Preoperative hope level among patients with scoliosis and its influencing factors_West China Medical Journal

Authors：

QIU Yaxi ¹ , TANG Xiumei ² , LIU Ying ¹ , LI Peifang ¹ , ZHANG Lin ¹ ,  CHEN Jiali ¹ ,  NING ning ¹

1. Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CHEN Jiali, Email: cjl85614115@163.com; NING ning, Email: gKningning@126.com

Keywords：

Scoliosis; hope level; influencing factors

DOI：

10.7507/1002-0179.202504133

Video：

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Objective To explore the current status of preoperative hope level and its influencing factors in scoliosis patients, focusing on the role of medical coping, social support and self-care ability on the hope level, and to provide a basis for optimising perioperative psychological interventions. Methods Preoperative scoliosis patients at West China Hospital of Sichuan University between January 2024 and January 2025 were selected. Patients were included in the survey using a general information questionnaire, Herth Hope Index (HHI), Medical Coping Questionnaire, Social Support Rating Scale (SSRS), and Daily Living Ability Scale. Multiple linear regression analyses were performed and influential factors were explored with HHI score as the dependent variable. Results A total of 156 patients were investigated. Among them, there were 104 females (66.67%); The average HHI score was (36.88±4.04) points; 41.03% (64 cases) of patients were at a low to moderate hope level (HHI≤35 points). There were statistically significant differences in HHI scores among patients with different marital statuses and disease durations (P<0.05). The correlation analysis results showed that social support was positively correlated with HHI (r=0.207, P=0.010); Medical coping (r=−0.015, P=0.852) and self-care ability (r=0.010, P=0.903) were not correlated with HHI. The results of multiple linear regression analysis showed that the total SSRS score affected the HHI score of preoperative scoliosis patients (P=0.040). Conclusion Multidisciplinary interventions should be implemented for patients with low levels of hope, focusing on married patients with a disease duration of 1-5 years, and improving their level of hope by strengthening the social support network.

Citation： QIU Yaxi, TANG Xiumei, LIU Ying, LI Peifang, ZHANG Lin, CHEN Jiali, NING ning. Preoperative hope level among patients with scoliosis and its influencing factors. West China Medical Journal, 2025, 40(6): 925-930. doi: 10.7507/1002-0179.202504133 Copy

1.	de Kleuver M, Faraj SSA, Haanstra TM, et al. The scoliosis research society adult spinal deformity standard outcome set. spine deform, 2021, 9(5): 1211-1221.
2.	Quintero Santofimio V, Clement A, O’Regan DP, et al. Identification of an increased lifetime risk of major adverse cardiovascular events in UK biobank participants with scoliosis. Open Heart, 2023, 10(1): e002224.
3.	Peng Y, Wang SR, Qiu GX, et al. Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chin Med J (Engl), 2020, 133(4): 483-493.
4.	Archer JE, Baird C, Gardner A, et al. Evaluating measures of quality of life in adult scoliosis: a protocol for a systematic review and narrative synthesis. Syst Rev, 2021, 10(1): 259.
5.	Kishen, T. J. Long-term effects of idiopathic scoliosis with specific reference to back pain, cardiorespiratory sequelae, mortality rate, and psychological issues. Paediatric Scoliosis, 2023: 255-264.
6.	Halaç O, AygünÜ. The effects of early-onset scoliosis on morbidity and mortality of untreated patients. Orthop Res Ther, 2024: 123.
7.	Martin CT, Pugely AJ, Gao Y, et al. Increasing hospital charges for adolescent idiopathic scoliosis in the United States. Spine (Phila Pa 1976), 2014, 39(20): 1676-1682.
8.	Ye L, Lin S, Lv Y, et al. The association between mental disorders and postoperative outcomes of scoliosis surgery: a systematic review and Meta-analysis. Alpha Psychiatry, 2024, 25(2): 142-149.
9.	Snyder CR, Harris C, Anderson JR, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol, 1991, 60(4): 570-585.
10.	Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs, 1992, 17(10): 1251-1259.
11.	Chan KS, Li HC, Chan SW, et al. Herth hope index: psychometric testing of the Chinese version. J Adv Nurs, 2012, 68(9): 2079-2085.
12.	Wang S, Zhao Y, Li J, et al. Neurostructural correlates of hope: dispositional hope mediates the impact of the SMA gray matter volume on subjective well-being in late adolescence. Soc Cogn Affect Neurosci, 2020, 15(4): 395-404.
13.	Salimi H, Zadeh Fakhar HB, Hadizadeh M, et al. Hope therapy in cancer patients: a systematic review. Support Care Cancer, 2022, 30(6): 4675-4685.
14.	Zhang L, Jiang M, Wang L. , et al. The mediating effect of perceived social support and medical coping modes between psychological resilience and meaning in life in COVID-19 patients. Patient Prefer Adherence, 2023: 571-582.
15.	谷友惠, 杨红, 陆宇晗, 等. 癌症患者医学应对方式在心理弹性与死亡焦虑间的中介效应. 中华现代护理杂志, 2022, 28(2): 189-194.
16.	Feifel H, Strack S, Nagy VT. Degree of life-threat and differential use of coping modes. J Psychosom Res, 1987, 31(1): 91-99.
17.	肖水源. 《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994, 4(2): 98-100.
18.	Jacelon CS. The Barthel Index and other indices of functional ability. Rehabil Nurs, 1986, 11(4): 9-11.
19.	杨雪, 罗钰, 叶丽娟, 等. 肺癌患者自我超越现状及影响因素分析. 中国肺癌杂志, 2024, 27(7): 523-528.
20.	Loučka M, Althouse AD, Arnold RM, et al. Hope and illness expectations: a cross-sectional study in patients with advanced cancer. Palliat Med, 2024, 38(1): 131-139.
21.	Nierop‐van Baalen C, Grypdonck M, Van Hecke A, et al. Associated factors of hope in cancer patients during treatment: a systematic literature review. J Adv Nurs, 2020, 76(7): 1520-1537.
22.	Heidari M, Ghodusi M. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy. Indian J Palliat Care, 2015, 21(2): 198-202.
23.	Zhong GQ, Lin BH, Xiao CX. Hope levels and resilience in patients with severe novel coronavirus pneumonia: the current situation and a correlation analysis. Int J Gen Med, 2021, 14: 1959-1965.
24.	Chan K, Wong FKY, Lee PH. A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: a feasibility test. SAGE Open Nurs. 2019, 5: 2377960819844381.
25.	Villarreal Ingrid. Mental health implications of adolescent scoliosis: analysis of current practices and proposal of a mindfulness-based intervention. Austin: the University of Texas at Austin, 2023: 1-59.
26.	Tomczak T, Rogalski J. Risk factors of the depressive and anxiety disorders development among patients with adolescent idiopathic scoliosis and possible therapeutic interventions. Curr Probl Psychiatry, 2024, 25: 92-100.
27.	Glahn Castille M, Resendiz Ortega S. Strong support systems foster positive self-image in patients with scoliosis. Discover Mental Health, 2025, 5(1): 54.
28.	Liu G, Liu Y, Li H. A study on the effect of exercise prescription on scoliosis in adolescents. Revista de Psicología del Deporte (J Sport Psychol), 2023, 32(2): 60-66.

1. de Kleuver M, Faraj SSA, Haanstra TM, et al. The scoliosis research society adult spinal deformity standard outcome set. spine deform, 2021, 9(5): 1211-1221.
2. Quintero Santofimio V, Clement A, O’Regan DP, et al. Identification of an increased lifetime risk of major adverse cardiovascular events in UK biobank participants with scoliosis. Open Heart, 2023, 10(1): e002224.
3. Peng Y, Wang SR, Qiu GX, et al. Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chin Med J (Engl), 2020, 133(4): 483-493.
4. Archer JE, Baird C, Gardner A, et al. Evaluating measures of quality of life in adult scoliosis: a protocol for a systematic review and narrative synthesis. Syst Rev, 2021, 10(1): 259.
5. Kishen, T. J. Long-term effects of idiopathic scoliosis with specific reference to back pain, cardiorespiratory sequelae, mortality rate, and psychological issues. Paediatric Scoliosis, 2023: 255-264.
6. Halaç O, AygünÜ. The effects of early-onset scoliosis on morbidity and mortality of untreated patients. Orthop Res Ther, 2024: 123.
7. Martin CT, Pugely AJ, Gao Y, et al. Increasing hospital charges for adolescent idiopathic scoliosis in the United States. Spine (Phila Pa 1976), 2014, 39(20): 1676-1682.
8. Ye L, Lin S, Lv Y, et al. The association between mental disorders and postoperative outcomes of scoliosis surgery: a systematic review and Meta-analysis. Alpha Psychiatry, 2024, 25(2): 142-149.
9. Snyder CR, Harris C, Anderson JR, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol, 1991, 60(4): 570-585.
10. Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs, 1992, 17(10): 1251-1259.
11. Chan KS, Li HC, Chan SW, et al. Herth hope index: psychometric testing of the Chinese version. J Adv Nurs, 2012, 68(9): 2079-2085.
12. Wang S, Zhao Y, Li J, et al. Neurostructural correlates of hope: dispositional hope mediates the impact of the SMA gray matter volume on subjective well-being in late adolescence. Soc Cogn Affect Neurosci, 2020, 15(4): 395-404.
13. Salimi H, Zadeh Fakhar HB, Hadizadeh M, et al. Hope therapy in cancer patients: a systematic review. Support Care Cancer, 2022, 30(6): 4675-4685.
14. Zhang L, Jiang M, Wang L. , et al. The mediating effect of perceived social support and medical coping modes between psychological resilience and meaning in life in COVID-19 patients. Patient Prefer Adherence, 2023: 571-582.
15. 谷友惠, 杨红, 陆宇晗, 等. 癌症患者医学应对方式在心理弹性与死亡焦虑间的中介效应. 中华现代护理杂志, 2022, 28(2): 189-194.
16. Feifel H, Strack S, Nagy VT. Degree of life-threat and differential use of coping modes. J Psychosom Res, 1987, 31(1): 91-99.
17. 肖水源. 《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994, 4(2): 98-100.
18. Jacelon CS. The Barthel Index and other indices of functional ability. Rehabil Nurs, 1986, 11(4): 9-11.
19. 杨雪, 罗钰, 叶丽娟, 等. 肺癌患者自我超越现状及影响因素分析. 中国肺癌杂志, 2024, 27(7): 523-528.
20. Loučka M, Althouse AD, Arnold RM, et al. Hope and illness expectations: a cross-sectional study in patients with advanced cancer. Palliat Med, 2024, 38(1): 131-139.
21. Nierop‐van Baalen C, Grypdonck M, Van Hecke A, et al. Associated factors of hope in cancer patients during treatment: a systematic literature review. J Adv Nurs, 2020, 76(7): 1520-1537.
22. Heidari M, Ghodusi M. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy. Indian J Palliat Care, 2015, 21(2): 198-202.
23. Zhong GQ, Lin BH, Xiao CX. Hope levels and resilience in patients with severe novel coronavirus pneumonia: the current situation and a correlation analysis. Int J Gen Med, 2021, 14: 1959-1965.
24. Chan K, Wong FKY, Lee PH. A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: a feasibility test. SAGE Open Nurs. 2019, 5: 2377960819844381.
25. Villarreal Ingrid. Mental health implications of adolescent scoliosis: analysis of current practices and proposal of a mindfulness-based intervention. Austin: the University of Texas at Austin, 2023: 1-59.
26. Tomczak T, Rogalski J. Risk factors of the depressive and anxiety disorders development among patients with adolescent idiopathic scoliosis and possible therapeutic interventions. Curr Probl Psychiatry, 2024, 25: 92-100.
27. Glahn Castille M, Resendiz Ortega S. Strong support systems foster positive self-image in patients with scoliosis. Discover Mental Health, 2025, 5(1): 54.
28. Liu G, Liu Y, Li H. A study on the effect of exercise prescription on scoliosis in adolescents. Revista de Psicología del Deporte (J Sport Psychol), 2023, 32(2): 60-66.

West China Medical Journal

Preoperative hope level among patients with scoliosis and its influencing factors

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