摘要
目的利用焦虑自评量表(SAS)评估经尿道前列腺电切术后患者随访中的焦虑状态变化规律,为制定合理的心理干预措施提供依据。方法采用前瞻性观察研究。选取2020年1月至6月间在中山大学附属第三医院岭南医院泌尿外科收治的良性前列腺增生症患者为研究对象,对入组的32例接受经尿道前列腺电切术患者术前、出院时、出院后第1周、第2周、1个月时进行SAS评分,同时采集国际前列腺症状评分(IPSS)和生活质量(QOL)评分。各评分量表在治疗前后的得分采用方差分析进行统计分析,SAS评分与IPSS、QOL评分之间的关系用Pearson相关性分析。结果入组患者年龄为(60.0±1.6)岁,前列腺体积为(51.5±4.2)ml,膀胱残余尿量(PVR)为(93.6±50.1)ml。术后1个月SAS、IPSS、QOL评分均较术前明显降低[(29.3±3.3)分比(46.5±3.8)分、(7.5±3.0)分比(22.3±1.9)分、(0.9±0.6)分比(4.0±0.6)分],差异均有统计学意义(均P<0.05)。SAS评分的变化与IPSS评分的变化呈明显的线性相关状态(r2=0.683,P<0.05)。结论SAS能有效评估前列腺电切术后患者的焦虑心态变化规律,为科学合理的心理干预提供了科学依据。
Objective To assess the change of anxiety state of patients after transurethral resection of the prostate during the follow-up with the Self-rating Anxiety Scale(SAS),and provide a basis for formulating reasonable psychological interventions.Methods This was a prospective observational research.Patients with benign prostatic hyperplasia who were admitted to the Department of Urology of Lingnan Branch,The Third Affiliated Hospital of Sun Yat-sen University from January to June 2020 were selected as the subjects,and 32 patients who underwent transurethral resection of the prostate were subjected to SAS evaluation before surgery,at discharge,1 week after discharge,2 weeks after discharge,and 1 month after discharge.Additionally,International Prostate Symptom Score(IPSS)and quality of life(QOL)score were collected at the same time.The scores of each scale before and after treatment were statistically analyzed by ANOVA,and the relationships between SAS score,IPSS score,and QOL score were analyzed by Pearson correlation analysis.Results The age of included patients was(60.0±1.6)years old,the prostate volume was(51.5±4.2)ml,and the post-voiding residual volume(PVR)was(93.6±50.1)ml.The SAS,IPSS,and QOL scores 1 month after operation were significantly lower than those before operation[(29.3±3.3)points vs.(46.5±3.8)points,(7.5±3.0)points vs.(22.3±1.9)points,(0.9±0.6)points vs.(4.0±0.6)points],with statistically significant differences(all P<0.05).There was a significant linear correlation between SAS score and IPSS score(r 2=0.683,P<0.05).Conclusion The SAS can effectively assess the change in the anxiety state of patients after transurethral resection of the prostate,and provides a scientific basis for reasonable psychological intervention.
作者
江涛
丁亚岚
高静
陈雪莲
湛海伦
Jiang Tao;Ding Yalan;Gao Jing;Chen Xuelian;Zhan Hailun(Department of Urology,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,China)
出处
《国际医药卫生导报》
2022年第2期258-261,共4页
International Medicine and Health Guidance News
关键词
焦虑自评量表
经尿道前列腺电切术
国际前列腺症状评分
Self-rating Anxiety Scale
Transurethral resection of the prostate
International Prostate Symptom Score
