前列腺癌内分泌治疗患者性心理调查与护理干预  

Psychological investigation and nursing intervention for patients with prostate cancer after endocrine therapy

作　　者：陈青[1] 柯莽[1] 陈晶[2] 

机构地区：[1]浙江省台州医院泌尿外科,浙江台州317000 [2]浙江省台州医院感染科,浙江台州317000

出　　处：《中国性科学》2017年第4期141-144,共4页Chinese Journal of Human Sexuality

基　　金：浙江省台州市2015年度科技资金项目(序号:13)

摘　　要：目的:探讨护理干预应用在前列腺癌内分泌治疗患者中的护理效果及心理状态分析。方法:对我院开展内分泌治疗的前列腺癌患者104例采用随机数字表法分为观察组和对照组,每组各52例,对照组给予内分泌治疗,观察组联合综合护理干预,对比两组治疗情况。结果:观察组干预后焦虑量表评分(48.76±2.41)分,抑郁量表评分(51.81±3.17)分;对照组干预后焦虑量表评分(58.33±6.88)分,抑郁量表评分(64.77±7.28)分,组间对比差异有统计学意义(t=9.4666、11.7699,P<0.05)。观察组干预后尿路症状(22.43±3.82)分,肠道症状(11.88±2.65)分,其他症状(21.37±4.08)分,性功能量表中性兴趣(7.21±3.13)分,性愉悦(5.81±2.72)分,性质量(76.51±10.38)分,其中症状量表评分优于对照组,组间对比差异有统计学意义(t=5.9260、7.5247、7.6762,P<0.05)。对照组躯体功能(60.43±5.87)分,角色功能(62.54±5.39)分,认知功能(56.24±3.86)分,情绪功能(58.27±4.32)分,社会功能(62.18±5.41)分;观察组躯体功能(71.83±11.32)分,角色功能(73.44±12.15)分,认知功能(74.65±9.87)分,情绪功能(70.16±10.85)分,社会功能(72.51±13.22)分,组间对比差异有统计学意义(t=6.6648、5.9135、12.5266、7.3418、5.2149,P<0.05)。结论:应用综合护理干预在前列腺癌内分泌治疗患者中能够改善患者焦虑和抑郁状态,提升治疗后生活质量,值得在临床上推广应用。Objectives： To discuss the application of nursing intervention in patients with prostate cancer after endocrine therapy and patients＇ mental state. Methods： Endocrine therapy in our hospital 104 cases of patients with prostate cancer using the random number table method was divided into observation group and control group, 52 cases in each group, control group given endocrine therapy, observation in combination with the comprehensive nursing intervention, compared two groups of treatment. Results： Observation group after the intervention of anxiety rating scale （48.76 ± 2. 41 ） points, depression rating scale （51.81 ± 3. 17 ） points; The control group after the in- tervention of anxiety rating scale （58. 33 ±6. 88） points, depression rating scale （64.77 ±7.28） points, compari- son between groups was statistically significant difference （ t = 9. 4666, 11. 7699, P 〈 0. 05 ）, Observation group after the intervention urinary tract symptoms （22. 43 ±3.82 ） points, intestinal symptoms （ 11.88 ± 2. 65 ） points, other symptoms （21.37 ± 4. 08 ） points, sexual function scale neutral interest （ 7. 21 ± 3. 13 ） points, sexual pleas- ure （5.81±2.72） points, quality （76. 51±10. 38） points, in which symptoms rating scale score is better than that of control group, comparison between groups was statistically significant difference （ t = 5. 9260, 7. 5247, 7. 6762, P 〈 0. 05）. Control body functions （60. 43 ±5.87） points, role function （62. 54± 5.39 ）, （56. 24 ± 3.86） points, cognitive function mood function （58. 27 ±4. 32） points, social function （62. 18 ±5.41） ; Observation group physical function （ 71.83 ± 11.32 ） points, role function （ 73.44 ± 12. 15 ） , （ 74.65± 9.87 ） points, cognitive function mood function （70. 16± 10. 85 ） points, social function （72. 51 ± 13.22 ） points, comparison be- tween groups was statistically significant difference （ t = 6. 6648, 5. 9135, 12. 5266, 5. 9135, 12. 5266, P 〈 0.

关 键 词：前列腺癌 内分泌治疗 性心理 护理干预 

分 类 号：R737.25[医药卫生—肿瘤]