心理护理干预对晚期前列腺癌去势手术后合并焦虑抑郁症患者的临床效果

Clinical effect of psychological nursing intervention for advanced prostate cancer patients with anxiety and depression after castration surgery

目的探讨心理护理干预对晚期前列腺癌去势手术后合并焦虑抑郁症患者的临床效果。方法选择2012年3月至2014年8月间收治的行去势手术治疗的晚期前列腺癌患者88例,采用随机数字表法分为观察组和对照组,每组44例。对照组患者给予常规护理,观察组患者则在常规护理的基础上给予心理护理干预。护理前后分别行焦虑自评量表(SAS)、抑郁自评量表(SDS)评分并对护理后患者的生活质量进行评估,比较两组结果。结果两组患者护理后SAS和SDS评分均显著下降,与护理前差异均有统计学意义(P<0.05)。观察组患者护理后SAS、SDS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后在躯体功能、角色功能、情绪功能、认知功能、社会功能、总体生活质量6个方面的评分均显著高于对照组,差异有统计学意义(P<0.05)。结论心理护理干预可有效减轻晚期前列腺癌去势手术后合并焦虑抑郁症患者的不良情绪,改善患者的预后及生活质量,值得临床推广应用。

Objective To explore the clinical effect of psychological nursing intervention for advanced prostate cancer patients with anxiety and depression after castration surgery. Methods From March2012 to August 2014,88 advanced prostate cancer patients with anxiety and depression after castration surgery were enrolled in the study,and they were randomly divided into observation group and control group,44 cases in each group. The control group was given conventional nursing,and the observation group was given psychological nursing intervention on the basis of routine care. All patients were given self-rating anxiety scale（ SAS）,self-rating depression scale（ SDS） and quality of life evaluation before and after the treatment,and then the results were compared. Results Compared with before nursing,after nursing SAS scores and SDS scores of two groups were significantly decreased（ P〈0. 05）,after nursing SAS,SDS scores of the observation group were significantly less than those of the control group,and the differences were statistically significant（ P〈0. 05）. After treatment,physical function,role function,emotional function,cognitive function,social function,overall quality of life of the patients in the observation group were significantly higher than those of the control group,and the differences were statistically significant（ P〈0. 05）. Conclusions Psychological nursing intervention can effectively relieve the anxiety and depression of advanced prostate cancer patient after castration surgery. It could improve quality of life of patients,and is worthy of clinical popularization and application.