社会支持对老年前列腺增生患者自我管理与生活质量的影响  

Effects of social support on self-management and quality of life in elderly patients with prostatic hyperplasia

作　　者：曹怡[1] 戚维芬[2] 沈开忠[3] 韩慧慧[3] 

机构地区：[1]宁波市医疗中心李惠利医院泌尿外科,浙江宁波315000 [2]宁波市医疗中心李惠利医院护理部,浙江宁波315000 [3]宁波卫生职业技术学院护理学院,浙江宁波315100

出　　处：《中国现代医生》2017年第11期128-131,共4页China Modern Doctor

基　　金：浙江省教育厅高校科研计划项目(Y201329478)

摘　　要：目的探讨社会支持对老年前列腺增生患者自我管理与生活质量的影响。方法选取我院2015年1月~2017年1月收治的80例老年前列腺增生患者,依据社会支持程度将患者分为高社会支持组(n=40)和低社会支持组(n=40)两组,对两组患者的SSRS评分、ESCA评分、QLS评分进行统计分析。结果高社会支持组患者的主观支持、社会支持利用度评分及SSRS总分均显著高于低社会支持组(P<0.05),但两组患者的客观支持评分之间差异不显著(P>0.05);高社会支持组患者的自我护理责任感、技能、健康知识水平评分及ESCA总分均显著高于低社会支持组(P<0.05),但两组患者的自我概念评分之间差异不显著(P>0.05);高社会支持组患者的生理、心理、社会、满意度评分及QLS总分均显著高于低社会支持组(P<0.05),但两组患者的疾病评分之间差异不显著(P>0.05)。结论老年前列腺增生患者高社会支持较低社会支持更能有效提升患者的自我管理能力与生活质量。Objective To investigate the effects of social support on the self-management and quality of life of elderly patients with prostatic hyperplasia. Methods Eighty elderly patients with prostatic hyperplasia admitted in our hospital from January 2015 to January 2017 were selected and divided into high social support group（n=40） and low social support group（n=40） according to social support degree. The SSRS score, ESCA score and QLS score between the two groups were statistically analyzed. Results The subjective support, social support utilization score and SSRS score of the patients in high social suppoIt group were significantly higher than those of the low social support group（P〈0.05）, but there was no significant difference in objective support score between the two groups（P〉0.05）. The self-care responsibility, skills, health knowledge score and ESCA score of the patients in the high social support group were significantly higher than those in the low social support group（P〈0.05）, but the difference in the self-concept score between the two groups was not significant（P〉0.05）. The physiological, psychological, social, satisfaction scores and QLS total score in the high social support group were significantly higher than those in the low social support group（P〈0.05）, but the difference in disease score was not significant between the two groups（P〉0.05）. Conclusion High social support for elderly patients with prostatic hyperplasia is more effective in improving patient self-management and quality of life than low social support.

关 键 词：老年前列腺增生患者 社会支持 自我管理 生活质量 

分 类 号：R473.6[医药卫生—护理学]