associated with time to first ambulation (r=-0.249, P < 0.001), time to first flatus (r=-0.248, P < 0.001), and LOS (r=-0.411, P < 0.001). Additionally, social support rating scale score was significantly negatively correlated with LOS (r=-0.164, P < 0.05). Conclusion The mental health status has a significant influence on postoperative recovery in gynecological patients. Strong psychological resilience, social support, and self-efficacy can effectively facilitate postoperative recovery in patients.
- Mental health /
- Gynecology /
- Rapid recovery /
- Correlation

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表 1 304例妇科疾病患者各量表评分及康复指标

Table 1. The scores of each scale and rehabilitation indicators of 304 patients with gynecological diseases

项目	M(P₂₅, P₇₅)
住院时间(d)	11(8, 15)
PHQ-9评分(分)	2(0, 7)
CD-RISC评分(分)	72(52, 83)
社会支持评定量表评分(分)	28(23, 34)
GSES评分(分)	29(24, 35)
导尿管留置时间(h)	30(23, 48)
术后首次下床活动时间(h)	24(19, 34)
术后首次肛门排气时间(h)	23(18, 32)
住院费用(元)	14 963(12 034, 19 449)

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表 2 心理健康状态与妇科术后快速康复指标的相关性

Table 2. Correlation between psychological health status and rapid recovery indicators after gynecological surgery

项目	术后下床活动时间		术后肛门排气时间		住院时间
项目	r值	P值	r值	P值	r值	P值
PHQ-9评分	0.286	＜0.001	0.316	＜0.001	0.471	＜0.001
CD-RISC评分	-0.282	＜0.001	-0.288	＜0.001	-0.405	＜0.001
社会支持评定量表评分	-0.016	0.784	-0.029	0.609	-0.164	0.004
GSES评分	-0.249	＜0.001	-0.248	＜0.001	-0.411	＜0.001

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