摘要
Abstract
Objective To explore the psychological status of prostate cancer patients after castration treatment,and its correlation with stigma and family support.Methods A total of 116 patients with prostate cancer admitted to Renji Hospital,Shanghai Jiao Tong University School of Medicine from May 2020 to May 2022 were selected as the research subjects.The Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),Social Impact Scale(SIS)and Perceived Social Support from Family(PSS-Fa)Scale were used to evaluate the patient's anxiety,depression,stigma,and current status of family support.Pearson correlation analysis was performed to explore the relationship between psychological state,stigma and family support of patients after castration treatment.Logistic regression was used to analyze the influencing factors of psychological state of patients.Results The HAMA and HAMD scores of 116 prostate cancer patients undergoing castration treatment were 18.46±4.16 points and 19.24±4.53 points.The SIS score was 83.22±4.75 points.The PSS-Fa score was 8.01±2.45 points.Pearson correlation analysis showed that the HAMA score was positively correlated with the SIS score(r=0.798,P<0.001),and the HAMD score was positively correlated with the SIS score(r=0.658,P<0.001).The HAMA score was negatively correlated with the PSS-Fa score(r=-0.822,P<0.001),and the HAMD score was negatively correlated with the PSS-Fa score(r=-0.785,P<0.001).Among the 116 patients,a total of 35 patients had a good psychological state(good group),while 81 patients had a poor psychological state(bad group),and the incidence of poor psychological state was 69.83%.Univariate and logistic multivariate regression analysis showed that SIS score and PSS-Fa score were both influencing factors of patients'psychological state(both P<0.05).Conclusion The psychological state of patients after castration treatment for prostate cancer is positively correlated with stigma,and negatively correlated with family support.In clinical practice,the psychological state of patients should be improved by reducing their stigma and improving their family support level.关键词
前列腺癌/去势手术/心理状态/病耻感/家庭支持/相关性Key words
prostate cancer/surgical castration/psychological state/stigma/family support/correlation分类
医药卫生
