慢性前列腺炎患者抑郁状况分析

Depression risk of chronic prostatitis patients

目的:了解慢性前列腺炎发病率不断增加的情况下与慢性前列腺炎有关的心理精神问题,特别是抑郁的发生及心理治疗效果。方法:选择2000年5月～2010年10月本院男科门诊500例慢性前列腺炎患者,采用Zung编制的抑郁自评量表(SDS)观察和评分,对中、重度抑郁患者分别予以药物干预和必要的心理治疗,对所得的数据进行t检验及分析。结果:本组病人分轻、中和重度抑郁症。患者对自觉症状的变化特别敏感(100%),对慢性前列腺炎认为是性病而产生愧疚感的为145例(29%);有200例(40%)害怕会丧失生育力;害怕传染给亲人的为155例(31.00%)。相关因素分析表明,年龄及文化程度对抑郁的影响无统计学意义(P>0.05);而婚姻状况及病程比较,则具有统计学意义(P<0.005)。根据患者的各自特点及困惑因素分析,实施心理干预和健康教育前、后SDS的评定结果差异有统计学意义(P<0.01)。结论:慢性前列腺炎患者存在心理障碍,早期实施合理的心理疏导和健康教育能减轻甚至消除患者的抑郁、促进患者身心健康,故建议在男科诊疗过程中开展心理干预和健康教育。

Objectives： To investigate chronic prostatitis -related psychological and mental problems, especially the occurrence of depression and its psychological intervention. Methods： We selected 500 patients who came to our outpatient department for consultation from May 2000 to October 2010, and administered them with Zung＇ s Self - Rating Depression Scale （SDS）. The patients with moderate or severe depression were offered medical intervention and necessary psychological treatment. Results： SDS scores indicated mild, moderate and severe depression patients. Patients were particularly sensitive to the changes in symptoms （ 100% ）. Some patients felt ashamed of having chronic prostatitis because they considered the disease as sexually transmitted diseases （ 145 cases , 29% ）. Two hundred cases （40%） feared they might lose fertility capability. Relevant factors analysis showed that age and educational level were not significantly related to depression （ P 〉 0. 05 ） ; marital status and course of the disease were significantly related to depression （P 〈 0. 005）. Based on patients＇ characteristics, psychological intervention and health education was provided to the patients. The SDS score after the intervention was significantly different from the score before the intervention （ P 〈 0. 01 ）. Conclusion： Patients with chronic prostatitis are likely to have psychological disorder. Early psychological intervention and health education could reduce the risk of depression and facilitate the health of CP patients.