摘要
目的探究正念减压疗法(mindfulness-based stress reduction,MBSR)用于前列腺增生患者的效果及对不良情绪和性功能的影响。方法选取2022年5月~2024年5月本院收治的154例前列腺增生患者,根据干预方法不同分为对照组(共计77例,常规健康教育干预)和观察组(共计77例,常规健康教育联合MBSR干预)。采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)比较干预前后两组的不良情绪;采用国际前列腺症状评分(international prostate symptom score,IPSS)和泌尿症状困扰评分(urinary symptom disturbance score,USDS)记录干预效果,以国际勃起功能指数问卷表-5(international index of erectile function-5,IIEF-5)和射精功能评分量表(Chinese index of sexual function for premature ejaculation,CIPE)评估患者性功能状态。结果干预后两组SAS、SDS、IPSS、USDS得分较干预前均显著下降,且干预后观察组低于对照组(P<0.05)。干预后两组IIEF-5、CIPE得分较干预前上升,且干预后观察组高于对照组(P<0.05)。结论MBSR干预能有效缓解前列腺增生患者不良情绪,减轻下尿路症状,改善性功能,提高生活质量。
Objective To explore the effect of mindfulness-based stress reduction(MBSR)in patients with pros-tate hyperplasia and its influence on negative emotions and sexual function.Methods 154 patients with benign prostatic hyperplasia admitted in our hospital from May 2022 to May 2024 were selected,they were divided into the control group(77 cases,receiving routine health education intervention)and the observation group(77 cases,receiving routine health education combined with MBSR intervention),which accorded to different management methods.The negative emotions of the two groups before and after intervention were compared[the self-rating anxiety scale(SAS),self-rat-ing depression scale(SDS)].The intervention effects were recorded by international prostate symptom score(IPSS)and urinary symptom disturbance score(USDS),the sexual function status of patients were evaluated by international index of erectile function-5(IIEF-5)and Chinese index of sexual function for premature ejaculation(CIPE).Results After intervention,the scores of SAS,SDS,IPSS,and USDS of the two groups decreased,which compared with before intervention,and after intervention,the observation group were lower than those of the control group(P<0.05).After intervention,the scores of IIEF-5 and CIPE in the two groups increased,which compared to before intervention,and after intervention,the observation group were higher than control group(P<0.05).Conclusion MBSR intervention can effectively alleviate negative emotions,lower urinary tract symptoms,improve sexual function,and enhance qual-ity of life in patients with benign prostatic hyperplasia.
作者
高欢
徐沭
顾婷婷
GAO Huan;XU Shu;GU Tingting(Department of Urology,Huai'an Second People's Hospital,Huai'an 223299,China)
出处
《国际精神病学杂志》
2025年第4期1230-1233,1271,共5页
Journal Of International Psychiatry
基金
江苏省卫生健康委科研项目(编号:M2021047)。
关键词
正念减压疗法
前列腺增生
不良情绪
性功能
Mindfulness-based stress reduction
Prostatic hyperplasia
Negative emotions
Sexual function
