综合干预改善慢性前列腺炎焦虑抑郁情绪的效果

Effect of comprehensive intervention to improve the mood of anxiety and depression in patients with chronic prostatitis

目的 探讨综合干预改善慢性前列腺炎患者的焦虑、抑郁情绪的效果,以提高其生活质量.方法 采用Zung自我评定焦虑量表SAS和抑郁评定量表SDS,将SAS评分≥47分或SDS≥45分的174例慢性前列腺炎患者随机分为干预组87例和对照组87例.对干预组患者进行心理疏导、认知行为教育、寻求社会支持及护理措施管理等综合干预,并将患者入院时、出院时的SAS、SDS自我评价值与国内常模进行对比.结果 患者入院时干预组SAS得分为（54±3.09）分,SDS得分为（52±4.34）分,对照组SAS得分为（53±3.91）分,SDS得分为（52±3.86）分,两组患者差异无统计学意义（P＞0.05）;出院时干预组SAS得分为（37±3.72）分,SDS得分为（35±2.82）分,对照组SAS得分为（48±2.34）分,SDS得分为（47±3.43）分,两组患者差异有统计学意义（P＜0.05）;干预组出院时评定分值较国内常模SAS得分为（42±11）分,SDS得分为（37±13）分,略有下降.结论 慢性前列腺炎患者受诸多因素影响,其焦虑、抑郁情绪将影响患者的生活质量和疾病的康复;在治疗慢性前列腺炎的同时,应注重改善患者的焦虑、抑郁情绪,提高患者的生活质量.

Objective To investigate the effect of comprehensive intervention to improve the mood the anxiety and depression in patients with chronic prostatieis, in order to improve the chronic prostatitis patients with anxiety and depression mood, improve life quality. Methods Using Zung self-rating anxiety scale SAS and depression rating scale SDS, the SAS score≥47 points or SDS≥45 points in 174 cases of chronic prostatitis patients were randomly divided into intervention group 87 patients and control group 87 patients. For the intervention group patients, get through psychological counseling, cognitive behavioral education, seeking social support and nursing care management, comprehensive intervention, and then compared SAS, SDS values of selfevaluation on the patient admission, discharge with the national norm. Results Admission patients in the intervention group SAS（54±3.09） points, SDS （52±4.34） points, control group SAS （ 53±3.91） points,SDS （ 52±3.86） points, no statistics significant between the two groups（P〉0.05）, discharge patients in the intervention group SAS （37±3.72） points, SDS（35±2.82） points, control group SAS （48 ± 2.34） points,SDS （47±3.43） points, the two groups had significant difference （ P〈0.05）.Intervention group scores assessed at discharge are lower than the national norm SAS （42 ±11） points, SDS （37 ± 13） points while the control group scores at discharge decreased slightly, but not statistically significant. Conclusions Patients with chronic prostatitis are affected by many factors, anxiety and depression will affect their life quality and disease rehabilitative. We believe that in the treatment of chronic prostatitis, improve the patient＇ s anxiety and depression. To improve the life quality of the patients are equally important.