心理干预对骨盆骨折后尿道损伤后勃起功能障碍及心理状态的影响  

Effect of Psychological Intervention on Erectile Dysfunction in Patients with Pelvic Fracture Posterior Urethral Injury

作　　者：万国英[1] 欧恬 王健[1] 朱心燊[1] 

机构地区：[1]江西省人民医院泌尿外科,南昌330006

出　　处：《实用临床医学（江西）》2015年第12期73-75,78,共4页Practical Clinical Medicine

基　　金：江西省卫生与计划生育委员会科技计划(20150504)

摘　　要：目的探讨心理干预对骨盆骨折后尿道损伤后勃起功能障碍患者的心理状态及治疗效果的影响。方法将60例骨盆骨折后尿道损伤后勃起功能障碍患者按随机数字表法分为观察组和对照组,每组30例。2组患者均服用他达那非5mg,每日1次。对照组采用常规护理(观察生命体征、遵医嘱给予抗感染、止血,做好留置导尿管护理、绝对卧床休息、预防褥疮护理等);观察组在对照组护理的基础上给予心理干预(建立融洽的护患关系、认知干预、情绪干预、争取家属的密切配合、健康教育等)。分别于护理干预前及护理干预12周后采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)及国际勃起功能问卷表(IIEF-5)对2组患者的心理状况、勃起功能障碍的严重程度进行评定。结果 2组患者护理前SAS、SDS及IIEF-5评分比较差异均无统计学意义(均P>0.05)。护理干预12周后观察组SAS、SDS评分明显低于干预前及对照组,IIEF-5评分明显高于干预前及对照组(均P<0.05);对照组护理前后SAS、SDS及IIEF-5评分比较差异无统计学意义(P>0.05)。结论对骨盆骨折后尿道损伤后勃起功能障碍患者进行心理干预,能有效地降低患者的焦虑和抑郁的程度,提高患者IIEF-5评分,对提高患者的生活质量及稳定家庭社会关系有着实际的意义。Objective To explore the effect of psychological intervention on psychological status and therapeutic efficacy in patients with erectile dysfunction after pelvic fracture posterior urethral injury. Methods Sixty patients with erectile dysfunction after pelvic fracture posterior urethral injury were randomly divided into two groups, with 30 patients in each group. Both groups were treated with oral tadalafil 5 mg once per day. In addition, the control group was given routine nursing care, including vital sign measurement, anti-inflammation, hemostasis, indwelling urinary catheter nursing, absolute bed rest, etc. On the basis of routine nursing care, the observation group was given psychological intervention, including establishment of harmonious relationship between nurses and patients, cognitive intervention, emotional intervention, close coordination with family members,health education, etc. The psychological status was evaluated using Zung Self-Rating Anxiety Scale（SAS） and Self-Rating Depression Scale（SDS） and the erectile dysfunction was evaluated using International Index of Erectile Function（IIEF-5） before and after nursing interven- tion for 12 weeks. Results There were no significant differences in SAS,SDS and IIEF-5 scores between the two groups before nursing intervention（P^0.05）. In observation group, SAS and SDS scores decreased and IIEF-5 scores increased after nursing intervention for 12 weeks（P〈 0.05）. In control group, no obvious changes in SAS, SDS and IIEF-5 scores were found after nursing intervention for 12 weeks（P〉0.05）. Compared with control group,SAS and SDS scores decreased and IIEF-5 scores increased in observation group after nursing intervention for 12 weeks （P〈0.05）. Conclusion Psychological intervention can effectively reduce the levels of anxiety and depression,increase the scores of IIEF-5, improve the quality of life, and stabilize the family and social relations in patients with erectile dysfunction after pelvic fracture posterior urethral injury

关 键 词：后尿道损伤 勃起功能障碍 护理 

分 类 号：R473.6[医药卫生—护理学]