了解干预措施如何减少前列腺癌患者的心理困扰对于改善患者护理至关重要。本研究探讨了与标准护理相比，自我效能、疾病认知和心律一致性在调节前列腺癌患者赋权计划 (PC-PEP) 对心理困扰的影响中的作用。在一项随机对照试验中，128 名患者被分配接受 PC-PEP 干预或标准护理。 PC-PEP 是一项为期六个月的计划，强调日常健康的生活习惯，包括放松和压力管理、饮食、锻炼、盆底肌肉锻炼以及改善人际关系和亲密关系的策略，日常活动由在线资源和现场课程支持。与对照组相比，干预组的参与者在自我效能和特定疾病认知（例如个人控制和情绪反应）方面表现出显着改善。这些因素调节了干预措施与其心理益处之间的关系，其中自我效能感对心理困扰的减少起到了 52% 的作用。未观察到心律一致性的显着差异。这项研究强调了自我效能和疾病认知在通过 PC-PEP 增强前列腺癌患者心理健康方面的关键作用。结果强调了该计划的有效性及其运作的关键机制。鉴于接受前列腺癌治疗的男性的痛苦率很高，这些发现强调了将 PC-PEP 纳入临床实践的重要性。在临床环境中实施 PC-PEP 可以提供一种结构化的方法来减少心理困扰并改善患者的整体福祉。

Understanding how interventions reduce psychological distress in patients with prostate cancer is crucial for improving patient care. This study examined the roles of self-efficacy, illness perceptions, and heart rhythm coherence in mediating the effects of the Prostate Cancer Patient Empowerment Program (PC-PEP) on psychological distress compared to standard care. In a randomized controlled trial, 128 patients were assigned to either the PC-PEP intervention or standard care. The PC-PEP, a six-month program emphasizing daily healthy living habits, included relaxation and stress management, diet, exercise, pelvic floor muscle exercises, and strategies to improve relationships and intimacy, with daily activities supported by online resources and live sessions. Participants in the intervention group showed significant improvements in self-efficacy and specific illness perceptions, such as personal control and emotional response, compared to the control group. These factors mediated the relationship between the intervention and its psychological benefits, with self-efficacy accounting for 52% of the reduction in psychological distress. No significant differences in heart rhythm coherence were observed. This study highlights the critical role of self-efficacy and illness perceptions in enhancing psychological health in prostate cancer patients through the PC-PEP. The results underscore this program's effectiveness and the key mechanisms through which it operates. Given the high rates of distress among men undergoing prostate cancer treatments, these findings emphasize the importance of integrating the PC-PEP into clinical practice. The implementation of the PC-PEP in clinical settings can provide a structured approach to reducing psychological distress and improving overall patient well-being.