前列腺增生患者反刍思维现状及其影响因素分析

Analysis of rumination thinking and its influencing factors in patients with benign prostatic hyperplasia

目的探讨前列腺增生患者的反刍思维现状及影响因素。方法采用方便抽样法，选择2017年2-8月就诊的良性前列腺增生患者234例，采用Nolen-Hoeksema反刍思维量表、慢性病管理自我效能感量表和领悟社会支持量表于患者候诊期间进行调查。使用单因素分析和多元线性逐步回归分析前列腺增生患者反刍思维的影响因素。结果234例前列腺增生患者反刍思维得分为（43．28±8．68）分，自我效能感得分为（29．40±6．32）分，领悟社会支持得分为（55．48±8．56）分。社会支持、疾病严重程度和自我效能感可影响患者的反刍思维水平，且可解释总变异量的43．6％。结论医护人员应定期为患者家庭成员进行健康教育，症状明显的患者应早期进行心理干预，使用干预手段提高患者自我效能感，以减轻其反刍思维与负性情绪，提高生活质量。

Objective To explore rumination thinking and its influencing factors in patients with benign prostatic hyperplasia. Methods From February to August 2017, a total of 234 patients with benign prostatic hyperplasia were selected by convenient sampling method. Chinese version of Nolen-Hoeksema Ruminative Responses Scale, Self-Efficacy Scale for Managing Chronic Disease and Perceived Social Support Scale were used to collect data during waiting time. Univariate analysis and multiple linear stepwise regression analysis were used to analyze the influencing factors of rumination. Results The scores of rumination, self- efficacy and social support were （43.28±8.68）, （29.40 ± 6.32） and （55.48±8.56） respectively. Social support, severity of disease and self-efficacy were influencing factors of rumination in benign prostatic hyperplasia patients, explaining 43.6% of the total variation. Conclusions Medical staff should regularly carry out health education for patients＇ families. Psychological intervention at early stage should be taken to patients with obvious symptoms. In order to reduce patient＇s rumination and negative emotions and improve the quality of life, intervention should be taken to improve the patient＇s self-efficacy.