心理干预对骨盆骨折后尿道损伤后勃起功能障碍及心理状态的影响
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摘要
目的探讨分析心理干预对骨盆骨折后尿道损伤后勃起功能障碍及心理状态的影响。方法方便选取该院2014年11月—2018年3月收治的76例骨盆骨折后尿道损伤后勃起功能障碍患者,随机分为对照组和研究组,两组患者均接受5 mg他打那非治疗,1次/d。给予对照组患者常规护理干预,给予研究组患者常规干预联合心理干预措施。在护理前后采用抑郁自评量表和焦虑自评量表及国际勃起功能问卷表对两组患者进行调查,评定患者心理状况和勃起功能障碍严重程度。结果在给予护理干预之前,两组患者焦虑、抑郁评分以及勃起功能评分均差异无统计学意义(P>0.05);在给予护理干预之后,研究组患者抑郁评分(37.76±12.76)分、焦虑评分(39.54±11.63)分以及勃起功能评分(14.24±3.02)分显著优于对照组(54.67±11.86)分、(49.65±12.52)分、(9.34±4.54)分,(P<0.05);对照组患者护理满意度为81.58%,研究组患者护理满意度为97.37%,对照组患者护理满意度显著低于研究组(P<0.05)。结论给予骨盆骨折后尿道损伤后勃起功能障碍患者常规护理联合心理干预具有显著临床价值,可以降低患者焦虑、抑郁评分,改善勃起功能障碍症状,对稳定家庭关系和改善生活质量等方面均具有显著作用。
Objective To analyze the effect of psychological intervention on erectile dysfunction and mental state after urethral injury after pelvic fracture. Methods Convenient select 76 patients with erectile dysfunction after urethral injury were enrolled in our hospital from November 2014 to March 2018. They were randomly divided into the control group and the study group. Both groups received 5 mg of tacrolimus, one time per day. The patients in the control group were given routine nursing intervention, and the patients in the study group were given routine intervention and psychological intervention.Before and after treatment, the depression self-rating scale and anxiety self-rating scale and the international erectile function questionnaire were used to investigate the psychological status of patients and the severity of erectile dysfunction.Results There was no significant difference in anxiety, depression score and erectile function score between the two groups before the nursing intervention(P>0.05). After the nursing intervention, the study group patients scored depression(37.76±12.76) points and anxiety score(39.54±11.63)points and erectile function scores(14.24±3.02)points were significantly better than those of the control group(54.67±11.86)points,(49.65±12.52)points,(9.34±4.54)points(P<0.05). The nursing satisfaction of the study group was 97.37%, and the nursing satisfaction of the control group of 81.58% was significantly lower(P<0.05). Conclusion Patients with erectile dysfunction after pelvic fracture have significant clinical value in combination with routine nursing and psychological intervention. It can reduce anxiety and depression scores, improve erectile dysfunction symptoms, and have a significant effect on stabilizing family relationships and improving quality of life.
Objective To analyze the effect of psychological intervention on erectile dysfunction and mental state after urethral injury after pelvic fracture. Methods Convenient select 76 patients with erectile dysfunction after urethral injury were enrolled in our hospital from November 2014 to March 2018. They were randomly divided into the control group and the study group. Both groups received 5 mg of tacrolimus, one time per day. The patients in the control group were given routine nursing intervention, and the patients in the study group were given routine intervention and psychological intervention.Before and after treatment, the depression self-rating scale and anxiety self-rating scale and the international erectile function questionnaire were used to investigate the psychological status of patients and the severity of erectile dysfunction.Results There was no significant difference in anxiety, depression score and erectile function score between the two groups before the nursing intervention(P>0.05). After the nursing intervention, the study group patients scored depression(37.76±12.76) points and anxiety score(39.54±11.63)points and erectile function scores(14.24±3.02)points were significantly better than those of the control group(54.67±11.86)points,(49.65±12.52)points,(9.34±4.54)points(P<0.05). The nursing satisfaction of the study group was 97.37%, and the nursing satisfaction of the control group of 81.58% was significantly lower(P<0.05). Conclusion Patients with erectile dysfunction after pelvic fracture have significant clinical value in combination with routine nursing and psychological intervention. It can reduce anxiety and depression scores, improve erectile dysfunction symptoms, and have a significant effect on stabilizing family relationships and improving quality of life.
引文
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[2]田超.中西医结合治疗骨盆骨折术后尿道损伤患者的疗效分析[J].齐齐哈尔医学院学报,2017,38(10):1157-1158.
[3]万国英,欧恬,朱心燊,等.心理干预对骨盆骨折后尿道损伤后勃起功能障碍及心理状态的影响[J].实用临床医学,2015,16(12):73-75,78.
[4]刘竹.骨盆损伤患者的护理措施及护理体会[J].中国继续医学教育,2016,8(16):251-252.
[5]范银平.舒适护理在骨盆骨折护理中的临床应用[J].临床医药文献电子杂志,2016,3(15):3058-3059.
[6]王景奎,王淑娟,李伟.骨盆骨折合并尿道损伤的急救与护理管理[J].中国卫生产业,2015,12(27):148-150.
[7]李姝睿.32例不稳定型骨盆骨折患者并发症的护理体会[J].甘肃中医学院学报,2015,32(6):99-101.
[8]刘彦伟,林晶晶,汪晓俊,等.心理治疗对骨盆骨折合并后尿道损伤术后性功能和生活质量的影响[J].中国性科学,2016,25(3):142-145.