前列腺癌根治术后尿失禁患者的焦虑抑郁状况及其与社会支持的关系
The status of anxiety and depression in urinary incontinence patients after radical prostate cancer surgery and its relationship with social support
高雪 1崔颖 1刘志飞2
作者信息
- 1. 首都医科大学附属北京友谊医院泌尿外科(北京,100000)
- 2. 唐山市人民医院泌尿外科
- 折叠
摘要
目的 观察前列腺癌根治术后尿失禁患者焦虑抑郁情绪状况及其与社会支持的关系.方法 选取并研究2022年1月～2023年1月在我院行前列腺癌根治术的80例男性患者,依据术后日尿片使用量评估患者是否发生尿失禁,分为发生尿失禁组(n=32)和未发生尿失禁组(n=48).观察两组患者的抑郁自评量表(Self-rating depression Scale,SDS)、焦虑自评量表(Self-rating anxiety scale,SAS)的评分及社会支持评定量表(Social Support Rating Scale,SSRS)评分,采用Pearson分析焦虑、抑郁情绪与社会支持度的相关性.结果 发生尿失禁组患者的SDS评分、SAS评分显著高于未发生尿失禁组(P＜0.05);发生尿失禁组患者主观支持度、客观支持度、对支持的利用度得分及SSRS总分显著低于未发生尿失禁组(P＜0.05);相关性分析显示,SDS评分、SAS评分均与主观支持度、客观支持度、对支持的利用度得分呈负相关(P＜0.05).结论 前列腺癌根治术后尿失禁患者更易出现焦虑、抑郁情绪,且社会支持度较低,同时两者存在明显相关性,需要高度重视.
Abstract
Objective To observe the status of anxiety and depression in urinary incontinence patients after radical prostate cancer surgery and its relationship with social support.Methods A total of 80 male patients undergo-ing radical prostatectomy in our hospital from January 2022 to January 2023 were selected and studied.The patients were divided into urinary incontinence group(n=32)and non-urinary incontinence group(n=48)according to the amount of daily diapers used after surgery to assess whether they had urinary incontinence.The Self-rating depression Scale(SDS)and Self-rating anxiety scale(SDS)of patients in the two groups were observed.Pearson was used to analyze the cor-relation between anxiety,depression and Social Support Rating Scale(SSRS)and SAS.Results SDS scores and SAS scores in the incontinence group were significantly higher than those in the non-incontinence group(P＜0.05).The scores of subjective support,objective support,utilization of support and SSRS in the incontinence group were signifi-cantly lower than those in the non-incontinence group(P＜0.05).Correlation analysis showed that SDS score and SAS score were negatively correlated with subjective support,objective support and utilization score of support(P＜0.05).Conclusion Patients with urinary incontinence after radical prostate cancer surgery are more prone to anxiety and de-pression,and their social support is lower,and there is an obvious correlation between the two,which needs clinical attention.
关键词
前列腺癌/前列腺癌根治术/术后尿失禁/焦虑、抑郁/社会支持Key words
Prostate cancer/Radical resection of prostate cancer/Postoperative urinary incontinence/Anxiety,depression/Social support引用本文复制引用
基金项目
河北省医学科学研究项目(20220216)
出版年
2024
NETL
NSTL
万方数据