慢性前列腺炎患者生理、心理与社会功能变化的关系

Relationship among the changes of physiology, psychology and social function in patients with chronic prostatitis

目的:调查分析慢性前列腺炎患者在生理、心理及社会功能方面变化,找出三个变量间的关系,确定慢性前列腺炎对患者身心的影响,为其治疗提供依据。方法:中国医科大学附属第一医院泌尿外科门诊2002-08/2003-04慢性前列腺炎患者322例,纳入247例。①慢性前列腺炎症状积分指数:从患者疼痛、排尿情况等8个问题评估患者生理上的变化,最后一个问题评估患者的生活质量,共计9个问题,≤9分为轻度,10～18分为中度,≥19分为重度。②症状自评量表:评估慢性前列腺炎患者在心理方面存在的问题,包含躯体化、强迫、抑郁、焦虑等9个因子。③社会功能缺陷筛选量表:评估慢性前列腺炎患者的社会功能情况,按照社会功能缺陷筛选量表的评定分级标准,中国十二地区精神疾病流行学调查规定总分≥2分为有社会功能缺陷。对于一些不适合患者情况的项目而无法评定时,进行换算:100×(粗分/可能的最高分)。用慢性前列腺炎症状积分指数、症状自评量表、社会功能缺陷筛选量表测量结果分析患者生理、心理及社会功能变化三者之间的相关性。结果:同期慢性前列腺炎患者322例,纳入247例,回收问卷247份,回收率100%。①慢性前列腺炎患者生理情况:慢性前列腺炎症状积分指数评分为(13.56±4.21)分,中度158例(64.0%),重度37例(15.0%)。②慢性前列腺炎患者心理情况:有154例(62.3%)患者呈现出心理异常。③慢性前列腺炎患者社会功能情况:社会功能缺陷发生率为26.5%。④患者生理、心理与社会功能之间的关系:存在中度相关性。结论:慢性前列腺炎患者生理、心理及社会功能受到严重影响,慢性前列腺炎对患者的影响是多方面的,治疗方法也应是多种方式相互结合才能取得较好的效果。

AIM：To investigate and analyze the changes of physiology, psychology and social function in patients with chronic prostatitis and the relationship among the three variances is found to determine the psychophysical influence on patients with chronic prostatitis,and provide the information for therapy. METHODS：Among the 322 patients with chronic prostatitis treated at the out-patient clinic of Department of Urinary Surgery, First Affiliated Hospital, China Medical University from August 2002 to April 2003, 247 were selected.①The integral index of chronic prostatitis symptom： The physical changes of the patients were evaluated on 8 questions like,patient ache, miction condition etc. The last question was used to assess the quality of life of the patients, totally 9 questions,≤ 9 points for mild, 10-18 points for moderate,≥ 19 points for severe.②Symptom checklist （SCL）： The problems existed in mentality in patients with chronic prostatitis, including somatization, compulsion, depression and anxiety etc. totally 9 factors. ③Social disability screening schedule （SDSS）： The social function conditionof the patients with chronic prostatitis was assessed. According to the grade standard of SDSS, mental disease epidemic inventory at twelve regions of china stipulated that those whose total score ≥2 points had social functional defect. When there were some unable to evaluate unsuitable items, the conversion was performed：100×（coarse point/possible the highest point）. The measuring results of integral index of chronic prostatitis symptom, SCL, SDSS were used to analyze the correlation of changes of physiology, psychology and social function in patients. RESULTS：Among the 322 synchronization patients with chronic prostatitis, 247 patients were involved, receiving 247 questionnaires, and the retrieving rate was 100%.①The physiological condition of patients with chronic prostatitis： The score of integral index of chronic prostatitis was （13.56±21） points, 158 patients with moderate （64.0%）, 37 patients with severe （ 15.0%）.② Psychological condition of patients with chronic prostatitis： Psychological abnormality showed in 154 patients （62.3%）.③ Social functional condition of patients with chronic prostati-tis： The incidence of social functional defect was 26.5%. ④Relationship of physiology, psychology and social function in patients： There was moderate correla-tion. CONCLUSION：There are versatile severe effects on the physiology,psychology and social function in patients with chronic prostatitis.So the therapeutic manners also should be inter-conjugation of various method＇s, which can gain better effects.