重度前列腺增生症患者不良情绪和社会支持及针对性干预效果  

Adverse Emotion and Social Support of Severe Prostate Hyperplasia Patients and Effect of Specific Intervention

作　　者：王丹[1] 

机构地区：[1]武汉大学人民医院,湖北武汉430000

出　　处：《中国健康心理学杂志》2017年第11期1661-1665,共5页China Journal of Health Psychology

摘　　要：目的:分析重度前列腺增生症患者不良情绪和社会支持利用度,并观察采用心理干预对其不良情绪和社会支持利用度的影响。方法:选取2015年4月-2016年10月于我院就诊的重度前列腺增生症患者共90例,分为观察组和对照组各45例,两组患者均采用双极等离子汽化电切术,对观察组患者采用心理干预共3个月,对照组采用常规护理方式,采用前列腺评分量表(IPSS)分析患者前列腺症状,采用正负性情绪量表(PANAS)、社会支持评定量表(SSRS)分析两组患者采用心理干预前后的不良情绪和社会支持利用度变化。结果:两组患者治疗前的IPSS评分对比差异无统计学意义,经过3个月干预后观察组显著低于对照组,差异具有统计学意义(t=-5.787,P<0.01),观察组患者在干预后的正性情绪评分显著上升(t=3.523,P=0.001),而负性情绪在干预后显著下降(t=-3.654,P<0.01),其中干预后观察组的正性情绪评分显著高于对照组(t=2.178,P=0.032),且干预后观察组的负性情绪评分显著低于对照组(t=-3.345,P=0.001),两组患者治疗前的客观支持、主观支持、支持利用度和总分对比差异均无统计学意义,干预后观察组的客观支持、主观支持、支持利用度和总分评分均显著高于对照组(t=2.616,2.735,2.524,2.611;P<0.05)。结论:对重度前列腺增生症患者采用针对性心理干预护理能够促进患者术后的前列腺症状缓解,增加患者的正性情绪和减少患者的负性情绪,显著提高了患者的社会支持利用度。Objective：To analyze the adverse emotion and social support of severe prostate byperplasia patients,and observe the effects of specific psychological nursing intervention on it. Methods： A total of 90 patients with severe prostate hyperplasia were chosen in our hospital from April 2015 to October 2016, which were randomly divicled into the Observation group arid the control group,45 cases in each group.The two groups of patients all underwent tran surethral vaporization of the prostate,the observation group were treated by specific psychological nursing interven- tion for 3 months,the control group using conventional care way.The international prostate symptom scale（IPSS）, the positive and negative emotion scale（PANAS）and the social support rating scale（SSRS） were analyzed in the two groups of patients before and after the intervention.Results; The two groups of patients with IPSS score had no sig nificant difference before treatment after 3 months intervention, the observation group was significantly lower than the control group（t =-5.787 ,P〈0.01） ,the observation group of patients in positive mood score were increased after t^ne intervention （t = 3. 523, P = 0.001 ）, while the negative mood dropped significantly（t=-3.654, P〈0.01 ）, positive mood score was significantly higher in the observation group than the control group after intervention（t = 2.178, P- 0.032） ,and negative mood score was significantly lower（t =-3.345 ,P=0.001）;the two groups of patients of obiec- tive support, subjective support, support utilization degree and total score had no significant difference in the compar- ison before treatment. And after the intervention, objective support, subjective support, support utilization degree and total score were significantly higher in the observation group than the control group （t = 2.616,2.735,2.524,2. 611; P〈0.05）.Conclusion： Patients with severe hyperplasia of prostate using specific psychological nursing intervention can relieve patients with posto

关 键 词：前列腺增生 不良情绪 社会支持利用度 心理干预 

分 类 号：R395.6[哲学宗教—心理学]