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普里西特干预模式对男性结直肠癌造口患者性功能及心理弹性的影响

Effect of permission, limited information, specific suggestion, intensive therapy model on sexual function and mental resilience of male patients with colostomy of colorectal cancer

    摘要
  • 摘要:
      目的  探讨普里西特(PLISSIT)干预模式对男性结直肠癌造口患者性功能、心理弹性的影响。
      方法  选取行结直肠癌造口术的100例男性患者为研究对象, 按照基本特征匹配原则将其分为试验组(n=50)与对照组(n=50)。对照组接受常规干预，试验组在对照组基础上增加PLISSIT模式干预，均干预8周。利用国际勃起功能问卷(IIEF-5)、早泄诊断量表(PEDT)和心理弹性量表(CD-RISC)对干预前后2组性功能及心理弹性水平进行评测。
      结果  排除中途退出者后，试验组最终纳入48例，对照组49例。干预前, 2组IIEF-5评分、PEDT评分及性功能等级、CD-RISC各维度评分及CD-RISC总分比较，差异均无统计学意义(P>0.05)。干预后，试验组IIEF-5评分、PEDT评分、勃起功能等级改善情况、心理弹性的3个维度(韧性、自强及乐观)项目评分及CD-RISC总分均优于干预前和对照组，差异均有统计学意义(P＜0.05)。
      结论  PLISSIT干预模式可帮助结直肠癌造口男性患者改善性功能及心理弹性，促进心理健康。

     

    Abstract:
      Objective  To explore the effect of permission, limited information, specific suggestion, intensive therapy (PLISSIT) intervention model on sexual function and psychological elasticity in male patients with colorectal cancer.
      Methods  A total of 100 male patients who underwent colostomy for colorectal cancer were selected as research objects. According to the principle of basic feature matching, they were divided into experimental group(n=50) and control group (n=50) according to basic feature matching principle. The control group received routine intervention, and the experimental group added PLISSIT mode intervention on the basis of the control group. Both groups were intervened for 8 weeks. The levels of sexual function and psychological elasticity of the two groups before and after the intervention were evaluated by International Erectile Function Questionnaire (IIEF-5), Premature Ejaculation Diagnostic Tool(PEDT) and Connor-Davidson Resilience Scale (CD-RISC).
      Results  A total of 48 cases were included in the experimental group and 49 cases in the control group after exclusion of drop-out patients. Before intervention, there were no significant differences in IIEF-5 score, PEDT score, sexual function grade, score of each dimension of CD-RISC and total score of CD-RISC between the two groups (P>0.05). After intervention, the IIEF-5 score, PEDT score, the improvement of erectile function grade, the item score of the three dimensions of mental resilience (resilience, self-reliance and optimism) and total score of CD-RISC were better than those of the control group and pre-intervention (P < 0.05).
      Conclusion  PLISSIT intervention model can help male patients with stoma of colorectal cancer improve sexual function and psychological elasticity, and promote mental health.

     

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