良性前列腺增生患者经尿道前列腺电切术后性功能的影响因素分析  

Analysis of social support and self-disclosure in patients with benign prostatic hyperplasia after transurethral resection of the prostate

作　　者：舒畅[1] 宗海燕[1] 赵继庆 SHU Chang;ZONG Haiyan;ZHAO Jiqing(Department of Urology,the First People′s Hospital of Jiujiang City,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院泌尿外科,江西九江332000

出　　处：《中国当代医药》2022年第24期99-102,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211803)。

摘　　要：目的探究良性前列腺增生患者经尿道前列腺电切术后领悟社会支持与自我表露与患者性功能的相关情况。方法前瞻性选取2020年9月至2022年2月九江市第一人民医院泌尿科收治的患有良性前列腺增生并进行经尿道前列腺电切术的88例患者作为研究对象,根据患者术后的国际勃起功能评分(IIEF)将患者分为轻度组(46例)和重度组(42例),收集患者的一般临床资料、领悟社会支持量表(PSSS)、伯克利情绪表达量表(BEQ)、排空后残余尿量等情况,采用单因素和多因素logistic对影响患者术后性功能情况的相关因素进行分析。结果单因素分析结果显示,轻中度组患者和重度组患者的婚姻状况、吸烟史、饮酒史、PSSS、BEQ、排空后残余尿量比较,差异有统计学意义(P<0.05);多因素logistic分析结果显示,患者的婚姻状况(β=2.432,OR=11.382,95%CI=1.641~78.924)和残余尿量(β=0.044,OR=1.045,95%CI=1.003~1.089)是经尿道前列腺电切术后性功能的危险因素,PSSS(β=-0.163,OR=0.850,95%CI=0.752~0.959)和BEQ(β=-0.359,OR=0.698,95%CI=0.528~0.924)是经尿道前列腺电切术后性功能的保护因素(P<0.05)。结论无配偶和残余尿量高为影响患者性功能情况的独立危险因素,高PSSS及高BEQ为影响患者性功能情况的独立保护因素,在临床的护理中应根据患者的相应情况作出相对的措施,调节患者的身心情况。Objective To investigate the conrrelation between perceived social support,self-disclosure and sexual function in patients with benign prostatic hyperplasia after transurethral resection of the prostate.Methods A total of 88 patients with benign prostatic hyperplasia and underwent transurethral resection of the prostate in the Department of Urology of the First People′s Hospital of Jiujiang City from September 2020 to February 2022 were prospectively selected.According to the postoperative international index of erectile function(IIEF)of the patients,the patients were divided into mild group(46 cases)and severe group(42 cases).General clinical data,perceived social support scale(PSSS),Berkeley expressivity questionnaire(BEQ),residual urine volume after emptation and the other conditions of the patients were collected,univariate and multivariate logistic were used to analyze the related factors affecting the postoperative sexual function of the patients.Results Univariate analysis showed that there were statistically significant differences in marital status,smoking history,drinking history,PSSS,BEQ and residual urine volume after emptation between the mild-moderate group and the severe group(P<0.05).Multivariate logistic results indicated that marital status(β=2.432,OR=11.382,95%CI=1.641-78.924)and residual urine volume(β=0.044,OR=1.045,95%CI=1.003-1.089)were risk factors for sexual function after transurethral resection of prostate,PSSS(β=-0.163,OR=0.850,95%CI=0.752-0.959)and BEQ(β=-0.359,OR=0.698,95%CI=0.528-0.924)were protective factors for sexual function after transurethral resection of prostate(P<0.05).Conclusion No spouse and high residual urine volume are independent risk factors affecting sexual function of patients,while high PSSS and high BEQ are independent protective factors affecting sexual function of patients.In clinical nursing,relative measures should be taken according to the corresponding situation of patients to adjust the physical and mental conditions of patients.

关 键 词：前列腺增生 社会支持 影响因素 自我表露 

分 类 号：R697.3[医药卫生—泌尿科学]