Analysis of the Current Status of Perceived Stress and Factors Associated with It in Patients with Chronic Wounds: A Cross-Sectional Study.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S509414
Liuju Su, Min Zhou, Xiulin Wen, Yuan Guo, Bao Li, Liqun Luo, Qian Xiao, Jingrong Wang
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Abstract

Objective: This study aimed to assess perceived stress levels in patients with chronic wounds and examine the associations between perceived stress and demographic factors, clinical characteristics, wound healing status, social support, and coping styles.

Methods: We conducted a cross-sectional study from December 2023 to August 2024 at the Wound Care Clinic of the First Affiliated Hospital of Xi'an Jiaotong University. A convenience sampling method was used to recruit 292 patients with chronic wounds who received standardized wound treatment. Data were collected using the general information questionnaire, Chinese Perceived Stress Scale (CPSS), Pressure Ulcer Scale for Healing (PUSH), Social Support Rating Scale (SSRS), and Simplified Coping Style Questionnaire (SCSQ). Statistical analysis utilized Spearman correlation and multiple linear regression to identify factors associated with perceived stress.

Results: The mean perceived stress score among the 292 participants was 34.98±7.03, with 78.8% reporting clinically significant stress (score>28). Multiple linear regression analysis showed a positive correlation between perceived stress and marital status, comorbid chronic diseases, and wound healing status in patients with chronic wounds. Patients who were married, had multiple chronic diseases, or exhibited poor wound healing tended to have higher perceived stress. Conversely, social support and positive coping maintained inverse relationships with perceived stress, suggesting that patients with strong social support and positive coping style experienced lower stress levels. Together, these factors accounted for 42.7% of the variance in perceived stress.

Conclusion: Chronic wound patients commonly exhibit moderate-to-high levels of perceived stress. Healthcare providers should systematically assess patients' perceived stress levels and implement individualized interventions, including enhancing social support networks and teaching positive coping strategies, to alleviate perceived stress and ultimately improve wound healing outcomes.

慢性创伤患者感知应激现状及相关因素分析:一项横断面研究。
目的:本研究旨在评估慢性创伤患者的感知应激水平,并探讨感知应激与人口统计学因素、临床特征、伤口愈合状况、社会支持和应对方式之间的关系。方法:我们于2023年12月至2024年8月在西安交通大学第一附属医院伤口护理门诊进行横断面研究。采用方便抽样方法,对292例接受规范化创面治疗的慢性创面患者进行调查。采用一般信息问卷、中国压力感知量表(CPSS)、压疮愈合量表(PUSH)、社会支持评定量表(SSRS)和简化应对方式问卷(SCSQ)进行数据收集。统计分析利用Spearman相关和多元线性回归来确定与感知压力相关的因素。结果:292名参与者的平均感知压力得分为34.98±7.03分,其中78.8%的人报告有临床显著的压力(得分为bb0.28分)。多元线性回归分析显示,慢性创伤患者的应激感知与婚姻状况、慢性病合并症、伤口愈合状况呈正相关。已婚、患有多种慢性疾病或伤口愈合不良的患者往往有更高的感知压力。相反,社会支持和积极应对与感知压力呈负相关,表明社会支持和积极应对方式强的患者压力水平较低。总的来说,这些因素占感知压力差异的42.7%。结论:慢性创伤患者通常表现出中高水平的感知应激。医疗保健提供者应该系统地评估患者感知到的压力水平,并实施个性化的干预措施,包括加强社会支持网络和教授积极的应对策略,以减轻感知到的压力,最终改善伤口愈合的结果。
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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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