Fang Xiao, Ren Kong, Li Yan, Meng Qiao, Li Mingyue, Miao Miao, Zhan Jing, Wang Xia, Wu Fei, Zhang Meixia
Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Department of Urology, The Second Clinical Medical College of Binzhou Medical University, Yantai, China.
Curr Urol. 2024 Jun;18(2):98-103. doi: 10.1097/CU9.0000000000000243. Epub 2024 Jun 21.
This study aims to not only investigate the prevalence of social alienation among elderly patients undergoing radical prostatectomy for prostate cancer but also identify the contributing factors.
A total of 245 elderly patients diagnosed with prostate cancer and undergoing radical prostatectomy at a tertiary care general hospital in Jinan were included in this study. To assess the patients, several questionnaires were used. These included the General Situation Questionnaire, General Alienation Scale, Social Impact Scale, Modified Memorial Anxiety Scale for Prostate Cancer, and Perceived Social Support Scale. Pearson correlation analysis was conducted to examine the relationships between variables, whereas multiple linear regression was used to identify the factors influencing social alienation among patients who underwent radical prostatectomy.
Patients who underwent radical prostatectomy had a mean total score of 44.13 ± 7.24 on the Social Alienation Scale. The results of the Pearson correlation analysis indicated that social alienation showed an inverse association with social support ( = -0.627, < 0.05) and positive associations with age, disease stigma, and anxiety ( = 0.325, 0.575, 0.421, all 's < 0.01) among patients who underwent radical prostatectomy. The findings from multiple linear regression analysis demonstrated that educational level, age, urinary incontinence, disease stigma, anxiety, and social support significantly influenced social alienation among elderly patients who underwent radical prostatectomy ( < 0.05).
Elderly patients who undergo radical prostatectomy often experience social alienation. This study found that social alienation was associated with factors such as educational level, age, urinary incontinence, social support, anxiety, and disease stigma. Consequently, healthcare providers should actively monitor the degree of social alienation in elderly patients after radical prostatectomy and provide suitable psychological care to facilitate positive social reintegration and alleviate their feelings of social alienation.
本研究旨在不仅调查接受前列腺癌根治术的老年患者中社会疏离的患病率，还识别其影响因素。
本研究纳入了济南一家三级综合医院中245例被诊断为前列腺癌并接受前列腺癌根治术的老年患者。为评估患者，使用了几份问卷。这些问卷包括一般情况问卷、一般疏离量表、社会影响量表、改良的前列腺癌纪念焦虑量表和感知社会支持量表。进行Pearson相关分析以检验变量之间的关系，而多元线性回归用于识别影响接受前列腺癌根治术患者社会疏离的因素。
接受前列腺癌根治术的患者在社会疏离量表上的平均总分是44.13±7.24。Pearson相关分析结果表明，在接受前列腺癌根治术的患者中，社会疏离与社会支持呈负相关（r = -0.627，P < 0.05），与年龄、疾病耻辱感和焦虑呈正相关（r = 0.325、0.575、0.421，所有P值均< 0.01）。多元线性回归分析结果显示，教育水平、年龄、尿失禁、疾病耻辱感、焦虑和社会支持显著影响接受前列腺癌根治术的老年患者的社会疏离（P < 0.05）。
接受前列腺癌根治术的老年患者常经历社会疏离。本研究发现社会疏离与教育水平、年龄、尿失禁、社会支持、焦虑和疾病耻辱感等因素有关。因此，医疗保健提供者应积极监测接受前列腺癌根治术的老年患者的社会疏离程度，并提供适当的心理护理，以促进积极的社会重新融入并减轻他们的社会疏离感。
