Ergani Batuhan, Ozbilen Mert Hamza, Yalcın Mehmet Yigit, Boyacıoglu Hayal, Ilbey Yusuf Ozlem
Beyhekim State Hospital, Urology Clinic Konya, Turkey.
University of Health Sciences Tepecik Training and Research Hospital Urology Clinic Izmir, Turkey.
Am J Clin Exp Urol. 2021 Feb 15;9(1):88-95. eCollection 2021.
Anxiety level in prostate cancer patients is common due to the increase in the incidence of prostate cancer diagnosis. We aimed to search for answers to the following questions such as whether there is preoperative anxiety in patients who will be operated for prostate cancer, what are the risk factors that may cause disease-induced anxiety and the type of surgery especially does robotic surgery reduce patient anxiety.
The patients who were taken into operation were divided into 2 groups as Open Radical Retropubic Prostatectomy-Group 1 and Robot-Assisted Laparoscopic Radical Prostatectomy-Group 2. Age, active surveillance history, preoperative prostate spesific antigen (PSA) level, prostate biopsy pathology result, time between prostate biopsy and operation, state and trait anxiety scores of these patients were recorded.
The study was conducted with a total of 149 patients; 61 patients in Group 1 and 88 patients in Group 2. The presence of active surveillance history, time between prostate biopsy and operation and state and trait anxiety levels were not found to be significant between both groups. However, it was concluded that the patients in Group 2 were significantly younger and operated with lower PSA and Gleason scores. The type of surgery had no effect on anxiety levels.
Preoperative information about the surgical procedure was found to be an effective factor in reducing anxiety. Regardless of the type of surgery we recommend that patients' anxiety should be reduced by explaining the surgical procedure to patients enough and in a way that they can understand.
由于前列腺癌诊断发病率的增加，前列腺癌患者的焦虑水平很常见。我们旨在寻找以下问题的答案，例如将接受前列腺癌手术的患者术前是否存在焦虑、可能导致疾病引发焦虑的风险因素是什么，以及手术类型尤其是机器人手术是否能减轻患者焦虑。
将接受手术的患者分为两组，即开放性耻骨后前列腺根治术组（第1组）和机器人辅助腹腔镜前列腺根治术组（第2组）。记录这些患者的年龄、主动监测史、术前前列腺特异性抗原（PSA）水平、前列腺活检病理结果、前列腺活检与手术之间的时间、状态焦虑和特质焦虑评分。
该研究共纳入149例患者；第1组61例患者，第2组88例患者。两组之间主动监测史的存在、前列腺活检与手术之间的时间以及状态焦虑和特质焦虑水平均无显著差异。然而，得出的结论是第2组患者明显更年轻，手术时的PSA和Gleason评分更低。手术类型对焦虑水平没有影响。
发现术前关于手术过程的信息是减轻焦虑的一个有效因素。无论手术类型如何，我们建议通过向患者充分且以他们能够理解的方式解释手术过程来减轻患者的焦虑。
