Psychological intervention based on social cognitive theory: Treating pain, anxiety, and depression in perioperative patients.

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-08-19 DOI:10.5498/wjp.v14.i8.1199

Hai-Jian Mao, Lin-Fei Wang, Chun Lin

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引用次数: 0

Abstract

Background: Surgery is an effective method for treating certain diseases. Factors such as disease, preoperative fear and tension, surgical stress, postoperative pain, and related complications directly affect the smooth progression and outcome of surgery. Patients may experience a series of psychological and physiological changes during the perioperative period, resulting in anxiety and depression, which may reduce the pain threshold and worsen their prognosis.

Aim: To investigate the effects of a psychological intervention among perioperative patients, based on social cognitive theory (SCT).

Methods: We enrolled 200 patients who underwent surgical care at The First People's Hospital of Lin'an District, Hangzhou between January and December 2023. They were categorized into a routine intervention group (n = 103) and a psychological intervention group (n = 97), based on the intervention strategies used. Various assessment tools, including the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the Connor-Davidson Resilience scale, were used to measure patients' negative states and emotions. The pre- and post-intervention scores for these metrics in the two groups were then analyzed.

Results: In the psychological intervention group, the SAS and SDS scores (31.56 ± 5.18 and 31.46 ± 4.57, respectively) were significantly reduced compared to the routine intervention group (P < 0.05). The visual analog scale pain scores at 12 and 24 hours after intervention (6.85 ± 1.21, 4.24 ± 0.72) were notably higher than those in the routine intervention group (P < 0.05). The psychological intervention group also demonstrated superior scores in perseverance (36.08 ± 3.29), self-reliance (22.63 ± 2.91), optimism (11.42 ± 1.98), and resilience (70.13 ± 5.37), compared to the routine intervention group (P < 0.05). Additionally, the psychological intervention group's confrontation score (23.16 ± 4.29) was higher (P < 0.05). This group also reported lower scores in avoidance (9.28 ± 1.94) and yielding (6.19 ± 1.92) (P < 0.05). Lastly, the Short Form 36 Health Survey scores were significantly higher in the psychological intervention group, indicating a better quality of life (P < 0.05).

Conclusion: Psychological intervention measures based on SCT can effectively alleviate pain, anxiety, and depression in perioperative patients.

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基于社会认知理论的心理干预：治疗围手术期患者的疼痛、焦虑和抑郁。

背景：手术是治疗某些疾病的有效方法。疾病、术前恐惧和紧张、手术压力、术后疼痛及相关并发症等因素直接影响手术的顺利进行和效果。患者在围手术期可能会经历一系列心理和生理变化，从而产生焦虑和抑郁，这可能会降低疼痛阈值，恶化预后：我们招募了 200 名 2023 年 1 月至 12 月期间在杭州市临安区第一人民医院接受手术治疗的患者。根据采用的干预策略，将他们分为常规干预组（103 人）和心理干预组（97 人）。采用多种评估工具，包括焦虑自评量表（SAS）、抑郁自评量表（SDS）和康纳-戴维森复原力量表来测量患者的消极状态和情绪。然后对两组患者在干预前和干预后的这些指标得分进行分析：与常规干预组相比，心理干预组的 SAS 和 SDS 评分（分别为 31.56 ± 5.18 和 31.46 ± 4.57）明显降低（P < 0.05）。干预后 12 小时和 24 小时的视觉模拟量表疼痛评分（6.85 ± 1.21、4.24 ± 0.72）明显高于常规干预组（P < 0.05）。心理干预组在毅力（36.08 ± 3.29）、自立（22.63 ± 2.91）、乐观（11.42 ± 1.98）和恢复力（70.13 ± 5.37）方面的得分也高于常规干预组（P < 0.05）。此外，心理干预组的对抗性得分（23.16 ± 4.29）更高（P < 0.05）。该组在回避（9.28 ± 1.94）和屈服（6.19 ± 1.92）方面的得分也较低（P < 0.05）。最后，心理干预组的简表 36 健康调查得分明显更高，表明他们的生活质量更高（P < 0.05）：结论：基于 SCT 的心理干预措施可有效缓解围手术期患者的疼痛、焦虑和抑郁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.