前列腺癌根治术后尿失禁患者焦虑和抑郁的心理护理干预：一项随机对照研究方案
Psychological nursing intervention on anxiety and depression in patients with urinary incontinence after radical prostatectomy: A randomized controlled study protocol.
作者信息
Yang Liying, Ling Danjuan, Ye Lanfen, Zeng Manping
机构信息
Department of Urology, Taizhou Hospital.
Outpatient Injection Room, Linhai Hospital of Traditional Chinese Medicine, Zhejiang Province.
出版信息
Medicine (Baltimore). 2020 Nov 25;99(48):e23127. doi: 10.1097/MD.0000000000023127.
BACKGROUND
Prostate cancer (PC) is one of the most familiar disease of the male reproductive system globally. In treating the clinically localized PC, the radical prostatectomy is regarded as a gold standard, but it is associated with syndromes as urinary incontinence (UI), which can have a significant impact on patients' quality of life. Nurse takes responsibility in the management of the UI for their convenience compared with doctors to contact with patients and build better trust relationships with survivals. However, most of the studies focus on the physiological level, the psychological nursing intervention research is less. The purpose of the trial is to introduce a psychological intervention program and to study its effects on anxiety and depression after prostatectomy in IU patients.
METHODS
This is a single-center randomized controlled trial that was authorized by Ethics Committee of the First People's Hospital of Chenzhou City (2020054). One hundred participants who undergo radical prostatectomy are analyzed. Inclusion criteria are the following: PC is diagnosed based on histological results; Participants in the study voluntarily sign the informed consent table; Severe UI after extubation; Patients with postoperative UI do not receive any drug treatment. Exclusion criteria are the followings: patients with the history of prostate operation; patients with the history of severe renal and liver malignancy; UI caused by reasons other than prostatectomy. The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed. All data are collected and analyzed by the Social Science software version 21.0 (SPSS, Inc., Chicago, IL) program.
RESULTS
The relevant indexes of severe UI patients are compared in the table.
CONCLUSION
Psychological nursing intervention may have a positive effect on depression and anxiety in the UI patients after receiving the radical prostatectomy.
背景
前列腺癌（PC）是全球男性生殖系统最常见的疾病之一。在治疗临床局限性前列腺癌时，根治性前列腺切除术被视为金标准，但它与尿失禁（UI）等综合征相关，这会对患者的生活质量产生重大影响。与医生相比，护士在管理尿失禁方面具有优势，因为她们便于与患者接触并与幸存者建立更好的信任关系。然而，大多数研究集中在生理层面，心理护理干预研究较少。该试验的目的是引入一项心理干预计划，并研究其对前列腺切除术后尿失禁患者焦虑和抑郁的影响。
方法
这是一项单中心随机对照试验，已获得郴州市第一人民医院伦理委员会的批准（2020054）。对100例接受根治性前列腺切除术的参与者进行分析。纳入标准如下：根据组织学结果诊断为前列腺癌；研究参与者自愿签署知情同意书；拔管后出现严重尿失禁；术后尿失禁患者未接受任何药物治疗。排除标准如下：有前列腺手术史的患者；有严重肝肾恶性肿瘤病史的患者；由前列腺切除术以外的原因引起的尿失禁。主要结局是拔除导尿管2个月后的焦虑和抑郁程度。次要结局是拔除导尿管2个月后的生活质量。所有数据均通过社会科学软件版本21.0（SPSS，美国伊利诺伊州芝加哥市）程序进行收集和分析。
结果
表中比较了严重尿失禁患者的相关指标。
结论
心理护理干预可能对根治性前列腺切除术后尿失禁患者的抑郁和焦虑有积极影响。
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