夫妻自我表露干预对前列腺癌患者焦虑情绪、亲密关系及生活质量的影响

Effects of self-disclosure intervention in couples on anxiety, intimacy and quality of life in patients with prostate cancer

目的探讨夫妻自我表露干预对前列腺癌患者焦虑情绪、亲密关系及生活质量的影响。方法采用便利抽样法收集2019年7月—2021年7月山西白求恩医院泌尿外科收治的70例前列腺癌患者为研究对象,依据随机数字表法分为对照组与观察组,各35例。对照组患者围手术期予以常规方法干预,观察组在对照组的基础上采用夫妻自我表露干预。比较两组干预前后的心理状况[汉密尔顿焦虑量表(HAMA)、心理痛苦温度计(DT)]、亲密关系[亲密关系满意度问卷(QRI)]、自我表露水平[痛苦表露指数量表(DDI)]和生命质量核心量表(QLQ-C30评分)变化。结果干预后两组的HAMA评分、DT评分、双方回避沟通评分低于干预前,且观察组干预后的HAMA评分、DT评分、双方回避沟通评分低于对照组(P<0.05);干预后两组的QRI评分、DDI评分、要求/回避沟通评分、建设性沟通评分、躯体功能、角色功能、情感功能、认知功能、社会功能、整体生活质量评分高于干预前(P<0.05),且观察组干预后的QRI评分、DDI评分、要求/回避沟通评分、建设性沟通评分、躯体功能、角色功能、情感功能、认知功能、社会功能、整体生活质量评分高于对照组(P<0.05)。结论夫妻自我表露干预可有效缓解前列腺癌患者的焦虑和痛苦情绪,提高患者的夫妻间亲密关系、自我表露水平及生活质量。

Objective To explore the effect of self-disclosure intervention in couples on anxiety,intimacy and quality of life in patients with prostate cancer.Methods Using the convenient sampling method,a total of 70 prostate cancer patients who were admitted to Department of Urinary Surgery in Shanxi Bethune Hospital from July 2019 to July 2021 were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 35 cases in each group.The patients in the control group were given routine intervention during the perioperative period,while the observation group was given the intervention of couples'self-disclosure on the basis of the control group.The psychological status[Hamilton Anxiety Scale(HAMA),Psychological Distress Thermometer(DT)],intimacy[Intimacy Satisfaction Questionnaire(QRI)],self-disclosure level[Pain Exposure Index Scale(DDI)]and Quality of Life Questionnaire Core-30(QLQ-C30)were compared between the two groups before and after the intervention.Results After the intervention,the HAMA score,DT score and bilateral avoidance communication score of the two groups were lower than those before the intervention,and HAMA score,DT score and bilateral avoidance communication score of the observation group after the intervention were lower than those of the control group(P<0.05).The QRI score,DDI score,demand/avoidance communication score,constructive communication score,physical function,role function,emotional function,cognitive function,social function and overall quality of life scores in the two groups after the intervention were higher than those before the intervention(P<0.05).And the QRI score,DDI score,demand/avoidance communication score,constructive communication score,physical function,role function,emotional function,cognitive function,social function and overall quality of life scores in the observation group after intervention were higher than those in the control group(P<0.05).Conclusions Couple self-disclosure intervention can effectively relieve anxiety and pain in patients with prostate cancer and improve the intimacy,self-disclosure level and quality of life between couples.