Analysis of influencing factors of subjective well-being after surgery in patients with same-day surgery_West China Medical Journal

Authors：

LUO Xue ¹ , YIN Yu ^1,2 , SUN Yiyuan ² ,  SONG Yinghan ²

1. Day Surgery Center, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;
2. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610044, P. R. China;

Corresponding author：

SONG Yinghan, Email: yinghan2222@163.com

Keywords：

Same-day surgery; subjective well-being; quality of life; continued medical services

DOI：

10.7507/1002-0179.202512350

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Objective To explore the influencing factors of subjective well-being of patients after the same-day surgery, and to provide evidence for optimizing the management mode of same-day surgery and improving the quality of life of patients after the operation. Methods Patients who underwent same-day surgery at the Day Surgery Center, West China Tianfu Hospital of Sichuan University between June 2024 and May 2025 were retrospectively selected. The ordered Probit regression stratified model was adopted, with six dimensions variables were sequentially included: demographic characteristics, social support, community services, health status, lifestyle, and socioeconomic status, to analyze their impact on postoperative subjective well-being among patients undergoing same-day surgery. Results A total of 481 patients were included, with an average age of (54.58±15.69) years. The final model (Model 6) was statistically significant overall (LR χ²=172.840). The regression analysis results showed that there were statistically significant differences in the current physical condition-health, self-rated health status-poor (reversed scoring), and number of comorbidities-0 in the health status dimension (P<0.05). In the social support dimension, receiving comfort and care during emergencies was a strong positive predictive (P<0.05). In the community service dimension, there was no statistically significant difference in participation in follow-up management, community-provided examinations or guidance (P>0.05), but there was a statistically significant difference in the combined effect on subjective well-being (P<0.05). In the socioeconomic status dimension, “monthly income below 3 000 yuan”“postgraduate or higher education”“self-employment” were statistically significant (P<0.05). Conclusions Postoperative subjective well-being in patients undergoing same-day surgery mode is influenced by multiple factors, including social support, health status, and community services. Targeting these primary influencing factors with appropriate measures can enhance postoperative subjective well-being in same-day surgery mode patients.

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22.	李秀峰. 多元随访管理模式用于社区高血压患者的病情影响. 中国社区医师, 2021, 37(11): 172-173.

1. 蒋丽莎, 马洪升. 日归手术——中国日间手术的升华. 华西医学, 2022, 37(2): 161-164.
2. Idvall E, Berg K, Unosson M, et al. Assessment of recovery after day surgery using a modified version of quality of recovery-40. Acta Anaesthesiol Scand. 2009, 53 (5): 673-677.
3. 吕子宁, 刘洋, 梁鹏. 个体化的加速康复外科理念在日归手术麻醉中的应用. 华西医学, 2022, 37(2): 262-266.
4. Suhonen R, Virtanen H, Heikkinen K, et al. Health related quality of life of day-case surgery patients: a pre/posttest survey using the EuroQoL-5D. Qual Life Res. 2008, 17 (1): 169-177.
5. Mattila K, Lahtela M, Hynynen M. Health-related quality of life following ambulatory surgery procedures: assessment by RAND-36. BMC Anesthesiol, 2012, 12: 30.
6. Diener E, Suh EM, Lucas RE, et al. Subjective well-being: three decades of progress. Psychological Bull, 1999, 125(2): 276-302.
7. Martín-María N, Miret M, Caballero FF, et al. The impact of subjective well-being on mortality: a Meta-analysis of longitudinal studies in the general population. Psychosom Med, 2017, 79(5): 565-575.
8. Courneya KS, Bobick TM, Rhodes RE, et al. Personality correlates of patients’ subjective well-being after surgery for colorectal cancer: an application of the five-factor model. J Psychosoc Oncol, 2000, 18(4): 61-72.
9. Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet, 2015, 385(9968): 640-648.
10. 孙玉栋, 梅正午. 医疗保险对居民主观幸福感的影响研究——基于京津冀地区的实证分析. 中国特色社会主义研究, 2019(6):19-27.
11. 徐英, 郭艳芳, 刘峥, 等. 慢性病患者社区健康管理服务利用情况及影响因素研究. 中国全科医学, 2022, 25(1): 55-61.
12. 张嘉琪, 刘钰曦, 区翠红, 等. 慢性病老年人主观幸福感影响因素分析. 中国健康教育, 2025, 41(7): 625-632.
13. 肖水源, 杨德森. 社会支持对身心健康的影响. 中国心理卫生杂志, 1987, 1(4): 183-187.
14. 孙烽, 董恩宏, 宓轶群. 基于有序 PROBIT 模型的患者生活满意度的实证研究. 中国卫生资源, 2015, 18(4): 263-265.
15. 梅敏莎, 叶丽, 袁红卫. LEARNS 模式的健康教育对精神分裂症患者心理弹性、自护能力、服药依从性及主观幸福感的影响. 中国健康心理学杂志, 2026, 34(1): 39-45.
16. 赵芳, 陈文静, 张曼, 等. 乳腺癌术后患者主观幸福感与焦虑、自我效能的相关性. 解放军护理杂志, 2015, 32(14): 19-21.
17. 黄婷婷, 刘莉倩, 王大华, 等. 经济地位和计量地位: 社会地位比较对主观幸福感的影响及其年龄差异. 心理学报, 2016, 48(9): 1163-1174.
18. Sun S, Chen J, Johannesson M, et al. Subjective well-being and its association with subjective health status, age, sex, region, and socio-economic characteristics in a Chinese population study. J Happiness Stud, 2016(17): 833-873.
19. 马洪升, 蒋丽莎. 日归手术管理与实践. 四川: 四川科学技术出版社, 2023.
20. 李晓泽, 孙国强, 沈蔷, 等. 社区中老年慢性病患者个体化健康教育干预效果: 一项整群随机对照试验. 中国全科医学, 2025, 28(11): 1320-1328.
21. 李滨, 葛梦飞, 韩静, 等. 社区居家老年人身心健康影响因素及医务社工赋能策略研究. 中国全科医学, 2025: 1-8.
22. 李秀峰. 多元随访管理模式用于社区高血压患者的病情影响. 中国社区医师, 2021, 37(11): 172-173.

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