The mediating role of self-perceived burden in the relationship between psychological resilience and quality of life in patients after anal fistula surgery

Objective To explore the mediating effect of self-perceived burden on the relationship between psychological resilience and quality of life in patients after anal fistula surgery. Methods A convenience sampling method was used to select 294 patients who underwent anal fistula surgery at the Colorectal Surgery Department of The Sixth Affiliated Hospital of Sun Yat-sen University from August to December 2024. A self-designed general information questionnaire, the Short Form-36 Health Survey (SF-36), the Self-Perceived Burden Scale (SPBS), and the Connor-Davidson Resilience Scale (CD-RISC) were administered. Results The total score of SF-36 was (481. 08 ± 137. 05), the SPB score was (24. 94 ± 10. 03), and the psychological resilience score was (69. 38 ± 16. 09). Quality of life was negatively correlated with SPB (P＜0. 01), positively correlated with psychological resilience (P＜0. 01), and SPB was negatively correlated with psychological resilience (P＜0. 01). Self-perceived burden played a partial mediating role between psychological resilience and quality of life, accounting for 24. 82% of the total effect. Conclusion Self-perceived burden partially mediates the relationship between psychological resilience and quality of life in post-operative anal fistula patients. Clinical practitioners should implement targeted interventions to reduce Self-perceived burden and enhance psychological resilience, thereby improving patients' quality of life. (目的 探讨自我感受负担在肛瘘术后患者心理弹性与生活质量间的中介效应。方法 采用便利抽样法选取 2024年8月—12月中山大学附属第六医院肛肠外科收治的 294 例肛瘘术后患者作为调查对象, 采用自编的一般情况调查表、简明健康调查问卷(SF-36)、自我感受负担量表(SPBS)、心理弹性量表(CD-RISC)进行问卷调查。结果 被调查对象SF-36量表总分(481. 08±137. 05)分, SPBS量表总分(24. 94±10. 03)分, CD-RISC量表总分(69. 38±16. 09)分。肛瘘术后患者生活质量与自我感受负担呈负相关(P＜0. 01), 生活质量与心理弹性呈正相关(P＜0. 01), 自我感受负担与心理弹性呈负相关(P＜0. 01)。自我感受负担在肛瘘术后患者心理弹性与生活质量间具有部分中介作用, 中介效应占总效应的24. 82%。结论 自我感受负担在肛瘘术后患者心理弹性与生活质量之间起部分中介作用。临床工作者应通过相应措施减轻患者的自我感受负担、提高患者的心理弹性, 从而改善患者的生活质量。)