摘要
目的:评估正念减压疗法(MBSR)在影像融合引导经会阴前列腺穿刺活检术中的干预效果。方法:纳入2023年4月至2024年4月东部战区总医院收治的160例行影像融合辅助经会阴前列腺穿刺活检术患者。通过随机数字表法分为对照组(常规护理)与观察组(常规护理+MBSR),每组各80例。比较两组患者的手术时长、二次融合率、视觉模拟评分(VAS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、并发症发生率及护理满意度。结果:两组患者基线资料差异无统计学意义(P>0.05)。观察组患者的手术时长[(23.54±2.07)min vs(26.25±1.69)min,P<0.05]、二次融合率(8.75%vs 22.50%,P=0.017)和术后并发症发生率(17%vs 29%,P=0.036)均显著低于对照组。观察组患者总护理满意度显著高于对照组(96.25%vs 86.25%,P=0.025)。观察组患者穿刺时的VAS评分[(5.11±0.93)分vs(6.27±1.32)分,P=0.041]、出院时的VAS评分[(0.74±0.67)分vs(1.85±0.95)分,P=0.004]、SDS评分[(47.76±2.06)分vs(50.46±2.07)分,P=0.009]和SAS评分[(46.89±2.68)分vs(49.75±2.83)分,P=0.031]均显著低于对照组。结论:将MBSR用于影像融合引导前列腺穿刺活检术的围手术期护理可显著优化手术指标,改善患者疼痛感受和心理状态,提高护理满意度,为临床应用提供了参考。
Objective:To evaluate the application effect of mindfulness-based stress reduction(MBSR)therapy on the patients treated with image fusion-guided transperineal prostate biopsy.Methods:A total of 160 patients who underwent image fusion-guided transperineal prostate biopsy in the Urology Department from April 2023 to April 2024 were included.Patients were randomly assigned to a control group and an observation group,with 80 cases in each group.The control group received routine care,while the observation group received combined MBSR on the basis of routine care.The surgical indicators,pain levels,psychological states,nursing satisfaction,and postoperative complication rates of both groups were compared.Results:There was no statistically significant difference in general personal information and clinical data between the two groups(P>0.05).The surgery duration,secondary fusion rate,and postoperative complication rate in the observation group were all lower than those in the control group([23.54±2.07]min vs[26.25±1.69]min,P<0.05;8.75%vs 22.50%,P=0.017;17%vs 29%,P=0.036),and nursing satisfaction was higher in the observation group than in the control group(77%vs 69%,P=0.025).The VAS scores biopsy(5.11±0.93 vs 6.27±1.32,P=0.041),discharge(0.74±0.67 vs 1.85±0.95,P=0.004),and scores of SDS(47.76±2.06 vs 50.46±2.07,P=0.009)and SAS(46.89±2.68 vs 49.75±2.83,P=0.031)in the observation group were all lower than those in the control group.Conclusion:The application of MBSR in image fusion-guided prostate biopsy can synergistically utilize the advantages of minimally invasive technology,significantly optimize surgical indicators,and improve patients'psychological experiences,which is worthy of clinical application and promotion.
作者
季蔷
胡隽
王晓红
李芸
王帆
刘洁
魏蕙贤
黄迎春
李映
JI Qiang;HU Jun;WANG Xiao-hong;LI Yun;WANG Fan;LIU Jie;WEI Hui-xian;HUANG Ying-chun;LI Ying(Department of Urology,Jinling Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing,Jiangsu 210002,China;Department of Urology,Third People's Hospital of Yancheng,Yancheng,Jiangsu 224001,China)
出处
《中华男科学杂志》
2025年第9期812-817,共6页
National Journal of Andrology
关键词
正念减压疗法
前列腺穿刺活检
前列腺癌
影像融合
mindfulness-based stress reduction therapy
prostate biopsy
prostate cancer
image fusion
