老年前列腺癌骨转移患者的焦虑和抑郁调查及心理干预

The investigation and psychological intervention on anxiety and depression for senile prostate cancer patients with bone metastasis

目的探讨心理干预在老年前列腺癌骨转移患者治疗中的重要性。方法通过对37例老年前列腺癌骨转移患者进行抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,给予系统正规的心理干预后再次评分,比较前后的变化。结果初次评分的老年前列腺癌骨转移患者抑郁和焦虑的发生率为78.38%(29/37)和67.57%(25/37),给予心理干预后1周再次调查,抑郁和焦虑的发生率为35.14%(13/37)和27.03%(10/37),干预前后SDS和SAS得分比较,差异有统计学意义(P<0.05)。结论应当给予老年前列腺癌骨转移患者系统正规的心理干预,关注老年前列腺癌骨转移患者的心理健康应作为系统治疗的一个重要环节。

Objective To explore the importance of the psychological intervention in the treatment of senile prostate cancer patients with hone metastases. Methods 37 senile prostate cancer patients with bone metastases were scored by self rat- ing depression scale （SDS） and self rating a anxiety scale （SAS）, to score again after systematically standard psychological inter- vention was applied, and the change before and after psychological intervention was analyzed. Results As to preliminary score of senile prostate cancer bone metastases patients,the incidence rates of anxiety and depression were 78.38% （29/37）and 67.57% （25/37） respectively; 1 week after psychological intervention, the incidence rates of anxiety and depression were 35.14% （13/37） and 27.03% （10/37） respectively. The difference of SDS and SAS score before and after treatment had statistical significance （P〈0.05）. Conclusion Systematic standard psychological intervention should be applied to senile prostate cancer patients with bone metastases. Concerning about mental health of senile prostate cancer patients with bone metastases should be an important step of treatment.