老年科良性前列腺增生患者就诊需求调查  

A survey of demands of patients with benign prostatic hyperplasia in geriatric department

作　　者：张传芳[1] 王建业[2] 杨静[1] 付陈超[1] 吴楠[1] 史静琤[1] 刘明[2] 于普林[3] 孙振球[1] 

机构地区：[1]中南大学公共卫生学院流行病与卫生统计学系,410078 [2]卫生部北京医院泌尿科 [3]卫生部北京老年学研究所

出　　处：《中华老年医学杂志》2009年第7期602-604,共3页Chinese Journal of Geriatrics

摘　　要：目的了解良性前列腺增生（PBH）患者的就诊需求情况及其影响因素。方法采用多阶段分层随机抽样的方法对中国9个城市的26家医院1527例年龄≥60岁的门诊BPH患者进行调查，采用秩和检验和秩相关的方法评价BPH患者就诊需求的状况及影响因素。结果1527例BPH患者中，大部分患者认为医生开具检查项目前与之沟通1297例（84．9％）、认为自己需要BPH进展的健康指导1310例（85．8％）、认为自己需要BPH诊断的健康指导1279例（83．8％）、认为自己需要BPH治疗的健康指导1329例（87．0％）是必要的。医生开具检查项目前与之沟通、认为自己需要BPH进展、诊断、治疗的健康指导在不同年龄分组、医疗保健、症状持续时间、疾病确证时间、国际前列腺症状评分（IPSS）、生活质量量表（QOL）评分中分布差异有统计学意义（均为P〈0．05），在不同民族、退休状况、婚姻状况、居住方式、家庭人均月收入、就诊情况中均无统计学意义（均为P〉0．05）。结论患者就诊需求高，与年龄分组、医疗保健、症状持续时间、疾病确诊时间、IPSS、QOL评分等有关，并希望得到健康指导。Objective To evaluate the demands of patients with benign prostatic hyperplasia （BPH） and its influencing factors. Methods One thousand five hundred and twenty-seven patients （≥60 years old） with BPH in 26 hospitals of 9 cities were selected in the study by using stratified random sampling method. The demands of patients with BPH and its influencing factors were evaluated by rank sum test and rank correlation analysis. Results In 1527 BPH patients, most patients thought that doctors＇ communication with them before opening examination items （1297/ 1527,84.9%）,health guidance for BPH progress（1310/1527,85.8%）, BPH diagnosis（1279/1527, 83.8%） and BPH treatment（ 1329/1527,87.0 %） were necessary. Doctors＇communication with them before opening examination items, health guidance for BPH progress, BPH diagnosis and BPH treatment showed significant statistical difference among patients with different age, medical care, the lasting time of clinical symptoms, diagnosis time, international prostate symptom scores and quality of life scores （all P〈0.05）. While in patients with different nation, retirement status, marital status, living style and average family income, there were no significant statistical difference in needing the doctors＇communication with them before opening examination items, health guidance for BPH progress, BPH diagnosis and BPH treatment（all P〉0.05）. Conclusions Patients with BPH have a higher demand for treatment. The demand degree is related with age group, health care, the lasting time of clinical symptoms, diagnosis time, international prostate symptom scores and quality of life scores. Most patients have desire to accept health guidance.

关 键 词：前列腺增生 卫生服务需求 数据收集 

分 类 号：R686[医药卫生—骨科学]