社会支持和心理弹性对前列腺癌患者复发恐惧的影响  

The impact of social support and psychological resilience on recurrence fear in patients undergoing prostate cancer

作　　者：张晓斌[1] 张海光[2] 吕立丽[1] ZHANG Xiaobin;ZHANG Haiguang;LV Lili(Tangshan People's Hospital,Radiotherapy Center,Tangshan 063000,China)

机构地区：[1]唐山市人民医院放疗中心,唐山063000 [2]唐山市人民医院肝胆外科

出　　处：《国际精神病学杂志》2024年第1期245-248,共4页Journal Of International Psychiatry

摘　　要：目的评价分析前列腺癌患者接受社会支持与心理弹性策略干预对复发概率、恐惧情绪的影响。方法选取我院收治的前列腺癌病患共计78例,时间分布界限2021年10月~2022年10月,通过随机数字表法分组,分为对照组和观察组,每组39例。对照组执行常规健康宣教,观察组执行健康宣教的同时,施以社会支持与心理弹性对策,对两组干预前后的心理弹性评分结果、心理情绪评分结果以及复发概率进行对比分析。结果(1)干预前,两组心理弹性评分结果无明显差异(P>0.05),干预后,两组心理弹性评分结果均有所升高,且观察组心理弹性评分结果升高更明显,差异对比P<0.05;(2)干预前,两组心理状态评分结果无明显差异(P>0.05),干预后,两组焦虑评分结果与抑郁评分结果有所改善,且观察组焦虑评分结果、抑郁评分结果更低,差异对比P<0.05;(3)为期半年复发概率调查,观察组复发概率达到5.12%,对照组复发概率达到33.33%,组间差异对比P<0.05。结论前列腺癌术后病患接受社会支持与心理弹性对策,能够改善病患的心理状态,提高病患的社会支持水平,降低复发概率。Objective To evaluate and analyze the impact of social support and psychological resilience strate-gies on the probability of recurrence and fear among prostate cancer surgical patients.Methods A total of 78 prostate cancer patients admitted to our hospital were selected,with a time distribution range of October 2021 to October 2022.They were randomly divided into a control group and an observation group,with 39 patients in each group.The control group received routine health education,while the observation group received social support and psychological resil-ience strategies.The psychological resilience scores,emotional scores,and recurrence probability of the two groups before and after intervention were compared and analyzed.Results(1)Before intervention,there was a significant balance between the two groups'psychological resilience scores(P>0.05).After intervention,both groups'psycho-logical resilience scores showed an increase,and the observation group's psychological resilience scores showed a more significant increase(P<0.05).(2)Before intervention,there was a significant balance between the two groups'psy-chological state scores(P>0.05).After intervention,the anxiety and depression scores of the two groups improved,and the observation group had lower anxiety and depression scores,with a difference comparison of P<0.05.(3)The six-month recurrence probability survey showed that the observation group had a recurrence probability of 5.12%,while the control group had a recurrence probability of 33.33%.The difference between the groups was P<0.05.Conclusion Postoperative patients with prostate cancer who receive social support and psychological resilience strate-gies can improve their psychological state,increase their social support level,and reduce the probability of recurrence.

关 键 词：社会支持 心理弹性 前列腺癌 手术 复发 

分 类 号：R749.055[医药卫生—神经病学与精神病学]