前列腺增生患者心理弹性与症状及应对方式相关性

Correlation between psychological elasticity,symptoms and copying styles in patients with benign prostatic hyperplasia

目的:分析前列腺增生(BPH)患者心理弹性与前列腺炎症状(NIH-CPSI)评分、应对方式(SCSQ)评分的相关性。方法:选取2016年1月-2019年1月我院收治的100例BPH患者为对象,设为观察组,另选择100例同期于我院体检的健康男性作为对照组,均采用心理弹性量表(CD-RISC)、国际前列腺炎症状评分表(NIH-CPSI)和简易应对方式问卷(SCSQ)进行调查,分析CD-RISC评分与NIH-CPSI评分、SCSQ评分的关系。结果:观察组坚韧、乐观、自强及心理弹性总分(t=6.015,7.171,7.606,11.880;P<0.05)均显著低于对照组;观察组NIH-CPSI评分显著高于对照组(t=-46.134,P<0.05);观察组积极应对评分低于对照组(t=14.854,P<0.05),消积应对评分高于对照组(t=-15.921,P<0.05)。Pearson相关性分析显示,CD-RISC评分中弹性心理总分、坚韧、乐观、自强与NIH-CPSI评分呈负相关(r=-0.591,-0.583,-0.587,-0.607;P<0.05);CD-RISC评分中弹性心理总分、坚韧、乐观、自强与SCSQ评分中积极应对呈正相关(r=0.771,0.819,0.757,0.792;P<0.05),与消极应对呈负相关(r=-0.526,-0.488,-0.507,-0.524;P<0.05)。结论:BPH患者心理弹性与NIH-CPSI评分、积极应对评分呈正相关,与消极应对评分呈负相关。

Objective:To analyze the correlation of psychological esalsticity with scores of national institute of the health chronic prostatitis symptom index(NIH-CPSI)and Simple Coping Style Questionnare(SCSQ)in patients with benign prostatic hyperplasia(BPH).Methods:A total of 100 BPH patients who were admitted to the hospital from January 2016 to January 2019 were enrolled as observation group.Another 100 healthy men who underwent physical examination in the hospital during the same period were enrolled as control group.Connor-Davidson Resilience Scale(CD-RISC),NIH-CPSI and SCSQ were performed to conduct survey.The relationship between CD-RISC score and NIH-CPSI score,SCSQ score was analyzed.Results:The toughness optimism,self-improvementand total score of psychological elasticityin observation group were significantly lower than those in control group(t=6.015,7.171,7.606,11.880;P<0.05).NIH-CPSI score in observation group was significantly higher than that in control group(t=-46.134,P<0.05),the positive coping score of observation group was lower than that of control group(t=14.854,P<0.05),while negative coping score was higher than that of control group(t=-15.921,P<0.05).Pearson correlation analysis showed that the total score of psychological elasticity,tenacity,optimism and self-improvement in CD-RISC were negatively correlated with NIH-CPSI(r=-0.591,-0.583,-0.587,-0.607;P<0.05);The total score of psychological elasticity,tenacity,optimism and self-improvement in CD-RISC were positively correlated with positive coping in SCSQ(r=0.771,0.819,0.757,0.792,P<0.05),while negatively correlated with negative coping in SCSQ(r=-0.526,-0.488,-0.507,-0.524;P<0.05).Conclusion:The psychological resilience of BPH patients is positively correlated with NIH-CPSI score and positive coping score,while negatively correlated with negative coping score.