延续性护理对老年前列腺增生经尿道电切术后心理弹性的影响
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摘要
目的:评价延续性护理干预方式对老年前列腺增生经尿道电切术(TURP)后心理弹性的影响。方法:选择2016年2月-2017年2月因老年前列腺增生于我院行经尿道电切术的患者共188例,随机分为观察组和对照组,每组94例,其中观察组患者在出院后采用延续性护理干预,对照组采用常规的随访,比较两组患者手术前和术后3个月的前列腺症状(NIH-CPSI)评分和心理弹性量表评分(CD-RISC)和简易应对方式评分(SCSQ)。结果:术后3个月观察组患者的NIH-CPSI评分显著低于对照组(t=6.537,P<0.01),术后3个月观察组的坚韧和控制、力量、乐观和总分均显著高于对照组(P<0.05),术后3个月观察组积极应对评分均较治疗前显著提高(t=4.454,P<0.001),且显著高于对照组(t=3.251,P=0.001),观察组的消极应对评分均较治疗前显著下降(t=3.935,P<0.001),且显著低于对照组(t=2.002,P=0.047)。结论:老年前列腺增生经尿道电切术的患者采用延续性护理能显著提高其心理弹性和心理承受能力,增加其积极应对的方式,促进了患者术后的康复。
Objective:To evaluate the effect of continual nursing intervention on the psychological elasticity of elderly patients with benign prostatic hyperplasia after TURP.Methods:A total of 188 elder patients who underwent TURP from February 20 to February 2017 were selected in our hospital,which were randomly divided into the observation group and the control group(94case for each group).The patients in the observation group were treated with continual nursing after discharge and the control group was followed by routine follow-up.The NI-CPSI score,CD-RISC and SCSQ were compared between the two groups before and 3 months after operation.Results:The NIH-CPSI score of the observation group was significantly lower than that of the control group(t=6.537,P<0.01)after operation,and the tenacity and control,strength,optimism and total score of the observation group were significantly higher than those of the control group(P<0.05).The positive response scores of the observation group were significantly higher than those before treatment,and significantly higher than that of the control group(t=3.251,P<0.001).The negative response scores of the observation group were significantly lower than those before treatment(t=3.935,P<0.001),and significantly lower than that in the control group(t=2.002,P<0.05).Conclusion:In elderly patients with benign prostatic hyperplasia transurethral resection,continuous nursing can significantly improve their psychological flexibility and psychological capacity to increase their positive coping style,and promote the rehabilitation of patients after surgery.
Objective:To evaluate the effect of continual nursing intervention on the psychological elasticity of elderly patients with benign prostatic hyperplasia after TURP.Methods:A total of 188 elder patients who underwent TURP from February 20 to February 2017 were selected in our hospital,which were randomly divided into the observation group and the control group(94case for each group).The patients in the observation group were treated with continual nursing after discharge and the control group was followed by routine follow-up.The NI-CPSI score,CD-RISC and SCSQ were compared between the two groups before and 3 months after operation.Results:The NIH-CPSI score of the observation group was significantly lower than that of the control group(t=6.537,P<0.01)after operation,and the tenacity and control,strength,optimism and total score of the observation group were significantly higher than those of the control group(P<0.05).The positive response scores of the observation group were significantly higher than those before treatment,and significantly higher than that of the control group(t=3.251,P<0.001).The negative response scores of the observation group were significantly lower than those before treatment(t=3.935,P<0.001),and significantly lower than that in the control group(t=2.002,P<0.05).Conclusion:In elderly patients with benign prostatic hyperplasia transurethral resection,continuous nursing can significantly improve their psychological flexibility and psychological capacity to increase their positive coping style,and promote the rehabilitation of patients after surgery.
引文
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[11]杜文永,施永斌,曹志彬,等.草酸艾司西酞普兰对老年良性前列腺增生伴抑郁患者的总体疗效[J].国际精神病学杂志,2017,44(2):283-286
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[13]王捷,顾昭明.团体心理干预在治疗伴有情绪障碍的ⅢB型前列腺炎中的应用[J].中国健康心理学杂志,2015,23(7):1064-1066
[14]祝娜,屈晓玲,金璐,等.IIIB型前列腺炎患者自传体记忆特征[J].中国健康心理学杂志,2016,24(10):1534-1538
[15]李启堂,刘国友,宋君伟,等.综合干预对慢性精神分裂症患者生存质量的影响[J].中国健康心理学杂志,2016,24(8):1125-1127
[2]肖轶容,徐燕舞.心理护理干预对尿道前列腺电切术患者心理状态和术后疗效的影响[J].中国药业,2012,21(1):74-75
[3]李应青,王晋兰.心理干预对前列腺增生手术病人的影响[J].全科护理,2011,9(5B):1233-1234
[4]底会娟,李素艳,吴爱须,等.泌尿系手术患者倦怠与生活压力源调查[J].中华现代护理杂志,2014,17(27):3236-3238
[5]果宏峰,那彦群.《良性前列腺增生诊断治疗指南》解读及相关研究进展[J].现代实用医学,2014,26(10):1193-1195
[6]徐文仙,许建伟,童炎岳,等.视频宣教对前列腺电切术患者心理和生存质量的影响[J].中国现代医生,2013,51(6):90-91
[7]刘振静,李璟,李玉焕.心理治疗对老年抑郁和焦虑共病患者认知功能的影响[J].中国健康心理学杂志,2016,24(5):752-755
[8]张峡.心理护理干预对尿道前列腺电切术患者心理状态影响探讨[J].现代诊断与治疗,2016,27(6):1155-1156
[9]井晓东,付振勇,朱亚利.心理干预对经尿道前列腺电切术患者的应用研究[J/CD].世界最新医学信息文摘:电子版,2015,15(12):10-11
[10]赵丽彩,尹训宝,孙宏伟.抑郁症患者抑郁水平、生活质量与自杀风险关系[J].中国健康心理学杂志,2016,24(7):983-986
[11]杜文永,施永斌,曹志彬,等.草酸艾司西酞普兰对老年良性前列腺增生伴抑郁患者的总体疗效[J].国际精神病学杂志,2017,44(2):283-286
[12]刘一梅,余琦,顾冬生,等.重度前列腺增生症患者情绪、社会支持和应对方式的调查[J].中国健康心理学杂志,2015,23(3):441-444
[13]王捷,顾昭明.团体心理干预在治疗伴有情绪障碍的ⅢB型前列腺炎中的应用[J].中国健康心理学杂志,2015,23(7):1064-1066
[14]祝娜,屈晓玲,金璐,等.IIIB型前列腺炎患者自传体记忆特征[J].中国健康心理学杂志,2016,24(10):1534-1538
[15]李启堂,刘国友,宋君伟,等.综合干预对慢性精神分裂症患者生存质量的影响[J].中国健康心理学杂志,2016,24(8):1125-1127