老年综合评估干预对良性前列腺增生患者抑郁和焦虑情绪的影响.pdfVIP

老年综合评估干预对良性前列腺增生 患者抑郁和焦虑情绪的影响 李洁 邹继红 任利群 [摘要] 目的 探讨老年综合评估(CGA)干预对良性前列腺增生症(BPH)患者抑郁、焦虑情绪 的影响。 方法 2009年6月至2010年6月我院老年科门诊90例BPH患者（≥65岁）随机分成对 照组(45例)及CGA干预组(45例)，对照组采用常规治疗及对症处理，干预组首先采用CGA，在此基 础上拟定综合治疗方案，指导会诊，并给予治疗及对症处理。治疗前及随访6个月后门诊进行国际前 列腺症状评分( IPSS)、生活质量评分(QOLS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评估，并分 别进行两组治疗前后对比分析，以评价CGA对BPH患者生活质量及抑郁、焦虑情绪的影响。 结 果 对照组治疗后BPH患者的IPSS、QOLS、SDS和SAS评分均明显减少（t=11.0，5.84,7.08和 9. 68，均P＜0. 01），CGA干预组治疗后BPH患者的IPSS、QOLS、SDS和SAS评分均明显减少(t= 14.0，10.4，9.16和6.1,均P＜0, 01)。随访6个月后CGA干预组BPH患者的IPSS、QOLS、SDS和 SAS评分明显低于同期对照组（t=4.25，5.55，3.45和2.88，P＜0. 01）。 结论 老年综合评估可 以明显改善良性前列腺增生患者的生活质量及抑郁、焦虑情绪。 前列腺增生；综合预防； 生活质量； 抑郁； 焦虑 Effects of comprehensive geriatric assessment intervention on depression and anxiety in patients with benign prostatic hyperplasia LI Jie ZOU Ji-hongREN Li-qun Department of Geriatrics, Zhongda Hospital, Southeast University, Nanjing 210009, China [Abstract] Objective To investigate the effects of comprehensive geriatric assessment (CGA) intervention on depression and anxiety in patients with benign prostatic hyperplasia (BPH). Methods 90 patients with BPH (aged 65 years and over) from June 2009 to June 2010 were randomly assigned to control(n= 45) and CGA (n = 45) group. Control group received conventional therapy, while CGA group was given CGA and consultation therapy as well as conventional therapy. The scores of international were assayed and compared between two groups before and 6 months after treatment. Results The scores of international prostate symptom score (IPSS), quality of life scale (QOLS), self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in control (t= 11.0, 5.84, 7.08 and 9.68, respectively) and CGA (t= 14.0,10. 4, 9. 16 and 6.1, respectively)group 6 months after treatment reduced as compared with those before treatmen (all P ＜ 0. 01). After 6 months of treatment, the scores of IPSS, QOLS, SDS and SAS in CGA group were lower than in control group (t= 4.25, 5.5