上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (6): 730-.doi: 10.3969/j.issn.1674-8115.2011.06.011

• 专题报道（临床护理与管理） • 上一篇    下一篇

前列腺癌患者去势治疗后心理障碍的原因分析及干预策略

杨 艳, 陈 莉   

  1. 上海交通大学 医学院附属仁济医院护理部, 上海 200127
  • 出版日期:2011-06-28 发布日期:2011-06-27
  • 作者简介:杨 艳（1979—）, 女, 主管护师, 硕士；电子信箱: renji_yy@126.com。

Factors and interventions for mental disorders in patients with prostate cancer after androgen deprivation therapy

YANG Yan, CHEN Li   

  1. Department of Nursing, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2011-06-28 Published:2011-06-27

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摘要：

去势治疗是晚期前列腺癌患者首选的治疗方法，但其大大降低了患者的生活质量，易使患者陷入自我形象紊乱、自卑、焦虑、恐惧、多疑、疲劳、情绪低落以及抑郁等多种心理障碍，而心理干预是治疗其心理创伤的有效手段。护理人员作为与患者接触最为频繁的群体应了解患者不同时期的心理问题，分析产生的原因，掌握有效的心理干预手段，为患者提供优质的心理护理服务，提高患者的生活质量。该文就前列腺癌患者接受去势治疗后易产生心理障碍的原因及相应的护理干预措施进行综述，为护理人员进行有效的心理干预提供帮助。

关键词: 前列腺癌, 去势治疗, 心理障碍, 护理干预

Abstract:

Though androgen deprivation therapy is the first choice for patients with advanced prostate cancer, it significantly decreases the quality of life and causes lots of mental disorders in patients, such as self-image disturbance, inferiority, anxiety, phobia, suspicious, fatigue, frustration, depression and so on. Psychological intervention may be an important method to recover from their mental trauma. Nursing staff, who contact with patients most frequently, are responsible for realizing psychological problems of patients in different periods, analyzing the possible causes, mastering the effective countermeasures and providing high-quality psychological care service to improve the quality of life of patients. This paper reviews the causes and corresponding countermeasures for mental disorders of patients with prostate cancer after androgen deprivation therapy, in hopes of helping nurses to conduct effective psychological intervention.

Key words: prostate cancer, androgen deprivation therapy, mental disorder, nursing intervention