首页|达标理论的行为疗法在老年前列腺切除术患者中的应用

达标理论的行为疗法在老年前列腺切除术患者中的应用

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目的:探讨达标理论的行为疗法在老年前列腺切除术患者中的应用效果。方法:选取 2021 年2 月1 日~2023 年2 月28日 200 例行前列腺切除术的老年患者作为研究对象,随机分为观察组和参照组各 100 例,参照组予以传统前列腺切除术护理干预,观察组予以达标理论的行为疗法。比较两组干预前后汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)评分、应激指标[包括肾上腺素(EPI)、皮质醇(COR)]、症状改善情况、生活质量评定量表(WHOQOL-100)评分。结果:干预后,两组HAMA、HAMD评分均低于干预前(P<0。01),且观察组低于参照组(P<0。01);干预后,两组EPI、COR指标均低于干预前(P<0。05),且观察组低于参照组(P<0。05);干预后,两组国际前列腺症状评分量表(IPSS)评分、残余尿量(RUV)均低于干预前(P<0。05),且观察组低于参照组(P<0。05),最大尿流速(Qmax)高于干预前(P<0。05),且观察组高于参照组(P<0。05);观察组心理功能、躯体功能、社会功能和物质生活评分均高于参照组(P<0。05)。结论:达标理论的行为疗法能够缓解老年前列腺切除术患者的负性情绪,减轻应激反应,改善盆底肌功能和生活质量。
Effect of Behavioral Therapy Based on Criterion Theory on Elderly Patients Undergoing Prostatectomy
Objective:To investigate the effect of behavioral therapy based on criterion theory on elderly prostatectomy patients.Meth-ods:Selecting 200 elderly patients who underwent prostatectomy from February 1,2021 to February 28,2023 as the research subjects,they were randomly divided into the observation group and the control group of 100 cases each.Traditional prostatectomy nursing intervention was performed in control group,and behavioral therapy intervention based on criterion theory was performed in observation group.The Ham-ilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA)scores,stress indicators[epinephrine(EPI)and cortisol(COR)],symptom improvement,and the World Health Organization Quality of Life Assessment(WHOQOL)scores before and after inter-vention were compared between two groups.Results:After intervention,the HAMA and HAMD scores of both groups were lower than before intervention(P<0.01),and the observation group was lower than the control group(P<0.01).After intervention,the EPI and COR indica-tors in both groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.05).After intervention,the International Prostate Symptom Scale(IPSS)scores and residual urine volume(RUV)of both groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.05),the maximum urine flow rate(Qmax)was higher than before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).The psychological function,physical function,social function,and material life scores of the observation group were higher than those of the control group(P<0.05).Conclusion:Behavioral therapy based on criterion theory can alleviate negative emotions,alleviate stress reactions,and improve pel-vic floor muscle function and quality of life in elderly patients undergoing prostatectomy.

ProstatectomyCriterion theoryBehavioral therapyStress responsePelvic floor muscle function

寇妍妍、李叔夏、吴丰池、时兰、孙丽娟

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开封市中心医院 河南开封 475000

前列腺切除术 达标理论 行为疗法 应激反应 盆底肌功能

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(4)
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