肛周疾病患者的疾病认知、负面情绪与术后恢复效果之间的相关性。

IF 3.9 4区医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2024-11-19 DOI:10.5498/wjp.v14.i11.1718

Shu-Xiang Hou, Feng-Jun Dai, Xian-Xue Wang, Shao-Wen Wang, Ting Tian

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引用次数: 0

摘要

背景：随着生活水平的提高，人们越来越关注肛周疾病。虽然手术治疗效果显著，但术后恢复（POR）的结果受多种因素影响，包括患者之间的个体差异、疾病本身的特点以及患者的心理状态。了解这些因素有助于医护人员为肛周疾病患者制定更个性化、更有效的术后护理计划。目的：研究疾病认知（IP）和负面情绪对肛周疾病患者术后恢复效果的影响：方法：选取2023年3月至12月常德市第一人民医院收治的146例肛周疾病患者为研究对象。我们采用了一般信息问卷、简明疾病认知问卷（B-IPQ）和医院焦虑抑郁量表（HADS）。我们使用 15 项康复质量评分（QoR-15）来衡量患者的康复效果。最后，我们进行了皮尔逊相关分析，以研究术前 IP、焦虑和抑郁水平与 POR 质量之间的关系：53人（36.3%）对自己的疾病知之甚少。30人（20.5%）被怀疑患有焦虑症，99人（67.8%）表现出焦虑症状。40人（27.4%）被怀疑患有抑郁症，102人（69.9%）出现症状。B-IPQ、HADS-A、HADS-D 和 QoR-15 评分分别为 46.82 ± 9.97、12.99 ± 3.60、12.58 ± 3.36 和 96.77 ± 9.85。术前 IP、焦虑和抑郁与 POR 质量呈负相关。年龄和病程对术后康复效果的影响均为负相关。B-IPQ、HADS-A 和 HADS-D 对 POR 的影响均为负。这些变量合计占 POR 变异的 72.6%：结论：肛周疾病患者的 POR 质量中等，与年龄、病程、IP、焦虑和抑郁有关。

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Correlation linking illness perception, negative emotions, and the post-operative recovery effect in patients with perianal disease.

Background: Improvements in the standard of living have led to increased attention to perianal disease. Although surgical treatments are effective, the outcomes of post-operative recovery (POR) are influenced by various factors, including individual differences among patients, the characteristics of the disease itself, and the psychological state of the patient. Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.

Aim: To investigate the effect of illness perception (IP) and negative emotions on POR outcomes in patients with perianal disease.

Methods: A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited. We employed a general information questionnaire, the Brief Illness Perception Questionnaire (B-IPQ), and the Hospital Anxiety and Depression Scale (HADS). We used the 15-item Quality of Recovery Score (QoR-15) to measure patients' recovery effects. Finally, we conducted Pearson's correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.

Results: Fifty-three (36.3%) had poor knowledge of their disease. Thirty (20.5%) were suspected of having anxiety and 99 (67.8%) exhibited symptoms. Forty (27.4%) were suspected of having depression and 102 (69.9%) displayed symptoms. The B-IPQ, HADS-A, HADS-D, and QoR-15 scores were 46.82 ± 9.97, 12.99 ± 3.60, 12.58 ± 3.36, and 96.77 ± 9.85, respectively. There was a negative correlation between pre-operative IP, anxiety, and depression with POR quality. The influence of age and disease course on post-operative rehabilitation effect are both negative. The impact of B-IPQ, HADS-A, and HADS-D on POR was negative. Collectively, these variables accounted for 72.6% of the variance in POR.

Conclusion: The quality of POR in patients with perianal disease is medium and is related to age, disease course, IP, anxiety, and depression.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.