Chiu Li-Pin, Tung Heng-Hsin, Lin Kuan-Chia, Lai Yu-Wei, Chiu Yi-Chun, Chen Saint Shiou-Sheng, Chiu Allen W
Division of Urology, Taipei City Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China; University of Taipei, General Education Center, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China.
School of Nursing, Department of Care Management, National Taipei University of Nursing and Health Science, Taipei, Taiwan, Republic of China.
Patient Prefer Adherence. 2016 Feb 11;10:147-52. doi: 10.2147/PPA.S96991. eCollection 2016.
To assess the utilization of stress management in relieving anxiety and pain among patients who undergo transrectal ultrasound (TRUS)-guided biopsy of the prostate.
Eighty-two patients admitted to a community hospital for a TRUS biopsy of the prostate participated in this case-controlled study. They were divided into an experimental group that was provided with stress management and a control group that received only routine nursing care. Stress management included music therapy and one-on-one simulation education. Before and after the TRUS biopsy, the patients' state-anxiety inventory score, pain visual analogue scale (VAS), respiratory rate, heart rate, and blood pressure were obtained.
There were no differences in baseline and disease characteristics between the two groups. The VAS in both groups increased after the TRUS biopsy, but the difference in pre- and postbiopsy VAS scores was significantly lower in the experimental group (P=0.03). Patients in both groups experienced mild anxiety before and after the biopsy, but those in the experimental group displayed a significantly greater decrease in postbiopsy state-anxiety inventory score compared to the control group (P=0.02).
Stress management can alleviate anxiety and pain in patients who received a TRUS biopsy of the prostate under local anesthesia.
评估压力管理在缓解接受经直肠超声（TRUS）引导下前列腺活检患者的焦虑和疼痛方面的应用。
82名入住社区医院接受TRUS引导下前列腺活检的患者参与了这项病例对照研究。他们被分为接受压力管理的实验组和仅接受常规护理的对照组。压力管理包括音乐疗法和一对一模拟教育。在TRUS活检前后，获取患者的状态焦虑量表评分、疼痛视觉模拟量表（VAS）、呼吸频率、心率和血压。
两组患者的基线和疾病特征无差异。两组患者在TRUS活检后VAS评分均升高，但实验组活检前后VAS评分的差异显著低于对照组（P=0.03）。两组患者在活检前后均经历轻度焦虑，但与对照组相比，实验组患者活检后状态焦虑量表评分的下降幅度显著更大（P=0.02）。
压力管理可缓解局部麻醉下接受TRUS引导下前列腺活检患者的焦虑和疼痛。
