目的:探讨与分析基于品质链的综合性认知心理干预在良性前列腺增生(BPH)患者中的应用效果.方法:前瞻性选择2022 年1 月至2023 年3 月在我院接受治疗的110 例BPH患者纳为研究对象,随机分为A组和B组,各55 例.A组予以常规干预,B组则在A组基础上加以基于品质链的综合性认知心理干预,观察并分析两组患者的干预效果、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、临床指标改善情况、自我效能、疾病知晓率与治疗依从性.结果:B组干预后的效果(96.36%)显著优于A组(65.45%,χ2=17.009,P<0.05);干预后两组患者的SAS与SDS评分较干预前均有显著改善(P<0.05),且 B 组患者的 SAS 与 SDS 评分显著优于 A 组(P<0.05);干预后B组患者的膀胱痉挛连续时间、每天膀胱痉挛连续次数、管留置时间和术后住院时间等临床指标改善情况显著优于A组(P<0.05);干预后B组患者情绪控制、健康管理、规律作息、遵医服药情况显著优于A组(P<0.05);干预后B组患者疾病知识知晓率与治疗依从性显著优于A组(P<0.05).结论:BPH患者接受基于品质链的综合性认知心理干预后的效果显著,可有效提升患者的疾病知晓率与治疗依从性,改善其临床指标,减轻抑郁与焦虑情况,加强自我效能管理,值得临床广泛使用.
Comprehensive intervention combined with cognitive psychological care based on quality chain for patients with benign prostatic hyperplasia
Objective:To investigate the application effect of comprehensive intervention combined with cognitive psychological care based on the quality chain in patients with BPH.Methods:We prospectively selected 110 cases of BPH treated in our hospital from January 2022 to March 2023 and equally randomized them into groups A and B,the former given routine intervention,while the latter comprehensive intervention combined with cognitive psychological care based on the quality chain in addition.We analyzed the results of intervention,the patients'scores on Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),improvement of clinical indicators,self-efficacy,disease awareness and treatment compliance,and compared the data obtained between the two groups of patients.Results:The effectiveness of intervention was significantly better in group B than in A(96.36%vs 65.45%,χ2=17.009,P<0.05).Compared with the baseline,the SAS and SDS scores were remarkably improved in the two groups after inter-vention(P<0.05),even more significantly in group B than in A(P<0.05).Group B also showed a markedly shorter duration of bladder spasm,lower frequency of bladder spasm per day,shorter urethral catheterization time and postoperative hospital stay,better e-motion control and health management,more regular schedule,higher disease knowledge awareness,and better treatment compliance than group A(all P<0.05).Conclusion:Comprehensive intervention combined with cognitive psychological care based on the quality chain is significantly effective in improving BPH patients'clinical indicators,disease awareness and treatment compliance,re-ducing their depression and anxiety,and enhancing their self-efficacy management.
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