阴茎异常勃起患者心理状况分析及护理对策

Mental status of priapism and nursing intervention

目的 了解阴茎异常勃起患者的心理健康状况,探讨其相关因素,为针对性的护理提供参考.方法 采用SCL-90症状自评量表和自行设计的调查问卷对25例阴茎异常勃起患者进行问卷调查,分析其心理状态及相关的影响因素.结果 阴茎异常勃起患者在躯体化、人际关系、抑郁、恐怖、焦虑、敌对、精神病性等因子分均高于国内常模（P＜0.05）;不同年龄、学历的患者,心理健康水平存在差异;阴茎异常勃起患者最常见的10项症状为阴茎肿痛、活动不便、感到自己的身体有严重问题、过分担忧,精神紧张、排尿困难、难以入睡、担心亲属瞧不起、神经过敏,心中不踏实、担心预后阳痿、感到难为情,羞愧心理.结论 阴茎异常勃起患者在躯体疾病的基础上,还存在不同程度的严重的社会心理问题,提示对患者加强心理护理十分重要.

Objective To understand the healthy psychogenic states of priapism and to explore the relative factors to provide the references for nursing intervention. Methods Twenty-five patients with priapism were selected and evaluated by using the self-report symptom inventory （Symptom checklist 90 or SCL-90 ） and self-designed scale. The results were analyzed. Results In somatization, interpersonal relationship,depression, phobic anxiety, anxiety, hostility, psychoticism, the factor score were higher than domestic norms.The patients in the different age and educational background were different in the level of the psychogenic health. The top ten symptoms of priapism among patients were penis swelling and pain, moving difficult, feeling of serious physical problems, too concern about, psychentonia, dysuria, sleeping disorder, worries about relatives＇ attitude, nervousness, anxiety, worries about prognosis, feeling of shame. Conclusions The patients with priapism have physical problems as well as psychological and social problems. It is important to enhance the psychological nursing for those patients.