慢性前列腺炎/慢性盆腔疼痛综合征患者的心理弹性及其影响因素分析

Analysis of psychological resilience and its influencing factors in patients with chronic prostatitis/chronic pelvic pain syndrome

目的探讨慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)患者的心理弹性现状及其影响因素。方法选取2019年6月至2021年10月北部战区总医院收治的162例CP/CPPS患者作为研究对象。采用慢性前列腺炎症状评分法(NIH-CPSI)、勃起功能国际指标研究问卷(IIEF-5)、心理弹性量表(CD-RISC)、社会支持评定量表(SSRS)、中国人主观幸福感量表(CHI)和自我效能量表(GSES)对患者进行评估。结果162例CP/CPPS患者的CD-RISC总评分为(56.34±14.67)分,低于我国常模的(65.4±13.9)分,差异具有统计学意义(P<0.05)。Pearson相关性分析结果显示,CD-RISC总评分分别与SSRS评分(r=0.267)、CHI评分(r=0.387)、GSES评分(r=0.286)呈正相关(P<0.05)。Logistic多因素分析结果表明,CP症状的严重程度、勃起功能障碍严重程度、社会支持、主观幸福度、自我效能是CP/CPPS患者心理弹性的独立影响因素(P<0.05)。NIH-CPSI评分、IIEF-5评分、SSRS评分、CHI评分、GSES评分预测低心理弹性的受试者工作特征曲线下面积分别为0.703、0.671、0.813、0.756、0.898。结论CP/CPPS患者的心理弹性较低下,可能是受CP症状的严重程度、阴茎勃起功能障碍严重程度、社会支持、主观幸福度和自我效能的影响。

Objective To investigate the current status and influencing factors of psychological resilience in patients with chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).Methods 162 CP/CPPS patients admitted to the General Hospital of Northern Theater Command between June 2019 and October 2021 were selected as the study subjects.National institutes of health-chronic prostatitis symptom index(NIH-CPSI),international index of erectile function-5(IIEF-5),connor davidson resilience scale(CD-RISC),social support rating scale(SSRS),Chinese subjective well-being scale(CHI)and general self-efficacy scale(GSES)were used to evaluate patients.Results The total CD-RISC of 162 CP/CPPS patients was(56.34±14.67)points,which was lower than the Chinese norm(65.4±13.9)points(P<0.05).Pearson correlation analysis showed that the total CD-RISC score was positively correlated with SSRS(r=0.267),CHI(r=0.387)and GSES(r=0.286)(P<0.05).Logistic multivariate analysis showed that the severity of chronic prostatitis symptoms,the severity of erectile dysfunction,social support,subjective well-being,and self-efficacy was the independent influencing factor of resilience in CP/CPPS patients,respectively(P<0.05).The area under the curve of NIH-CPSI,IIEF-5,SSRS,CHI and GSES for predicting low psychological resilience were 0.703,0.671,0.813,0.756 and 0.898,respectively.Conclusions CP/CPPS patients have poor psychological resilience,which may be affected by the severity of chronic prostatitis symptoms,the severity of erectile dysfunction,social support,subjective well-being and self-efficacy.