文章摘要

前列腺增生术后患者的健康相关生活质量、心理健康状况和性功能的相关性

作者: 1王 海燕, 1黄 济云, 1朱 玉杰, 1吉 洋洋
1 南通大学附属海安医院泌尿外科,江苏 海安 226600
通讯: 王 海燕 Email: W788645gn@163.com
DOI: 10.3978/j.issn.2095-6959.2019.01.021

摘要

目的:探讨经尿道前列腺切除术(transurethral resection of prostate,TURP)治疗前列腺增生患者术后的健康相关生活质量(health-related quality of life,HRQoL)、心理健康状况和性功能,并确定这组患者HRQoL的预测因子。方法:采取横断面研究、描述性研究和相关性研究。共纳入80例良性前列腺增生(benign prostatic hyperplasia,BPH)手术患者,来源于南通大学附属海安医院的泌尿外科。简明12项健康调查表(12 variables of the Health Survey,SF-12v2)、国际前列腺症状评分表(International Prostate Symptom Score,IPSS)、医院焦虑和抑郁量表(Hospital Anxiety and Depression Scale,HADS)、国际勃起功能5项指标(International Index of Erectile Function,IIEF-5)评分作为研究变量。结果:经SF-12v2评估,患者身体健康状况普遍较差,精神健康状况较好。实施TURP, 超过1/4的患者出现中度下尿路症状(lower urinary tract symptoms,LUTS),13.8%的患者出现严重的勃起功能障碍。通过多元线性回归分析发现:LUTS(B=−0.51,P=0.02)和最大尿流率(B=−0.23, P=0.02)预测身体健康差,占方差的45.9%,而有焦虑(B=−1.07,P<0.01)和LUTS(B=−0.32,P=0.03) 预测心理健康差,占57.2%的方差。结论:TURP患者身体健康状况不佳,多为中度LUTS,存在性功能障碍,临床医护人员应对那些有较低尿流率或有焦虑症症状的严重LUTS患者给予更多的关注,从而帮助患者维持和建立社会支持系统,改善不良的心理状态。
关键词: 良性前列腺增生;尿道前列腺电切术;健康相关的生活质量;焦虑;抑郁症;性功能

Correlation of health-related quality of life, mental health status and sexual function in patients with postoperative prostate hyperplasia

Authors: 1WANG Haiyan, 1HUANG Jiyun, 1ZHU Yujie, 1JI Yangyang
1 Department of Urology, Hai’an Hospital, Nantong University, Hai’an Jiangsu 226600, China

CorrespondingAuthor:WANG Haiyan Email: W788645gn@163.com

Abstract

Objective: To investigate the health-related quality of life (HRQoL), mental health status and sexual function of patients with benign prostatic hyperplasia (BPH) by transurethral resection of the prostate, and to determine the predictors of HRQoL in this group of patients. Methods: Cross-sectional studies, descriptive studies, and correlation studies were performed. A total of 80 patients with BPH who underwent urology from Hai’an Hospital affiliated to Nantong University. The scores of 12 variables of the Health Survey (SF-12v2), the International Prostate Symptom Score (IPSS), the Hospital Anxiety and Depression Scale (HADS), and the International Index of Erectile Function (IIEF-5) were used as study variables. Results: The health status of the patients participating in the study was generally poor. The assessment of SF-12v2 showed better mental health. Transurethral resection of the prostate, more than one-quarter of patients with moderate LUTS, and 13.8% of patients with severe erectile dysfunction. Multiple linear regression analysis found that LUTS (B=−0.51, P=0.02) and maximum urinary flow rate (B=−0.23, P=0.02) predicted poor health, with a variance of 45.9% and anxiety (B=−1.07, P<0.01) and LUTS (B=−0.32, P=0.03) predicted poor mental health, accounting for 57.2% variance. Conclusion: Transurethral resection of the prostate is in poor health, mostly moderate LUTS, and sexual dysfunction. Clinical health care providers should pay more attention to patients with severe LUTS who have lower urinary flow rates or symptoms of anxiety. Nursing care can help patients maintain and build social support systems and improve their poor psychological state.
Keywords: benign prostatic hyperplasia; urethral resection of the prostate; health-related quality of life; anxiety; depression; sexual function