| Objective:1.To evaluate the effect of cognitive behavioral intervention on MCMQ,GSES,HADS with chronic prostatitis.2.To evaluate the effect of cognitive behavioral intervention on NIH-CPSI,IIEF-5 and recurrence with chronic prostatitis.3.To evaluate the effect of cognitive behavioral intervention on medication compliance with chronic prostatitis.Methods:1.A total of 76 chronic prostatitis patients were selected from one of the three armour hospital in Shanxi.The patients were randomly divided into control group and experimental group.The experimental group and the control group were 38.2.patients in the control group given on the basis of drug treatment,and the doctor answered the patient’s question,give the patient the contact information of the researcher,so that they can be contacted at any time.patients in the experimental group were treated with cognitive behavioral on the basis of the control group for 6 weeks.The main content is health education,assess the cognition,mental state and behavior,build a positive strategy,relaxation training and to consolidate cognitive behavioral intervention.3.Before intervention,the patient,s general information was compared.Before and 6 weeks after intervention,HADS,MCMQ,GSES,NIH-CPSI,IIEF-5 were compared.The medication compliance was assessed after 6 weeks of intervention.and the recurrence of illness of patients also was assessed after 4 months of intervention.Results:1.A total of 73 patients completed the intervention with 35 patients in the experimental group and 38 patients in the control group.The comparison of demography data was not statistically significant(P>0.05)2.Before intervention,there was no statistically significant difference between the two group on all of the scores of MCMQ(P>0.05);after 6 weeks of intervention,all of the scores of the experimental group was significantly better than the control group(P<0.001),In control group,the scores of facing coping style and the avoidance coping mode was better than before,while the resignation coping mode was not changed;All of the scores of the experimental group were better than before(P<0.001);and all of the scores of the experimental group had a larger improvement than the control group(P<0.001).3.Before intervention,there was no statistically significant difference between the two group on the scores of GSES(P>0.05);after 6 weeks of intervention,The scores of the experimental group was higher than the control group(P<0.001);the scores of the experimental group and the control group were higher than before(P<0.001);the experimental group had a larger increase than the control group(P<0.001).4.Before intervention,there was no statistically significant difference between the two group on the scores of HADS(P>0.05);after 6 weeks of intervention,all of the scores of the experimental group was lower than the control group(P<0.001);all of the scores of the experimental group and the control group were lower than before(P<0.001);all of the scores of the experimental group had a larger decrease than the control group(P<0.001).5.after 6 weeks of intervention,the experimental group patients with medication compliance was obviously higher than that of control group.6.Before intervention,there was no statistically significant difference between the two group on the scores of NIH-CPSI(P>0.05);after 6 weeks of intervention,all of the scores of the experimental group was significantly lower than the control group(P<0.05);all of the scores of the experimental group and the control group were lower than before(P<0.001);all of the scores of the experimental group had a larger decrease than the control group(P<0.05).7.Before intervention,there was no statistically significant difference between the two group on the scores of IIEF(P>0.05);after 6 weeks of intervention,the scores of the experimental group was significantly higher than the control group(P<0.001),the scores of the intervention group and the control group were higher than before(P<0.01),and the experimental group had a larger increase than the control group(P<0.001).8.after 6 months of intervention,the experimental group patients with the recurrence of was obviously lower than that of control group.Conclusion:Cognitive behavioral intervention can improve MCMQ,GSES,HADS,increase medication compliance,improve clinical efficacy and reduce recurrence,improve prognosis of patients with chronic prostatitis.to provide a basis for better treatment and nursing. |
