| 陈云.夫妻自我表露干预对前列腺增生术后患者心理困扰及夫妻亲密度的影响[J].上海护理,2024,24(11): |
| 夫妻自我表露干预对前列腺增生术后患者心理困扰及夫妻亲密度的影响 |
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| DOI： |
| 中文关键词: 前列腺增生 经尿道前列腺电切术 夫妻自我表露 心理困扰 夫妻亲密度 |
| 英文关键词:Benign prostatic hyperplasia Transurethral resection of the prostate Spousal self disclosure Psychological distress Marital intimacy |
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| 中文摘要: |
| 目的? 分析夫妻自我表露干预对前列腺增生(BPH)术后患者心理困扰及夫妻亲密度的影响。方法? 采用便利抽样法,选取2020年1月-2022年12月拟于医院进行经尿道前列腺电切术(TURP)治疗的96例BPH患者为研究对象,依据随机数字表法分为对照组与观察组。对照组进行常规术后干预,观察组在对照组基础上进行夫妻自我表露干预,两组均干预至患者出院。比较两组术前、出院前自我表露[中文版痛苦自我表露指数量表(DDI)]、夫妻亲密度[Lock Wallace婚姻调适测定量表(MAT)]、心理困扰[焦虑自评量表(SAS)及抑郁自评量表(SDS)]变化情况,同时观察两组麻醉消退后1h及出院前疼痛程度[视觉模拟评分表(VAS)]变化情况及住院期间膀胱痉挛发生情况。结果? 出院前,两组DDI、MAT评分均升高,且观察组更高,差异有统计学意义(P＜0.05)；出院前,两组SAS、SDS、VAS评分均降低,且观察组更低,差异有统计学意义(P＜0.05)；两组膀胱痉挛发生率对比,观察组更低,差异有统计学意义(P＜0.05)。结论? BPH患者术后采用夫妻自我表露干预效果确切,能显著提高患者自我表露水平及夫妻亲密度,有利于减轻其心理困扰及疼痛程度,减少术后膀胱痉挛的发生。 |
| 英文摘要: |
| Objective: To analyze the impact of self disclosure intervention on psychological distress and marital intimacy in patients with benign prostatic hyperplasia (BPH) after surgery. Method: Convenient sampling method was used to select 96 patients with BPH who were scheduled to undergo transurethral resection of the prostate (TURP) in the hospital from January 2020 to December 2022 as the study subjects. They were randomly divided into a control group and an observation group according to the random number table method. The control group received routine postoperative intervention, while the observation group received spouse self disclosure intervention on the basis of the control group. Both groups intervened until the patient was discharged. The changes of self-disclosure [Chinese version of Distress Disclosure Index (DDI)], marital intimacy [Lock Wallace Marital Adjustment Scale (MAT)], psychological distress [Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS)] before operation and before discharge were compared between the two groups. At the same time, the changes of pain degree [Visual Analogue Scale (VAS)] 1h after anesthesia regression and before discharge and the occurrence of bladder spasm during hospitalization were observed in the two groups. Results Before discharge, the DDI and MAT scores of both groups increased, and the observation group had a higher score, with a statistical significant difference (P<0.05). Before discharge, the SAS, SDS, and VAS scores of both groups decreased, and the observation group had a lower score, with a statistical significant difference (P<0.05). The incidence of bladder spasms was lower in the observation group compared to the two groups, with a statistical significant difference (P<0.05). Conclusion: Postoperative intervention with spousal self disclosure is effective for BPH patients, which can significantly improve their level of self disclosure and marital intimacy, alleviate their psychological distress and pain, and reduce the occurrence of postoperative bladder spasms. |
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