Volume 23 Issue 6
Jun.  2025
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YE Tingting, XIE Xiafei, LI Zhujun, PU Weiwei, ZHANG Zhiguo, LI Hongyan. An investigation into the impact of mental health on recovery speed following gynecological surgery[J]. Chinese Journal of General Practice, 2025, 23(6): 986-988. doi: 10.16766/j.cnki.issn.1674-4152.004048
Citation: YE Tingting, XIE Xiafei, LI Zhujun, PU Weiwei, ZHANG Zhiguo, LI Hongyan. An investigation into the impact of mental health on recovery speed following gynecological surgery[J]. Chinese Journal of General Practice, 2025, 23(6): 986-988. doi: 10.16766/j.cnki.issn.1674-4152.004048

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

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

 2022YFC2703000

  • Received Date: 2024-11-25
    Available Online: 2025-09-04
  •   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.

     

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