评估因 COVID-19 大流行而推迟手术的前列腺癌患者的焦虑和抑郁状态。

Evaluating the anxiety and depression status of prostate cancer patients whose operations were postponed because of the COVID-19 pandemic.

机构信息

Department of Urology, Ankara City Hospital, Ankara, Turkey.

出版信息

Int J Clin Pract. 2021 Aug;75(8):e14278. doi: 10.1111/ijcp.14278. Epub 2021 May 26.

Abstract

AIM

In this study, we aimed to evaluate the anxiety and depression status of prostate cancer (PCa) patients whose planned operations in the urology clinic of our hospital, which is serving as a pandemic hospital in Turkey have been postponed because of the coronavirus disease 2019 pandemic.

METHODS

This survey study was conducted at urology clinic of Ankara City Hospital between March 1 and June 1, 2020, and included 24 male patients who agreed to answer the questionnaires (State-Trait Anxiety Inventory [STAI] I and II and Beck Depression Inventory [BDI]). Demographical and clinical data (age, time since diagnosis, total serum prostate-specific antigen (PSA) levels, risk groups according to the D'Amico classification system, smoking, alcohol habitus, major surgical history and comorbidities) of the patients were collected from hospital software.

RESULTS

The mean STAI-I score of the patients (46.7 ± 1.4 [44-49]) was significantly higher than their STAI-II score (41.7 ± 2.4 [39-47]) (P < .001). The negative correlation between the decrease in age and STAI-I score was found to be statistically significant (r = 0.439, P < .05). The mean BDI score of the patients was 4.3 ± 3.2 (0-13), which was compatible with mild depression. There was no statistically significant difference among the time elapsed from diagnosis, PSA levels, smoking and alcohol habitus, major surgical history and comorbidity status and STAI-I, STAI-II and BDI scores (P > .05).

CONCLUSION

Prostate cancer patients with postponed operations should be guided properly in order to manage their anxiety status especially young patients.

摘要

目的

在这项研究中,我们旨在评估因 2019 年冠状病毒病大流行而被推迟到我院泌尿科就诊的计划手术的前列腺癌(PCa)患者的焦虑和抑郁状况,我院在土耳其是一家作为大流行病医院。

方法

这项调查研究于 2020 年 3 月 1 日至 6 月 1 日在安卡拉市医院泌尿科进行,纳入了 24 名同意回答问卷的男性患者(状态-特质焦虑量表[STAI]I 和 II 以及贝克抑郁量表[BDI])。从医院软件中收集了患者的人口统计学和临床数据(年龄、诊断后时间、总前列腺特异性抗原(PSA)水平、根据 D'Amico 分类系统的危险分组、吸烟、饮酒习惯、重大手术史和合并症)。

结果

患者的 STAI-I 评分平均值(46.7±1.4[44-49])明显高于其 STAI-II 评分(41.7±2.4[39-47])(P<0.001)。年龄下降与 STAI-I 评分之间的负相关具有统计学意义(r=0.439,P<0.05)。患者的平均 BDI 评分为 4.3±3.2(0-13),与轻度抑郁相符。诊断后时间、PSA 水平、吸烟和饮酒习惯、重大手术史和合并症状态与 STAI-I、STAI-II 和 BDI 评分之间无统计学差异(P>0.05)。

结论

应适当指导推迟手术的前列腺癌患者,特别是年轻患者,以管理其焦虑状况。

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