摘要
目的探讨围手术期心理干预对老年前列腺癌去势患者心理状况及生活质量的影响。方法将2022年1月至2023年6月在深圳市罗湖区人民医院治疗的114例老年前列腺癌手术去势患者按随机数表法分为两组,每组各57例,对照组使用常规护理,观察组使用围手术期心理干预,对比两组的心理状态、围手术期各项指标、应对方式、生活质量。结果观察组术前12 h、出院前24 h的焦虑自评量表(SAS)、抑郁自评量表(SDS)均低于对照组,差异有统计学意义(P<0.05);观察组手术时间与对照组比较,差异无统计学意义(P>0.05),但术后尿管留置时间、住院时间短于对照组,护理满意度评分高于对照组,感染、尿失禁、勃起功能障碍、膀胱和尿道吻合口狭窄等并发症发生率低于对照组,差异有统计学意义(P<0.05);术前12 h、出院前24 h的医学应对问卷(MCMQ)中,观察组面对评分高于对照组,回避、屈服评分低于对照组,差异有统计学意义(P<0.05);观察组术后3个月情感功能、躯体功能、认知功能、角色功能、社会功能、整体生活质量等生活质量调查表(QLQ-C30)均高于对照组,差异有统计学意义(P<0.05)。结论围手术期心理干预对老年前列腺癌去势患者有显著护理效果,有效改善患者心理状态,改变应对方式,加快术后恢复速度,减少并发症,提高护理满意度及生活质量。
Objective To explore the effect of perioperative psychological intervention on the psychological status and quality of life of elderly castrated patients with prostate cancer.Methods A total of 114 elderly castrated patients with prostate cancer treated in Luohu People’s Hospital from January 2022 to June 2023 were randomly divided into two groups by the random number table method,with 57 patients in each group.The control group was given routine nursing,while the observation group was given perioperative psychological intervention.The psychological state,perioperative indicators,coping style and quality of life of the two groups were compared.Results The scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)12 hours before operation and 24 hours before discharge in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The operation time of the observation group was equivalent to that of the control group,with no statistically significant differences(P>0.05).However,the postoperative indwelling time of urinary catheter and length of stay of the observation group were shorter than those of the control group,the nursing satisfaction score was higher than that of the control group,and the incidence of complications such as infection,urinary incontinence,erectile dysfunction and vesico-urethral anastomotic stenosis was lower than that of the control group,with statistically significant differences(P<0.05).In the medical coping modes questionnaire(M C M Q)12 hours before operation and 24 hours before discharge,the face score of the observation group was higher than that of the control group,and the scores of avoidance and yield were lower than those of the control group,with statistically significant differences(P<0.05).Three months after operation,the scores of quality of life questionnaire(QLQ-C30)including emotional function,physical function,cognitive function,role function,social function and overall quality of life in
作者
周燕华
付建
闫小辉
张文娟
ZHOU Yanhua;FU Jian;YAN Xiaohui;ZHANG Wenjuan(Department of Urology,Luohu People’s Hospital,Guangdong,Shenzhen 518001,China)
出处
《中国医药科学》
2024年第16期84-88,共5页
China Medicine And Pharmacy
基金
广东省深圳市“医疗卫生三名工程”项目(SZSM202201024)
广东省深圳市医学重点专科(SZXK021)
广东省深圳市罗湖区软科学研究计划项目(LX20201303)。
关键词
前列腺癌
手术去势
围手术期心理干预
心理状况
生活质量
Prostate cancer
Surgical castration
Perioperative psychological intervention
Psychological status
Quality of life
