摘要
目的 探究腹腔镜前列腺癌根治术围术期采用多元化认知行为干预对患者疾病认知程度及心理健康水平的影响。方法 选取2020年1月至2022年5月新疆维吾尔自治区人民医院收治的312例前列腺癌患者作为研究对象,均行腹腔镜根治术。根据干预方式不同,将153例行常规干预患者纳入对照组,将159例予多元化认知行为干预的患者纳入研究组。比较两组恢复情况、干预前后疾病认知情况、心理健康水平和并发症发生率。结果 研究组术后首次下床时间、引流管留置时间、肛门排气时间、导尿管留置时间、住院时间均短于对照组(P<0.05);两组干预后感知益处、无助、接纳等疾病认知评分较干预前均显著改善,研究组感知益处及接纳评分高于对照组,而无助评分低于对照组(P<0.05);与干预前比较,两组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分明显下降,干预后研究组患者SDS与SAS评分明显低于对照组(P<0.05);研究组患者并发症发生率低于对照组(P<0.05)。结论 多元化认知行为干预有助于改善腹腔镜前列腺癌根治术患者围术期疾病认知程度,提高患者心理健康水平。
Objective To investigate the effect of diversified cognitive behavior intervention applied during perioperative period of laparoscopic radical prostatectomy on the patients'disease cognition and psychological health.Methods A total of 312 patients with prostate cancer who were admitted to People's Hospital of Xinjiang Uygur Autonomous Region from January 2020 to May 2022 were selected as the research subjects.All patients were treated with laparoscopic radical resection.According to different intervention methods,153 patients receiving routine intervention were included in the control group and 159 patients receiving diversified cognitive behavior intervention were included in the study group.The recovery condition,disease cognition,psychological health status and the incidence of complications were compared between the groups.Results The first ambulation time,drainage tube indwelling time,anal exhaust time,catheter indwelling time and hospital stay of study group were shorter than those of the control group(P<0.05).After intervention,the disease cognition scores for perceived benefits,helplessness and acceptance were significantly improved in both groups.The scores for perceived benefits and acceptance in the study group were higher than those in the control group,and the helplessness score was lower than that in the control group(P<0.05).After intervention,the self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores of both groups decreased,and these scores in the study group were lower than those in the control group(P<0.05).The incidence of complications in study group was lower than that in the control group(P<0.05).Conclusions Diversified cognitive behavior intervention is beneficial to improve disease cognition and psychological health during perioperative period of laparoscopic radical prostatectomy.
作者
梁泽兰
周萍
木卡带司
李花花
史振峰
LIANG Zelan;ZHOU Ping;Mukadaisi;LI Huahua;SHI Zhenfeng(Tumor Ward,Urology Center,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,Xinjiang,China)
出处
《中国性科学》
2023年第10期23-26,共4页
Chinese Journal of Human Sexuality
基金
2022年第二批自治区创新环境(人才、基地)建设专项:自然科学基金杰出青年科学基金项目(2022D01E84)
新疆维吾尔自治区人民医院院内项目(20190218)。
关键词
多元认知行为干预
腹腔镜前列腺癌根治术
疾病认知程度
心理健康
Diversified cognitive behavior intervention
Laparoscopic radical prostatectomy
Disease cognition
Psychological health
