慢性前列腺炎患者临床表现与心理状况的研究分析  

Study and analysis of clinical manifestations and psychological status in patients with chronic prostatitis

作　　者：张银[1] 车晓艳 吴靓[2] 张恩思 崇武 ZHANG Yin;CHE Xiaoyan;WU Jing;ZHANG Ensi;CHONG Wu(Nanjing Drum Tower Hospital Clinical College of Jiangsu University,Nanjing 210008,Jiangsu,China;Department of Andrology,Drum Tower Hospital Af¬filiated to Medicine College of Nanjing University,Nanjing 210008,Jiangsu,China)

机构地区：[1]江苏大学鼓楼临床医学院,南京210008 [2]南京大学医学院附属鼓楼医院男科,南京210008

出　　处：《中国性科学》2021年第7期24-27,共4页Chinese Journal of Human Sexuality

基　　金：南京市卫生科技医学重点科技发展项目(ZKX18015)。

摘　　要：目的通过对慢性前列腺炎患者临床表现与心理状况的调查,分析两者的相关性及影响因素。方法选取2019年12月至2020年9月南京大学医学院附属鼓楼医院男科门诊诊治的102例慢性前列腺炎患者作为研究对象。采用自制的一般情况调查表、慢性前列腺炎症状评分表和心理状况调查表进行调查。结果慢性前列腺炎患者美国国立卫生研究院慢性前列腺炎症状积分指数(NIH-CPSI)总评分为(22.19±6.74)分,心理状况评分在强迫、抑郁、焦虑、恐怖、精神病性和躯体化方面得分高于全国常模,差异具有统计学意义(P<0.05)。影响临床表现的主要因素为焦虑、病程、就诊次数;影响心理状况的主要因素为收入情况、NIH-CPSI总分。结论慢性前列腺炎患者临床表现与心理状况存在显著的相关性,相互影响,互为因果。临床诊疗中应进行综合干预治疗,即改善其临床表现又采取相应的心理干预措施,同时提高患者的自我管理能力,才能达到最佳的治疗效果。Objective To analyze the correlation and influencing factors of the clinical manifestations and psychological status of patients with chronic prostatitis.Methods A questionnaire survey of 102 chronic prostatitis patients treated in the outpatient department of Drum Tower Hospital Affiliated to Medicine College of Nanjing University from December 2019 to September 2020 was carried out using a self-made general survey form,chronic prostatitis symptom score form and psychological status survey form.Results The total NIH-CPSI score of patients with chronic prostatitis was(22.19±6.74),and the scores of compulsive,depression,anxiety,phobia,psychosis and somatization in chronic prostatitis patients were higher than the national norm,with statistical significance(P<0.05).The main factors affecting the clinical performance were anxiety,course of disease and the number of visits.The main factors affecting psychological status were income and NIH-CPSI total score.Conclusions The clinical manifestations of patients with chronic prostatitis are significantly correlated with their psychological status,and they influence each other and act as cause and effect.Comprehensive intervention and treatment should be carried out in clinical diagnosis and treatment,that is,to improve the clinical performance and corresponding psychological intervention,and at the same time improve the patient's self-management ability,so as to achieve the best therapeutic effect.

关 键 词：慢性前列腺炎 临床表现 心理状况 相关分析 影响因素 

分 类 号：R691[医药卫生—泌尿科学]