首页|夫妻自我表露干预对前列腺增生患者术后心理困扰及夫妻亲密度的影响

夫妻自我表露干预对前列腺增生患者术后心理困扰及夫妻亲密度的影响

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目的 探讨夫妻自我表露干预对前列腺增生(BPH)电切术后患者心理困扰及夫妻亲密度的影响.方法 选取2020年1月至2022年12月收治于吉安市中心人民医院行经尿道前列腺电切术(TURP)治疗的BPH患者96例作为研究对象,将其随机分为对照组(n=48)与观察组(n=48).对照组接受常规术后干预,观察组在此基础上接受包含4个阶段,且以言语表露、书面表露及夫妻互动为主要措施的夫妻自我表露干预,两组均干预至患者出院.采用中文版痛苦自我表露指数量表(DDI)、婚姻调适测定量表(MAT)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及视觉模拟评分表(VAS)评估并比较两组患者干预前后自我表露情况、夫妻亲密度、心理困扰及疼痛程度,同时比较两组患者住院期间膀胱痉挛的发生情况.结果 干预前,两组患者各项指标比较,差异均无统计学意义(P>0.05).出院前,观察组患者的DDI及MAT评分均高于对照组,SAS、SDS及VAS评分均低于对照组,差异均有统计学意义(P<0.05).住院期间,观察组有1例患者(占2.08%)发生膀胱痉挛,对照组有8例患者发生膀胱痉挛(占16.67%),两组比较,差异有统计学意义(P<0.05).结论 夫妻自我表露干预能显著提高BPH患者术后自我表露水平及夫妻亲密度,有助于减轻其心理困扰及疼痛程度、减少术后膀胱痉挛的发生.
Impact of Marital Disclosure Intervention on Postoperative Psychological Distress and Marital Inti-macy in Patients with Benign Prostatic Hyperplasia
Objective To explore the impact of marital disclosure intervention on psychological distress and marital intimacy in patients with benign prostatic hyperplasia(BPH)after electrocision.Methods A total of 96 BPH patients were selected who underwent transurethral resection of the prostate(TURP)at Ji'an Central People's Hospital from January 2020 to December 2022.They were randomly divided into the control group(n=48)and the observation group(n=48).The control group was given routine postoperative intervention while the observation group was additionally given a 4-stage marital disclosure intervention(mainly including verbal dis-closure,written disclosure and marital interaction).Both groups were intervened until discharge.The Chinese version of the Distress Disclosure Index(DDI),the Marital Adjustment Test(MAT),the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS)and the Visual Analogue Scale(VAS)were used to evalu-ate and compare the marital disclosure,marital intimacy,psychological distress and pain degree before and af-ter intervention between the two groups.Also,the occurrence of bladder spasms during hospitalization was com-pared between the two groups.Results Before the intervention,there was no significant difference in all indi-cators between the two groups(P>0.05).Before discharge,DDI and MAT scores were higher in the observation group than in the control group,while SAS,SDS and VAS scores were lower in the control group,with signifi-cant differences(P<0.05).During hospitalization,1 patient(2.08%)in the observation group and 8 pa-tients(16.67%)in the control group suffered from bladder spasms,with a significant difference between the two groups(P<0.05).Conclusion Marital disclosure intervention can significantly improve disclosure and mari-tal intimacy,alleviate psychological distress and pain,and reduce the occurrence of bladder spasms in BPH pa-tients after surgery.

Benign prostatic hyperplasiaTransurethral resection of the prostateMarital disclosurePsycho-logical distressMarital intimacy

陈云、邹金梅

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吉安市中心人民医院,江西 吉安 343000

前列腺增生 经尿道前列腺切除术 夫妻自我表露 心理困扰 夫妻亲密度

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(11)