心理干预对老年前列腺增生症患者情绪及术后膀胱痉挛的影响

目的探讨心理干预对前列腺增生患者心理状态及术后膀胱痉挛发生的影响。方法选择2003年2月～2005年2月百色市人民医院泌尿外科前列腺增生症住院患者98例作为观察对象。随机分成干预组（55例）及对照组（43例），对照组采用常规药物治疗及对症处理．干预组在此基础上增加心理疗法。采用症状自评量表、抑郁自评量表、焦虑自评量表进行心理测评，并记录膀胱痉挛和用止痛药的次数。结果前列腺增生症患者手术前症状自评量表中躯体化、强迫、恐怖、抑郁、焦虑和偏执等因子评分明显高于正常人常模数据（P〈0．05）。经心理干预后．抑郁自评量表和焦虑自评量表显示：干预组患者的抑郁、焦虑评分明显低于对照组（P〈0．05）。膀胱痉挛次数和止痛药的应用也明显少于对照组，差异有显著性意义（P〈0．05）。结论前列腺增生患者术前存在不同程度的心理问题。在进行药物及对症治疗的同时，实施有效的心理干预可以改善患者的不良情绪，并减少术后膀胱痉挛的发生。

Influence of psychological intervention on mood and bladder spasm of senile patients with BPH after TURP

Objective To explore the influence of psychological intervention on mood and bladder spasm of senile patients with benign prostatic hypertrophy(BPH) after TURP.Methods From Feb,2003 to Feb,2005,98 senile inpatients(over 60 year-old) with BPH in department of urinary surgery,the People's Hospital of Baise,were enrolled in the study.The patients were divided randomly into intervention group(n=55) and control group(n= 43).Patients in intervention group received mental intervention and routine medicine treatment and symptomatic treatment,and those in control group only receiving routine medicine treatment and symptomatic treatment.Symptom checklist-90(SCL-90),self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were adopted to analyze the patients' mental state,and the frequency of bladder spasm and injecting anodyne after prostatectomy was recorded.Results Before TURP,the scores of somatization,compulsion,depression,anxiety,phobic anxiety,and paranoid ideation in patients with BPH were significantly higher than those of Chinese norm.After receiving the mental intervention,scores of SDS and SAS of intervention group were lower than those of control group(P<0.05).The frequency of bladder spasm and injecting anodyne after prostatectomy in intervention group were less than that in control group(P<0.05).Conclusions Different levels of mental disorders exist in patients with BPH.The patients' bad mood and bladder spasm may be improved by receiving routine medicine treatment,symptomatic treatment and mental intervention.