腹腔镜前列腺癌根治术联合心理干预对局限性前列腺癌患者预后影响

Effect of laparoscopic radical prostatectomy combined with psychotherapy intervention on the prognosis of localized prostate cancer patients

目的探讨腹腔镜前列腺癌根治术联合心理干预对局限性前列腺癌患者预后的影响。方法选取2017年1月~2019年1月期间我院收治的局限性前列腺癌患者60例作为本次研究的对象,按随机数字表法将研究对象随机分为观察组和对照组,每组各30例。对照组患者给予腹腔镜前列腺癌根治术治疗,观察组在对照组的基础上联合心理干预。观察比较两组患者干预前后的SAD、SDS、IPSS,手术情况、住院时间及干预后SF-36评分和护理满意度。结果(1)干预前,两组患者的SAS、SDS、IPSS评分差异无统计学意义(P>0.05),与干预前相比,两组患者干预后的SAS、SDS、IPSS评分明显降低,且观察组患者评分明显低于对照组(P<0.05);(2)与对照组相比,观察组的患者干预后的生活质量明显改善(P<0.05);(3)干预后,观察组患者对护理满意度明显高于对照组(P<0.05);(4)两组患者住院时间及手术情况差异无统计学意义(P>0.05)。结论腹腔镜前列腺癌根治术联合心理干预治疗局限性前列腺癌患者,能够改善其负面情绪,提高生活质量,使患者预后良好。

Objective To investigate the effect of laparoscopic radical prostatectomy combined with psychotherapy intervention on the prognosis of localized prostate cancer patients.Methods A total of 60 patients with localized prostate cancer in our hospital from January 2017 to January 2019 were collected and randomly divided into two groups:control group(30 cases)was treated with laparoscopic radical prostatectomy;observation group(30 cases)combined psychological intervention on the basis of the control group.Self-rating anxiety scale(SAS),Self-rating Depressive Scale(SDS),International prostate symptom score(IPSS)before and after intervention,SF-36 score and nursing satisfaction after intervention and surgical status,length of stay between the two groups were compared.Results(1)Before intervention,there was no difference in SAS,SDS,IPSS score between the two groups(P>0.05).Compared with before intervention,the SAS,SDS,IPSS scores in the two groups were lower after intervention(P<0.05),and the scores in the observation group was lower than that in the control group(P<0.05).(2)Compared with the control group,the quality life in the observation group significantly improved after the intervention(P<0.05).(3)After intervention,the nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05)(.4)there was no difference in hospital stays and operation situation between the two groups(P<0.05).Conclusion Laparoscopic radical prostatectomy combined with psychological intervention in the treatment of localized prostate cancer patients can alleviate their negative emotions,improve the quality of life,and improve the prognosis of patients.