慢性前列腺炎患者的心理护理干预效果及生存质量分析

目的探讨慢性前列腺炎患者的心理护理干预效果并对其生存质量进行分析。方法将2011年11月～2012年12月在广东省惠州市第一人民医院泌尿外科门诊连续就诊的慢性前列腺炎患者60例按就诊顺序分单双号,单号为对照组,双号为观察组,每组各30例。其中对照组实施常规护理干预,观察组在常规护理干预的基础上给予心理护理干预,两组患者干预后3个月采用症状自评量表（SCL-90）和世界卫生组织生存质量测定量表（WHOQOL-BRIEF量表）进行问卷调查,并对调查结果进行总结分析。应用SPSS 13.0统计学软件进行统计学分析。结果观察组心理护理干预前后SCL-90量表中躯体化（2.56±0.74）、（1.41±0.56）分]、焦虑（2.80±0.36）、（1.31±0.60）分]、抑郁（2.36±0.46）、（1.52±0.61）分]、精神病性（2.46±0.56）、（1.35±0.56）分]方面比较差异有统计学意义（P〈0.05）,强迫（1.76±0.73）、（1.71±0.59）分]、人际关系（1.69±0.31）、（1.64±0.64）分]、敌对（1.54±0.83）、（1.50±0.38）分]、恐怖（1.51±0.35）、（1.37±0.61）分]、偏执（1.56±0.61）、（1.36±0.48）分]稍有改善,但统计学上比较差异无统计学意义（P〉0.05）。心理护理干预后观察组与对照组在躯体化（1.41±0.56）、（2.54±0.66）分]、焦虑（1.31±0.60）、（2.54±0.35）分]、抑郁（1.52±0.61）、（2.28±0.54）分]、精神病性（1.35±0.56）、（2.42±0.53）分]方面比较差异有统计学意义（P〈0.05）,但强迫（1.71±0.59）、（1.75±0.79）分]、人际关系（1.64±0.64）、（1.65±0.36）分]、敌对（1.50±0.38）、（1.50±0.68）分]、恐怖（1.37±0.61）、（1.46±0.44）分]、偏执（1.36±0.48）、（1.57±0.58）分]改善方面比较,差异无统计学意义（P〉0.05）。观察组心理护理干预后WHOQOL-BRIEF量表中各项因素评分均显著优于护理前和对照组护理后（P〈0.05）。结论心理护理干预可明显改善慢性前列腺炎患者的焦虑、抑郁等消极因素,提高患者的生存质量,值得推广应用。

Analysis of psychological nursing intervention effects and quality of life in the patients with chronic prostatitis

Objective To explore psychological nursing intervention effects and analyze the quality of life in the patients with chronic prostatitis. Methods From November 2011 to December 2012, 60 cases of patients with chronic prostatitis of consecutive visits in the urology outpatient were collected and divided into control group and observation group with each 30 cases. The control group were given conventional nursing, the observation group were given psychological nursing intervention based on the conventional nursing. SCL-90 scale and WHOQOL-BRIEF scale were used to questionnaire survey after intervention 3 months, and the results were analyzed. SPSS 13.0 statistical software was used for statistical analysis. Results SCL-90 scale ot psychological care before and atter the intervention ot the observation group, somatization（2.56±0.74）, （1.41±0.56） scores], anxiety （2.80±0.36）, （1.31±0.60） scores], depression （2.36±0.46）, （1.52＋0.61） scores], psychotic differences（2.46±0.56）, （1.35±0.56） scores] were statistically significant （P 〈 0.05）. Bsessive-compulsive （1.76±0.73）, （1.71＋0.59） scores], interpersonal relationships （1.69±0.31）, （1.64±0.64）],hostility （1.54±0.83）, （1.50±0.38） scores], terrorist paranoia （1.56±0.61）, （1.36±0.48） scores] were slight improved, but the statistical difference was not statistically significant （P 〉 0.05）. After psychological nursing intervention, somatization （1.41±0.56）, （2.54±0.66） scores], anxiety （1.31±0.60）, （2.54±0.35） scores], depression （1.52±0.61）, （2.28±0.54） scores], psychotic （1.35±0.56）, （2.42±0.53） scores] differences were statistically significant （P 〈 0.05） in the observation group and control group, but the statistical difference was not statistically significant （P 〉 0.05） in bsessive-compulsive （1.71±0.59）, （1.75±0.79） scores], interpersonal sensitivity（1.64±0.64）, （1.65±0.36） scores], hostility（1.50±0.38）, （1.50±0.68） scores], phobia（1.37±0.61）, （1.46±0.44） scores], paranoid（1.36±0.48）, （1.57±0.58） scores]. Alter psychological nursing intervention, various factors scores in the WHOQOL-BRIEF scale were significantly better than before psychological nursing intervention and that in the control group （P 〈 0.05）. Conclusion The psychological nursing intervention can significantly improve anxiety, depression and other negative factors of the patients with chronic prostatitis, improve the patient＇s quality of life, and should be widely applied.