心理社会因素与手术康复的关系（一）临床调查与理论探讨

目的　探索心理应激因素与外科手术后心身康复的相关性。方法　以４０例择期上腹部手术病人为对象，在术前一天测定其认知评价、应对方式、社会支持和个性特征等心理应激因素，在术后分别测定和记录其状态焦虑量表分、肠道排气时间、止痛剂用量以及对手术经历的痛苦体验程度等心身康复指标，在ＳＰＳＳ软件包支持下作统计分析。结果　相关分析结合回归分析显示，术前的不良认知评价、屈服应对特点、社会支持程度和精神质个性特性等心理应激因素与手术后各心身康复指标有显著相关（ Ｐ＜ ０．０５）。结论　心理应激因素影响手术康复，术前的心理行为指导和应激干预工作应予加强。

Relationship between psychosocial factors and psychosomatic rehabilitation after surgery (I):Clinic survey and theory explore

Objective To study the relationship between the stress related psychosocial factors and the psychosomatic adjustment of the upper abdominal surgery patients. Methods Forty patients undergoing upper abdominal surgery were assessed in this report. On the day before surgery, Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), and a self developed preoperative appraisal scale were used while after surgery, State Anxiety Inventory (SAI) of State Trait Anxiety Inventory (STAI), a self developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Data were analysed in a multiple correlation/regression analysis with SPSS. Results There was a significant correlation between stress related psychosocial factors such as the negative anticipation about surgery, resignation coping style, less social support, psychosis personality and the indexes of psychosomatic adjustment after surgery, i.e. the scores on SAI, intestinal aerofluxus, the degree of satisfaction with surgery. Conclusions This finding suggests that stress related psychosocial factors could influence the postoperative adjustment, so the psycho behavior intervention should be emphasized in abdominal surgery patients.