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目的：探讨围术期心理干预对老年前列腺癌去势患者心理状况及生活质量的影响。方法：选取2012 年6 月-2015 年1 月在我院接受手术治疗的老年前列腺癌患者150 例，根据围术期干预方法的不同将所选患者分为研究组和对照组，每组75 例。对照组患者给予常规护理干预，研究组在对照组基础上给予心理干预。分别于干预前后应用生活质量核心问卷（QLQ-C30）评价患者生活质量，应用焦虑自评量表（SAS）评价患者焦虑情况，应用抑郁自评量表（SDS）评价患者抑郁情况。结果：干预前，两组患者 QLQ-C30、SAS 和SDS 评分比较均无统计学意义（P＞0.05）；干预后，两组患者QLQ-C30、SAS 和SDS评分均显著优于干预前，组内比较，差异具有统计学意义（P<0.05）；干预后，研究组QLQ-C30、SAS 和SDS评分优于对照组，两组比较差异具有统计学意义（P＜0.05）。结论：围术期心理干预对老年前列腺癌去势患者具有较好的干预效果，能够显著改善患者的心理状态，提高术后生活质量。

英文摘要:

Objective:To explore the influence of psychological intervention on mental status and life quality of elderly patients with prostate cancer after castration treatment.Methods:150 elderly patients with prostate cancer who had received the surgical treatment in our hospital fromJune 2012 to January 2015 were selected and according to the different intervention ways in perioperative period, the selected patients were divided into the study group and the control group, with 75 cases in each group. The patients in the control group were given routine treatment, while the patients in the observation group were treated with the perioperative psychological intervention. Then the quality of life questionnaire-core (QLQ-C30) was used to evaluate the life quality, the self-rating anxiety scale (SAS) was applied to examine the anxiety of patients, and the self-rating depression scale (SDS) was used to assess the depression state of patients.Results:There was no statistically significant difference about the QLQ-C30, SAS and SDS scores between the two groups before the intervention (P>0.05). After the intervention, the scores of QLQ-C30, SAS and SDS were better than before, and the study group were better than those of the control group with statistically significant difference (P<0.05).Conclusion:Psychological intervention has a good effect for the elderly patients with prostate cancer who had received the castration treatment that could greatly improve the mental status and life quality of them.

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