全程心理干预对前列腺癌根治术后患者焦虑抑郁情绪的影响研究(1)
摘 要：目的 探讨全程心理干预在前列腺癌根治术后患者护理中的应用效果。方法 选取2012年2月～2016年5月在我院行根治手术治疗的前列腺癌患者67例，随机分为干预组(34例)和对照组(33例)。干预组患者行全程心理干预护理，对照组采用常规护理。于术前、术后1个月、3个月、6个月及术后1年观察患者SDS、HADS评分情况。结果 干预组患者术后1个月、3个月、6个月及术后1年的SDS评分均低于对照组，差异有统计学意义(P<0.05);干预组患者术后1个月、3个月、6个月及术后1年的HADS评分均低于对照组，差异有统计学意义(P<0.05)。结论 对前列腺癌根治术患者进行全程心理护理，可有效降低患者术后的焦虑、抑郁情绪。
关键词：心理干预;前列腺癌根治术;焦虑;抑郁
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.053
, http://www.100md.com
文章编号：1006-1959(2018)21-0178-03
Effect of Comprehensive Psychological Intervention on Anxiety and Depression in Patients with Prostate Cancer after Radical Prostatectomy
JIANG Wei
(Department of Urology，the First People's Hospital of Changzhou，Changzhou 213000，Jiangsu，China)
Abstract：Objective To explore the effect of comprehensive psychological intervention in nursing care of patients after radical prostatectomy. Methods From February 2012 to May 2016， 67 patients with prostate cancer were randomly divided into intervention group (34 cases) and control group (33 cases).The patients in the intervention group were given comprehensive psychological intervention nursing， while the patients in the control group were treated with routine nursing. SDS，HADS scores were observed before， 1 month， 3 months， 6 months and 1 year after operation.Results The SDS scores in the intervention group were significantly lower than those in the control group at 1 month， 3 months， 6 months and 1 year after operation，the difference was statistically significant(P<0.05).The HADS scores in the intervention group were significantly lower than those in the control group at 1 month， 3 months， 6 months and 1 year after operation(P<0.05). Conclusion Comprehensive psychological care for patients with radical prostatectomy can effectively reduce postoperative anxiety and depression.
, http://www.100md.com
Key words：Psychological intervention;Radical prostatectomy;Anxiety;Depression
前列腺癌(prostate cancer)是男性常見的恶性肿瘤，尤其是社会老龄化的转变及生活方式、环境的影响，前列腺癌的发病率逐年上升。大多数泌尿外科医生认为，局限性前列腺癌行根治性切除仍为有效的治疗方法。然而术后也会长时间存在相应的并发症，如排尿困难、尿失禁、性功能障碍等[1]。前列腺癌患者术后生活质量和心理健康情况也会发生变化，因此关注此类人群的生活质量及心理诉求势在必行。本研究通过不同的护理方法对我院67例行根治术的前列腺癌患者进行心理干预，现将报告总结如下。
1 资料与方法
1.1一般资料 本研究选取2012年2月～2016年5月在常州市第一人民医院泌尿外科就诊并行根治手术治疗的前列腺癌患者67例，本研究经常州市第一人民医院伦理委员会批准。纳入标准：①所有患者均经前列腺穿刺后病理学活检确诊;②患者初中及以上文化水平;③均行前列腺根治手术;④患者均自愿参与本次研究，且签署知情同意书。排除标准：①伴有远处转移者如骨转移;②患者理解能力差，不能有效配合心理护理者;③有个人心理疾病史者;④伴有其他慢性疾病患者。按照随机数字表法将患者分为干预组(34例)和对照组(33例)，两组患者在年龄、文化程度和手术方式等方面比较，差异均无统计学意义(P>0.05)，见表1，研究可进行。, http://www.100md.com(蒋 薇)
关键词：心理干预;前列腺癌根治术;焦虑;抑郁
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.053
, http://www.100md.com
文章编号：1006-1959(2018)21-0178-03
Effect of Comprehensive Psychological Intervention on Anxiety and Depression in Patients with Prostate Cancer after Radical Prostatectomy
JIANG Wei
(Department of Urology，the First People's Hospital of Changzhou，Changzhou 213000，Jiangsu，China)
Abstract：Objective To explore the effect of comprehensive psychological intervention in nursing care of patients after radical prostatectomy. Methods From February 2012 to May 2016， 67 patients with prostate cancer were randomly divided into intervention group (34 cases) and control group (33 cases).The patients in the intervention group were given comprehensive psychological intervention nursing， while the patients in the control group were treated with routine nursing. SDS，HADS scores were observed before， 1 month， 3 months， 6 months and 1 year after operation.Results The SDS scores in the intervention group were significantly lower than those in the control group at 1 month， 3 months， 6 months and 1 year after operation，the difference was statistically significant(P<0.05).The HADS scores in the intervention group were significantly lower than those in the control group at 1 month， 3 months， 6 months and 1 year after operation(P<0.05). Conclusion Comprehensive psychological care for patients with radical prostatectomy can effectively reduce postoperative anxiety and depression.
, http://www.100md.com
Key words：Psychological intervention;Radical prostatectomy;Anxiety;Depression
前列腺癌(prostate cancer)是男性常見的恶性肿瘤，尤其是社会老龄化的转变及生活方式、环境的影响，前列腺癌的发病率逐年上升。大多数泌尿外科医生认为，局限性前列腺癌行根治性切除仍为有效的治疗方法。然而术后也会长时间存在相应的并发症，如排尿困难、尿失禁、性功能障碍等[1]。前列腺癌患者术后生活质量和心理健康情况也会发生变化，因此关注此类人群的生活质量及心理诉求势在必行。本研究通过不同的护理方法对我院67例行根治术的前列腺癌患者进行心理干预，现将报告总结如下。
1 资料与方法
1.1一般资料 本研究选取2012年2月～2016年5月在常州市第一人民医院泌尿外科就诊并行根治手术治疗的前列腺癌患者67例，本研究经常州市第一人民医院伦理委员会批准。纳入标准：①所有患者均经前列腺穿刺后病理学活检确诊;②患者初中及以上文化水平;③均行前列腺根治手术;④患者均自愿参与本次研究，且签署知情同意书。排除标准：①伴有远处转移者如骨转移;②患者理解能力差，不能有效配合心理护理者;③有个人心理疾病史者;④伴有其他慢性疾病患者。按照随机数字表法将患者分为干预组(34例)和对照组(33例)，两组患者在年龄、文化程度和手术方式等方面比较，差异均无统计学意义(P>0.05)，见表1，研究可进行。, http://www.100md.com(蒋 薇)