慢性前列腺炎患者的疾病感知研究

Illness perceptions in patients with chronic prostatitis

目的研究慢性前列腺炎(CP)患者的疾病感知特点。方法选择疾病感知问卷中文修订版(CIPQ-R)进行CP患者疾病感知评价,国际慢性前列腺炎症状指数表(NIH-CPSI)及国际勃起功能指数表(IIEF-5)被用来评价CP患者的临床症状,对CP患者的疾病感知与慢性肝病进行对比并与临床症状进行相关分析。结果 CP患者CIPQ-R疾病周期性因子、情绪陈述因子分数偏高。Pearson相关分析显示疾病的同一性因子和情绪陈述因子与疾病感知其他因子密切相关;疾病感知各因子与临床症状评分相关性显著。结论 CP患者具有过度的负性疾病感知,使患者处于持久的不良心理应激状态下,对患者的疾病症状、生活质量、疾病预后造成较大的影响。

Objective To analyze the psychometric properties of CIPQ-R for patients with chronic prostatitis. Methods Total of 49 CP patients completed the Illness Perception Questionnaire（CIPQ-R） and clinic symptoms Questionnaires（NIH-CPSI and IIEF-5）. Illness Perception scores of them were comparatively analyzed with that of patients with chronic hepatitis. Differences between groups were examined using the independent samples t-test. Pearson correlation analysis was used for correlation between two continuous variables. Results Timeline cyclical dimension score and Emotional representations dimension score in CP were higher than that of chronic hepatitis patients. The identity dimension and Emotional representations dimension were closely related to any other illness perception constructs. Correlation analysis revealed that the illness perceptions were closely associated with clinic symptoms scores. Conclusion The CP patients showed more negative views about their disease and their excessive perceptions of illness might affect their clinic symptoms, life quality and prognosis progress.