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

Ye Shengya,Shen Xiaohong, Jiang Qianjin,et al. Surgery Department, Traditional Chinese Medicine Hospital of Zhejiang Province, Hangzhou 310006  
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.
【Fund】: 浙江省中医局科研基金
【CateGory Index】: R395.1
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