慢性前列腺炎合并性功能障碍患者SCL-90调查及其心理干预  

Psychological intervention and SCL- 90 survey in patients with chronic prostatitis combined with sexual dysfunction

作　　者：戴丽君[1] 苏红侠[1] 陈红粟 何有华[1] 王帅斌[1] 

机构地区：[1]温州医科大学附属第二医院泌尿外科,浙江温州325000

出　　处：《中国性科学》2015年第10期47-49,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨心理干预应用在慢性前列腺炎合并性功能障碍患者中对症状自评量表(SCL-90)各因子的影响。方法:对我院就诊的78例慢性前列腺炎合并性功能障碍患者开展心理干预措施,采用SCL-90量表进行调查,观察心理干预对患者的影响。结果:患者治疗后症状自评量表评分其中躯体化(1.66±0.19)分,强迫症状(1.44±0.17)分,人际关系(1.41±0.18)分,焦虑(1.81±0.34)分,抑郁(1.69±0.25)分,恐怖(1.13±0.21)分,偏执(1.24±0.16)分,敌对(1.01±0.11)分,精神病性(1.34±0.22)分,其他(1.43±0.23)分,同治疗前比较统计学分析显示差异具有统计学意义(t=19.8748、6.2428、6.4291、12.0147、11.7154、5.1469、10.1706、9.3522、11.7451、10.4746;P<0.05)。患者治疗后焦虑自评量表评分(47.28±3.0)分,抑郁自评量表评分(43.76±3.17)分,NIH-CPSI评分(10.32±2.08)分,IIEF-5评分(18.37±1.45)分,同治疗前比较统计学分析显示差异具有统计学意义(t=15.4093、16.4215、8.2473、24.7599,P<0.05)。结论:采用心理干预应用在慢性前列腺炎合并性功能障碍患者中可以有效地改善患者心理状态,减轻患者负性心理压力,提升临床治疗效果,值得在临床上推广应用。Objectives： To discuss the application of psychological intervention in patients with chronic prostatitis combined with sexual dysfunction and its effect on each factor of symptom self- assessment scale（ SCL-90）. Methods： 78 patients with chronic prostatitis combined with sexual dysfunction were treated with psychological intervention measures by SCL- 90 questionnaire surveys to observe the influence of psychological intervention on patients. Results： After treatment,in symptoms self- rating scale,somatization was 1. 66 ± 0. 19 points,forcing symptom was 1. 44 ± 0. 17 points,human relationship was 1. 41 ± 0. 18 points,anxiety was 1. 81 ± 0. 34 points,depression was 1. 69 ± 0. 25 points,terror was 1. 13 ± 0. 21 points,paranoid was 1. 24 ± 0. 16 points,hostility was1. 01 ± 0. 11 points,psychoticism was 1. 34 ± 0. 22 points and other was 1. 43 ± 0. 23 points. Compared with the scores before treatment,there were statistically significant differences（ t = 19. 8748,6. 2428,6. 4291,12. 0147,11. 7154,5. 1469,10. 1706,9. 3522,11. 7451,9. 3522; P〈0. 05）. After treatment,anxiety self- assessment rating scale score was 47. 28 ± 3. 0 points,depression self- rating scale score was 43. 76 ± 3. 17 points,the NIH-CPSI score was 10. 32 ± 2. 08 points,IIEF score- 5 was 18. 37 ± 1. 45 points. Compared with the scores before treatment,there were statistically significant differences（ t = 15. 4093,16. 4215,8. 2473,16. 4215,P〈0. 05）.Conclusion： Psychological intervention can effectively improve the psychological condition of patients with chronic prostatitis combined with sexual dysfunction,reduce the patients＇ negative psychological stress and enhance clinical therapeutic effect,which is worth popularizing in clinical application.

关 键 词：慢性前列腺炎 性功能障碍 心理干预 

分 类 号：R395.6[哲学宗教—心理学]