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目的 探索心理应激因素与外科手术后心身康复的相关性。方法 以４０例择期上腹部手术病人为对象，在术前一天测定其认知评价、应对方式、社会支持和个性特征等心理应激因素，在术后分别测定和记录其状态焦虑量表分、肠道排气时间、止痛剂用量以及对手术经历的痛苦体验程度等心身康复指标，在ＳＰＳＳ软件包支持下作统计分析。结果 相关分析结合回归分析显示，术前的不良认知评价、屈服应对特点、社会支持程度和精神质个性特性等心理应激因素与手术后各心身康复指标有显著相关（ Ｐ＜ ０．０５）。结论 心理应激因素影响手术康复，术前的心理行为指导和应激干预工作应予加强。
Objective To explore the correlation between psychological stress factors and psychosomatic rehabilitation after surgery. Methods Forty cases of patients undergoing elective abdominal surgery were enrolled in this study. Psychological stress factors such as cognitive assessment, coping style, social support and personality characteristics were measured on the day before surgery. The state anxiety scores, Intestinal exhaust time, the amount of analgesics and painful experience of surgical experience and other psychosocial rehabilitation indicators, with SPSS software package for statistical analysis. Results Correlation analysis combined with regression analysis showed that there were significant correlations between psychological stress factors such as preoperative bad cognitive evaluation, yield response characteristics, social support and psychopathic personality characteristics and psychosomatic rehabilitation indexes after surgery (P <0.05) . Conclusion Psychological stress factors affect surgical rehabilitation, preoperative psychological and behavioral guidance and stress intervention should be strengthened.