问题解决疗法对前列腺癌根治术后尿失禁患者的影响

Effect of Problem-solving Therapy on Patients with Urinary Incontinence after Radical Prostatectomy

目的:探讨问题解决疗法(PST)对前列腺癌根治术(RP)后尿失禁患者的影响。方法:将80例RP后尿失禁患者随机分为对照组和观察组各40例,对照组给予常规护理干预,观察组在此基础上实施PST干预,比较两组护理效果。结果:两组患者拔除导尿管3个月状态特质焦虑量表(STAI)、贝克抑郁问卷评分低于拔除导尿管1周时评分(P<0.05),观察组患者拔除导尿管3个月STAI、贝克抑郁问卷评分低于对照组(P<0.05)。两组患者拔除导尿管3个月改良版创伤后成长评定量表(PTGI)、尿失禁生活质量问卷(I-QOL)评分高于拔除导尿管1周时评分(P<0.05),观察组患者拔除导尿管3个月PTGI、I-QOL评分高于对照组(P<0.05)。两组患者拔除导尿管3个月国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)及尿失禁分度比较差异有统计学意义(P<0.05)。结论:PST可有效改善RP后尿失禁患者的负性情绪,提高生活质量及解决问题的能力,促进患者尽快康复。

Objective:To investigate the effect of problem-solving therapy(PST)on patients with urinary incontinence after radical prostatectomy(RP).Methods:A total of 80 patients with urinary incontinence after RP were randomly divided into the control group and the observation group with 40 cases each.The control group received routine nursing intervention,and the observation group implemented PST intervention on this basis.The nursing effect of the two groups was compared.Results:State-trait Dnxiety Inventory(STAI)and Beck Depression Inventory scores for 3 months after the removal of the catheter were lower than those for 1 week after the removal of the catheter(P<0.05).STAI and Beck Depression Inventory scores for 3 months after the removal of the catheter in the observation group were lower than those in the control group(P<0.05).The score of improved Posttraumatic Growth Inventory(PTGI)and quality of Life-incontinence Questionnaire(I-QOL)of patients in the two groups 3 months after the removal of the catheter was higher than that 1 week after the removal of the catheter(P<0.05).The PTGI and I-QOL scores of patients in the observation group were higher than those in the control group(P<0.05).There were statistically significant differences between the two groups in the International Advisory Committee on Incontinence Questionnaire Short Form(ICI-Q-SF)and the urinary incontinence degree after the catheter was removed for 3 months(P<0.05).Conclusion:PST can effectively improve the negative emotions of patients with urinary incontinence after RP,promote the quality of life and the ability to solve problems,and enhance the recovery of patients as soon as possible.