前列腺增生术后生活质量相关因素及与性功能的相关性  

The correlation factors of quality of life and sexual function after prostatic hyperplasia

作　　者：吉莉[1] 刘璐 潘紫菲 Ji Li;Liu Lu;Pan Zifei(Department of Urology,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院泌尿外科,天津300211

出　　处：《国际护理学杂志》2025年第1期149-153,共5页international journal of nursing

基　　金：天津医科大学第二医院临床水平专业提升项目(202011)。

摘　　要：目的:分析影响前列腺增生(BPH)术后生活质量的相关因素及与性功能的相关性。方法:选取天津医科大学第二医院泌尿外科2022年11月至2023年6月收治的121例择期BPH手术患者,通过良性前列腺增生生活质量量表(BPHQLS)、国际勃起功能评分量表(IIEF-5)和早泄诊断量表(PEDT)测评相关量表分数,通过单因素方差及多因素分析其独立危险因素,采用Pearson分析其术后生活质量与性功能相关性。结果:人均月收入、病程、术后尿流速、术后残余尿量、医院焦虑抑郁量表(HADS)两亚量表、社会支持(SSRS)评分存在统计学差异(P<0.05);术后尿流速、术后残余尿量、HADS两亚量表、SSRS评分为影响术后生活质量独立危险因素(P<0.05);术后尿流速、术后残余尿、HADS两亚量表、SSRS评分与IIEF-5评分、PEDT评分呈正相关(P<0.05);术后残余尿量与IIEF-5评分、PEDT评分呈负相关(P<0.05)。结论:术后下尿路症状、心理功能及社会支持对BPH患者术后生活质量及性功能存在影响,因此,改善下尿路症状和缓解心理障碍,及增加家属关怀,提高BPH患者生活质量。Objective:To analyze the factors affecting the quality of life after the operation of benign prostatic hyperplasia(BPH)and its correlation with sexual function.Methods:A total of 121 patients with elective BPH surgery admitted to the Department of Urology,the Second Hospital of Tianjin Medical University from November 2022 to June 2023 were selected.Scores of relevant scales were assessed by Benign Prostatic Hyperplasia Quality of Life Scale(BPHQLS),International Index of Erectile Function-5(IIEF-5)and Premature Ejaculation Diagnostic Tool(PEDT).Independent risk factors were analyzed by one-way variance and multivariate analysis,and the correlation between postoperative quality of life and sexual function was analyzed by Pearson.Results:There were significant differences in family income level,disease duration,postoperative urine flow rate,postoperative residual urine volume,Hospital Anxiety and Depression Scale(HADS)two subscales,and Social Support Rating Scale(SSRS)scores(P<0.05).Postoperative urine flow rate,residual urine volume,HADS two subscales and SSRS score were independent risk factors for postoperative quality of life(P<0.05).Postoperative urinary flow rate,postoperative residual urine,HADS two subscale and SSRS score were positively correlated with IIEF-5 score and PEDT score(P<0.05).Postoperative residual urine volume was negatively correlated with IIEF-5 score and PEDT score(P<0.05).Conclusions:Postoperative lower urinary tract symptoms,psychological function and social support have an impact on postoperative quality of life and sexual function in BPH patients.Therefore,improving lower urinary tract symptoms and relieving psychological disorders,and increasing family care can improve the quality of life of BPH patients.

关 键 词：前列腺增生术 生活质量 性功能 护理干预 

分 类 号：R69[医药卫生—泌尿科学]