探讨个性化心理干预对前列腺癌患者不良情绪和预后的影响  

The effect of psychological nursing intervention on the psychological status and prognosis of patients with prostate cancer

作　　者：张海艳[1] 赵文彩[1] 姜亚卓[1] 杜双宽[1] 程永毅[1] 王小娟[1] ZHANG Haiyan ZHA O Wencai JIANG Yazhuo et al(Shaanxi People＇s Hospital, Xi＇ an 710061, China)

机构地区：[1]陕西省人民医院,西安710061

出　　处：《国际精神病学杂志》2017年第5期944-946,953,共4页Journal Of International Psychiatry

摘　　要：目的探讨个性化心理护理干预对前列腺癌患者心理状况的影响。方法随机选取自2014年9月~2016年10月间入院接受治疗的40例前列腺癌患者,按随机数表法均分为两组,对照组(20例)行常规护理干预,观察组(20例)在常规护理基础之上进行个性化心理干预。在患者护理前后采用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行评分,对比两组患者的护理后生活质量。结果两组护理前后排尿状况和前列腺特异抗原(PSA)的比较,两组在护理后,平均尿流率、均较治疗前得到了显著改善,且研究组改善更显著(P<0.05);两组血清PSA水平均显著降低,且研究组改善更显著(P<0.05)。经过护理,两组患者的SDS、SAS评分较护理前均明显改善,且护理后观察组评分均低于对照组(P<0.05)。同时,两组患者护理后生活质量均显著提高,且研究组改善更显著(P<0.05)。结论在前列腺癌患者临床中实施心理护理干预,能够有效缓解患者的抑郁、焦虑心理状态,提高了患者的生活质量,促进了患者尽快康复,值得推广应用。Objective To explore the effect of individualized psychological nursing intervention on the psychological status of patients with prostate cancer. Methods 40 cases of prostate cancer patients since September 2014-2016 year in October admitted to hospital were randomly selected,were randomly divided into two groups,the control group（20 cases）received routine nursing intervention,the observation group（20 cases）of individual psychological intervention based on routine nursing. The patients were assessed with self rating Depression Scale（SDS）and self rating Anxiety Scale（SAS）before and after nursing. The quality of life of the two groups were compared. Results The urination and PSA in two groups before and after nursing in two groups after nursing,average urine flow rate,compared with before treatment were significantly improved,and those parameters the study group improved more significantly（P〈0.05）;the serum PSA levels of two groups were significantly decreased,and those parameters the study group improved more significantly（t=14.05 P〈0.05）. After nursing,the two groups of patients with SDS and SAS scores than before treatment were significantly improved,thescores in the observation group were significantly lower than those in the control group（P〈0.05）,at the same time,two groups of patients after nursing quality of life was significantly improved,and those parameters the study group improved more significantly（P〈0.05）. Conclusion Psychological nursing intervention in patients with prostate cancer,can effectively alleviate the depression and anxiety status of patients,improve the quality of life of patients,promote the rehabilitation of patients as soon as possible,it is worthy of popularization and Application.

关 键 词：前列腺癌 心理护理 心理状况 生活质量 

分 类 号：R749[医药卫生—神经病学与精神病学]