在院期间心理干预对前列腺增生手术患者心理状况和睡眠质量的影响

Influence of psychological intervention on the psychological status and sleep quality of patients with benign prostatic hyperplasia during hospitalization

目的:探究在院期间心理干预对前列腺增生手术患者的影响。方法:研究对象为2021年4月-2022年4月某院收治的100例前列腺增生手术患者,随机将其分为对照组(n=50,常规干预)和观察组(n=50,心理干预)。干预前后均记录患者心理状况[焦虑自评表(SAS)和抑郁自评表(SDS)]、前列腺症状[国际前列腺症状评分(IPSS)]和睡眠质量[匹兹堡睡眠质量指数(PSQI)]、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]、应对方式[中文版医学应对问卷(MCMQ)]及生活质量[简明健康测量量表(SF-36)]。结果:与对照组相比,观察组干预后SAS评分和SDS评分明显较低(t=-5.309,-5.971;P<0.001),IPSS评分和PSQI评分明显较低(t=-7.316,-2.232;P<0.05),HPLP-Ⅱ各维度评分明显较高(t=4.686,4.037,3.790,4.386,4.244,5.446;P<0.001),面对应对评分明显较高(t=5.370,P<0.001),回避和屈服应对评分明显较低(t=-9.346,-8.410;P<0.001),SF-36各维度评分明显较高(t=6.277,6.231,6.133,6.567,5.704,6.190,5.195,6.477;P<0.001)。结论:在院期间给予前列腺增生手术患者心理干预,可改善患者心理状况、前列腺症状和睡眠质量,促进健康行为,增加积极应对方式,提高生活质量。

Objective:To explore the effect of psychological intervention on patients with benign prostatic hyperplasia during hospitalization.Methods:A total of 100 patients with prostatic hyperplasia treated in our hospital from April 2021 to April 2022 were randomly divided into control group(n=50)and observation group(n=50).The control group was given routine intervention during their stay in the hospital,while the observation group was given psychological intervention during their stay in the hospital.The psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],prostate symptoms[international prostate symptom score(IPSS)]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)],health behavior[Health Promotion Lifestyle Scale-II(HPLP-II)],coping style[Chinese version of the Medical Coping Questionnaire(MCMQ)]and quality of life[Simple Health Measurement Scale(SF-36)]were compared between the two groups.Results:Compared with the control group,the SAS and SDS scores of the observation group after intervention were significantly lower(t=-5.309,-5.971;P<0.001),and the IPSS and PSQI scores were significantly lower(t=-7.316,-2.232;P<0.05),the scores of each dimension of HPLP-II were significantly higher(t=4.686,4.037,3.790,4.386,4.244,5.446;P<0.001),and the coping score was significantly higher(t=5.370,P<0.001),the avoidance and yield coping scores were significantly lower(t=-9.346,-8.410;P<0.001),and the SF-36 dimensions were significantly higher(t=6.277,6.231,6.133,6.567,5.704,6.190,5.195,6.477;P<0.001).Conclusion:Psychological intervention for patients with benign prostatic hyperplasia during hospitalization can improve their psychological status,prostate symptoms and sleep quality,promote healthy behaviors,increase positive coping styles,and improve their quality of life.