实施心理干预计划对根治性前列腺切除术后严重尿失禁患者焦虑和抑郁的影响

Effect of psychological intervention program on anxiety and depression in patients with severe urinary incontinence after radical prostatectomy

目的:实施心理干预计划,探讨其对前列腺癌根治术后严重尿失禁患者焦虑和抑郁的影响。方法:选取天津医科大学第二医院200例行前列腺癌根治手术并具有完整随访记录的患者,按照随机抽签法分为观察组和对照组,其中行心理教育(观察组)100例;其中仅行常规护理(对照组)100例。拔除导尿管后3个月,通过焦虑自评量表(SAS)和抑郁自评量表(SDS)评估的焦虑和抑郁水平。使用尿失禁特异性生活质量量表(I-QOL)评估生活质量(次要结果)。结果:两组患者拔除导尿管3个月后,观察组SAS评分、SDS评分显著低于对照组;观察组生活质量评分(行为障碍方面、心理障碍方面、社交障碍方面)显著高于对照组;观察组总I-QOL评分显著高于对照组,差异均有统计学意义(P<0.05)。结论:这项初步研究表明,心理护理干预改善了根治性前列腺切除术后严重尿失禁患者的焦虑和抑郁症状,并提高了生活质量。

Objective To investigate the effect of psychological intervention program on anxiety and depression in patients with severe urinary incontinence after radical prostatic cancer.Method 200 patients undergoing radical surgery for prostate cancer in our hospital with complete follow-up records were selected and divided into the observation group and the control group according to the random selection method.Among them,100 patients received psychological education(observation group).Among them,only routine care(control group)100 cases.The levels of anxiety and depression were assessed by self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)at 3 months after catheter removal.Quality of life(secondary outcome)was assessed using the Incontinence Specific Quality of Life Scale(I-QOL).Results 3 months after catheter removal,SAS score and SDS score in observation group were significantly lower than those in control group;The quality of life score(behavioral disorder,psychological disorder and social disorder)of the observation group was significantly higher than that of the control group;The total I-QOL score of the observation group was significantly higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion This preliminary study shows that psychological care interventions improve anxiety and depression symptoms and improve quality of life in patients with severe urinary incontinence after radical prostatectomy.