目的：分析达芬奇机器人辅助下广泛性全子宫切除术患者正念水平影响因素及相应护理对策。方法：回 顾性收集 2023 年 1 月—2023 年 9 月在西北妇女儿童医院接受达芬奇机器人辅助下广泛性全子宫切除术的 80 例患者 的临床资料。收集患者人口学及临床资料，采用正念注意觉知量表（MAAS）评估患者正念水平，采用社会影响量 表（SIS）、领悟社会支持量表（PSSS）评估患者社会支持度及病耻感。分析不同临床特征达芬奇机器人辅助下广泛 性全子宫切除术患者正念水平的差异，评估患者正念水平与病耻感、社会支持的相关性，并采用多元线性回归分析 影响达芬奇机器人辅助下广泛性全子宫切除术患者正念水平的危险因素。结果：不同文化程度、不同月收入患者的 正念水平存在显著差异，多元线性回归分析发现，文化程度、病耻感、社会支持度是广泛性全子宫切除术患者正念 水平影响因素，可解释总变异的 84.2%（P<0.05）。结论：文化程度、病耻感、社会支持度是广泛性全子宫切除术 患者正念水平的影响因素，临床还需采取针对性干预措施，提高患者的正念水平，促进患者术后恢复和心理健康。

Objective: To analyze the factors affecting the mindfulness level in patients undergoing Da Vinci robotassisted extensive total hysterectomy, and propose corresponding nursing countermeasures. Methods: A total of 80 patients who underwent Da Vinci robot-assisted extensive total hysterectomy in Northwest Women’s and Children’s Hospital from January 2023 to September 2023 were selected. Demographic and clinical data of the 80 patients were collected. Mindfulness Attention Awareness Scale (MAAS) was used to assess patients’ mindfulness level. Social Support Scale (SIS) and perceptive Social SupportObjective: To analyze the factors affecting the mindfulness level in patients undergoing Da Vinci robotassisted extensive total hysterectomy, and propose corresponding nursing countermeasures. Methods: A total of 80 patients who underwent Da Vinci robot-assisted extensive total hysterectomy in Northwest Women’s and Children’s Hospital from January 2023 to September 2023 were selected. Demographic and clinical data of the 80 patients were collected. Mindfulness Attention Awareness Scale (MAAS) was used to assess patients’ mindfulness level. Social Support Scale (SIS) and perceptive Social Support Scale (PSSS) were used to assess patients’ social support, health-related shame, and social support. The difference of mindfulness level in patients with different clinical characteristics underwent Da Vinci robot-assisted extensive total hysterectomy were analyzed, and the correlation between mindfulness level, health-related shame, and social support were evaluated. The risk factors affecting mindfulness level in Da Vinci robot-assisted extensive total hysterectomy were analyzed using multiple linear regression. Results: There were significant differences in mindfulness level among patients with different education levels and monthly incomes. Multiple linear regression analysis showed that education level, health-related shame, and social support were mindfulness level affecting factors in patients Da Vinci robot-assisted extensive total hysterectomy, which accounts for 84.2% of the total variation (P<0.05). Conclusion: Education level, health-related shame and social support were factors affecting the mindfulness level of patients underwent Da Vinci robot-assisted extensive total hysterectomy. Clinical intervention measures should be targeted to improve the mindfulness level to promote patients’ postoperative recovery and mental health.

收稿日期：2024-01-11  录用日期：2024-03-01 

Received Date: 2024-01-11  Accepted Date: 2024-03-01 

基金项目：国家自然科学基金（81690053） 

Foundation Item: National Natural Science Foundation of China (81690053) 

通讯作者：蔺黎，Email：m13193390884@163.com 

Corresponding Author: LIN Li, E-mail: m13193390884@163.com 

引用格式：赵栎珺，张亚敏，蔺黎，等 . 达芬奇机器人辅助全子宫切除术后患者正念影响因素的线性回归及改善策略分析 [J]. 机器 人外科学杂志（中英文），2024，5（3）：466-471. 

Citation: ZHAO Y J, ZHANG Y M, LIN L, et al. Linear regression analysis on mindfulness influencing factors in patients undergoing Da Vinci robot-assisted total hysterectomy and its mprovement strategy [J]. Chinese Journal of Robotic Surgery, 2024, 5(3): 466-471.

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