前列腺增生患者心理特征、生活质量及护理干预效果分析  

Analysis of Psychological Characteristics,Quality of Life and Effects of Nursing Intervention in Patients with Benign Prostatic Hyperplasia

作　　者：欧阳好[1] 王剑静[1] 莫晓花 OUYANG Hao;WANG Jianjing;MO Xiaohua(Department of Urology Surgery, Dongguan Houjie Hospital, Dongguan 523900, Chin)

机构地区：[1]东莞市厚街医院泌尿外科,广东东莞523900

出　　处：《沈阳医学院学报》2018年第3期247-249,259,共4页Journal of Shenyang Medical College

摘　　要：目的:对前列腺增生(benign prostatic hyperplasia,BPH)患者的心理特征及生活质量进行调查分析,提出合理的护理干预措施,旨在提高BPH患者的生活质量。方法:选取2015年7月至2016年6月在我院确诊并治疗的BPH患者共60例为观察组,另选取同期在我院进行体检的同年龄段的健康人群60例作为对照组。采用艾森克个性调查问卷(Eysenck Personality Questionnaire,EPQ)和症状自评量表(Self-Report Symptom Inventory,Symptom Check-List90,SCL-90)对2组的心理特征进行调查,采用short form(SF)-36 health related quality of life(SF-36)对2组患者的生活质量进行调查。结果:与健康对照组相比,观察组BPH患者的神经质及精神质的平均得分较高,而内外向性及效度量表的得分显著较低(P<0.05);SCL-90得分方面,观察组躯体化、抑郁、焦虑、偏执、精神病性及阳性项数目的各项得分均显著高于对照组(P<0.05);SF-36的各维度(生理功能、生理职能、社会功能、躯体疼痛、精神健康、情感职能、活力、总体健康)得分均显著低于对照组(P<0.05)。结论:BPH患者心理负面情绪积压较多,对于生活质量的影响较大,基于其生理特征及生活质量进行有效的护理干预十分必要。Objective： To investigate the psychological characteristics and quality of life of patients with benign prostatic hyperplasia（BPH） and propose reasonable nursing interventions aimed at improving the quality of life of patients with BPH.Methods：A total of 60 patients with BPH from Jul 2015 to Jun 2016 in our hospital were selected as the observation group. And 60 healthy people in the same age were selected as the control group. The psychological characteristics of the two groups were investigated using the Eysenck Personality Questionnaire（EPQ）and Self-Report Symptom Inventory,Symptom Check-List90（SCL-90）. The quality of life of the two groups was investigated by using the short form（SF）-36 health related quality of life（SF-36）. Results：Compared with the control group,the scores of neuroticism and psychoticism in the observation group were significantly higher,while the scores of extraversion and lie scale were significantly lower（P〈0.05）. The scores of somatization,depression,anxiety,paranoia,psychosis,and the number of positive items in the observation group were significantly higher than those in the control group（P〈0.05）. The scores of SF-36 in the observation group were significantly lower than those in the control group（P〈0.05）. Conclusion：BPH patients have more negative psychological emotions which have a greater impact on quality of life,so effective nursing intervention is necessary.

关 键 词：前列腺增生 心理特征 生活质量 护理干预 

分 类 号：R473.6[医药卫生—护理学]