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首页> 外文期刊>Journal of International Medical Research >Assessment of patients’ psychological state and self-efficacy associated with postoperative constipation after thoracolumbar fracture surgery
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Assessment of patients’ psychological state and self-efficacy associated with postoperative constipation after thoracolumbar fracture surgery

机译：胸腰椎骨折手术后患者便秘后的心理状态和自我效能评估

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Objective We aimed to explore the relationship among the duration of constipation at 30 days after thoracolumbar fracture surgery, self-efficacy, and anxiety or depression in patients with constipation after thoracolumbar fracture surgery. Methods In this descriptive correlational study, 108 patients with thoracolumbar fracture undergoing pedicle screw fixation surgery were recruited from January 2015 to May 2017 in our hospital. From the day of surgery, we conducted a 1-month follow-up investigation. We evaluated the pattern of defecation, stool consistency, and incidence of defecation-related problems using a structured interview. Clinical data were obtained using a patient intake form, and we applied the Health Behavior Self-Efficacy Scale (HBSES), and Hospital Anxiety and Depression Scale (HADS). Results Approximately 83.3% of patients experienced postoperative constipation, and most exhibited normal defecation by postoperative day 13. Self-efficacy and anxiety and depression were graded at a medium level in most patients. The average HBSES score was 74.39?±?11.08, and the mean HADS score was 7.97?±?4.08. The duration of postoperative constipation was negatively correlated with self-efficacy and positively associated with anxiety or depression. Conclusions Self-efficacy, anxiety, and depression are important sociopsychological factors associated with the duration of postoperative constipation.
机译：目的探讨胸腰椎骨折手术后便秘持续时间为30天，自我效能感与焦虑或抑郁之间的关系。方法这项描述性相关研究自2015年1月至2017年5月在我院招募了108例行椎弓根螺钉固定手术的胸腰椎骨折患者。从手术当天开始，我们进行了为期1个月的随访调查。我们使用结构化访谈评估了排便的方式，粪便的稠度以及与排便有关的问题的发生率。使用患者摄入表获得临床数据，并应用健康行为自我效能量表（HBSES）和医院焦虑与抑郁量表（HADS）。结果约有83.3％的患者出现术后便秘，并且大多数患者在术后第13天表现出正常的排便情况。在大多数患者中，自我效能，焦虑和抑郁的评分为中等水平。 HBSES的平均得分为74.39±1.011.08，HADS的平均得分为7.97±4.08。术后便秘的持续时间与自我效能感呈负相关，与焦虑或抑郁呈正相关。结论自我效能，焦虑和抑郁是与术后便秘持续时间相关的重要社会心理因素。

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