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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21.	李濱, 葛夢飛, 韓靜, 等. 社區居家老年人身心健康影響因素及醫務社工賦能策略研究. 中國全科醫學, 2025: 1-8.
22.	李秀峰. 多元隨訪管理模式用于社區高血壓患者的病情影響. 中國社區醫師, 2021, 37(11): 172-173.

1. 蔣麗莎, 馬洪升. 日歸手術——中國日間手術的升華. 華西醫學, 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. 呂子寧, 劉洋, 梁鵬. 個體化的加速康復外科理念在日歸手術麻醉中的應用. 華西醫學, 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. 孫玉棟, 梅正午. 醫療保險對居民主觀幸福感的影響研究——基于京津冀地區的實證分析. 中國特色社會主義研究, 2019(6):19-27.
11. 徐英, 郭艷芳, 劉崢, 等. 慢性病患者社區健康管理服務利用情況及影響因素研究. 中國全科醫學, 2022, 25(1): 55-61.
12. 張嘉琪, 劉鈺曦, 區翠紅, 等. 慢性病老年人主觀幸福感影響因素分析. 中國健康教育, 2025, 41(7): 625-632.
13. 肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987, 1(4): 183-187.
14. 孫烽, 董恩宏, 宓軼群. 基于有序 PROBIT 模型的患者生活滿意度的實證研究. 中國衛生資源, 2015, 18(4): 263-265.
15. 梅敏莎, 葉麗, 袁紅衛. LEARNS 模式的健康教育對精神分裂癥患者心理彈性、自護能力、服藥依從性及主觀幸福感的影響. 中國健康心理學雜志, 2026, 34(1): 39-45.
16. 趙芳, 陳文靜, 張曼, 等. 乳腺癌術后患者主觀幸福感與焦慮、自我效能的相關性. 解放軍護理雜志, 2015, 32(14): 19-21.
17. 黃婷婷, 劉莉倩, 王大華, 等. 經濟地位和計量地位: 社會地位比較對主觀幸福感的影響及其年齡差異. 心理學報, 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. 馬洪升, 蔣麗莎. 日歸手術管理與實踐. 四川: 四川科學技術出版社, 2023.
20. 李曉澤, 孫國強, 沈薔, 等. 社區中老年慢性病患者個體化健康教育干預效果: 一項整群隨機對照試驗. 中國全科醫學, 2025, 28(11): 1320-1328.
21. 李濱, 葛夢飛, 韓靜, 等. 社區居家老年人身心健康影響因素及醫務社工賦能策略研究. 中國全科醫學, 2025: 1-8.
22. 李秀峰. 多元隨訪管理模式用于社區高血壓患者的病情影響. 中國社區醫師, 2021, 37(11): 172-173.

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