摘要
目的 分析影响前列腺癌根治术后尿失禁患者抑郁发生的危险因素。方法 选取2021年7月~2024年7月于本院行前列腺癌根治术且术后尿失禁患者80例为研究对象,根据汉密尔顿抑郁量表17项评分分为抑郁组(n=37,≥17分)和未抑郁组(n=43,<17分)。收集比较两组患者临床资料,并采用多因素Logistic回归分析明确影响前列腺癌根治术后尿失禁患者抑郁发生的危险因素。结果 抑郁组和无抑郁组患者年龄、职业状态、家庭月收入、受教育程度、社会支持评定量表(Social Support Rat-ing Scale,SSRS)评分、支持性照护需求调查简表(Supportive Care Needs Survey,SCNS-SF)评分、自尊量表(self-esteem scale,SES)评分等比较,差异均有统计学意义(P<0.05)。Logistic多因素回归分析显示:年龄、职业状态、家庭月收入、受教育程度、SSRS评分、SCNS-SF评分、SES评分均是影响前列腺癌术后尿失禁患者抑郁发生的危险因素(P<0.05)。结论 前列腺癌根治术后尿失禁患者抑郁发生受年龄、职业状态、家庭月收入、受教育程度、SSRS评分、SCNS-SF评分、SES评分等因素的影响。
Objective Analyze the risk factors for depression in patients with urinary incontinence after radical prostatectomy.Methods Eighty patients who underwent radical prostatectomy and postoperative urinary incontinence in our hospital from July 2021 to July 2024 were selected as the study subjects,According to the 17 item Hamilton Depression Rating Scale,patients were divided into a depression group(n=37,≥17 points)and a non depression group(n=43,<17 points).Collect and compare clinical data of two groups of patients,and use multiple logistic regression analysis to identify the risk factors for depression in patients with urinary incontinence after radical prostatectomy.Results The age,occupational status,monthly family income,education level,Social Support Rat ing Scale(SSRS)score,Supportive Care Needs Survey(SCNS-SF)score,and Self Esteem Scale(SES)score of patients in the depression group and non depression group were compared,and the differences were statistically significant(P<0.05).Logistic multiple regression analysis showed that age,occupational status,monthly family income,education level,SSRS score,SCNS-SF score,and SES score were all risk factors for depression in patients with postoperative urinary incontinence of prostate cancer(P<0.05).Conclusion The occurrence of depression in patients with urinary incontinence after radical prostatectomy is influenced by factors such as age,occupational status,monthly family income,education level,SSRS score,SCNS-SF score,SES score,etc.
作者
项华
汪彬
陈冠峰
程波
邱大胜
XIANG Hua;WANG Bin;CHEN Guanfeng(Suizhou Central Hospital,Department of Urology,Suizhou 441300,China)
出处
《国际精神病学杂志》
2025年第2期559-562,共4页
Journal Of International Psychiatry
基金
湖北省卫生健康委第一批联合基金立项项目(编号:WJ2019H135)。
关键词
前列腺癌
根治术
尿失禁
抑郁症
危险因素
Prostate cancer
Radical surgery
Urinary incontinence
Depression
Risk factors
作者简介
第一作者:项华(1975.02-),男,湖北随州人,硕士研究生,主治医师,研究方向:泌尿外科微创手术;通讯作者:汪彬(Email:245088425@qq.com)。
