中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2009年
7期
602-604
,共3页
张传芳%王建业%杨静%付陈超%吴楠%史静垮%刘明%于普林%孙振球
張傳芳%王建業%楊靜%付陳超%吳楠%史靜垮%劉明%于普林%孫振毬
장전방%왕건업%양정%부진초%오남%사정과%류명%우보림%손진구
前列腺增生%卫生服务需求%数据收集
前列腺增生%衛生服務需求%數據收集
전렬선증생%위생복무수구%수거수집
Prostatic hyperplasia%Health services needs and demand%Data collection
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.
目的 瞭解良性前列腺增生(PBH)患者的就診需求情況及其影響因素. 方法 採用多階段分層隨機抽樣的方法 對中國9箇城市的26傢醫院1527例年齡≥60歲的門診BPH患者進行調查,採用秩和檢驗和秩相關的方法 評價BPH患者就診需求的狀況及影響因素. 結果 1527例BPH患者中,大部分患者認為醫生開具檢查項目前與之溝通1297例(84.9%)、認為自己需要BPH進展的健康指導1310例(85.8%)、認為自己需要BPH診斷的健康指導1279例(83.8%)、認為自己需要BPH治療的健康指導1329例(87.0%)是必要的.醫生開具檢查項目前與之溝通、認為自己需要BPH進展、診斷、治療的健康指導在不同年齡分組、醫療保健、癥狀持續時間、疾病確證時間、國際前列腺癥狀評分(IPSS)、生活質量量錶(QOL)評分中分佈差異有統計學意義(均為P<0.05),在不同民族、退休狀況、婚姻狀況、居住方式、傢庭人均月收入、就診情況中均無統計學意義(均為P>0.05). 結論 患者就診需求高,與年齡分組、醫療保健、癥狀持續時間、疾病確診時間、IPSS、QOL評分等有關,併希望得到健康指導.
목적 료해량성전렬선증생(PBH)환자적취진수구정황급기영향인소. 방법 채용다계단분층수궤추양적방법 대중국9개성시적26가의원1527례년령≥60세적문진BPH환자진행조사,채용질화검험화질상관적방법 평개BPH환자취진수구적상황급영향인소. 결과 1527례BPH환자중,대부분환자인위의생개구검사항목전여지구통1297례(84.9%)、인위자기수요BPH진전적건강지도1310례(85.8%)、인위자기수요BPH진단적건강지도1279례(83.8%)、인위자기수요BPH치료적건강지도1329례(87.0%)시필요적.의생개구검사항목전여지구통、인위자기수요BPH진전、진단、치료적건강지도재불동년령분조、의료보건、증상지속시간、질병학증시간、국제전렬선증상평분(IPSS)、생활질량량표(QOL)평분중분포차이유통계학의의(균위P<0.05),재불동민족、퇴휴상황、혼인상황、거주방식、가정인균월수입、취진정황중균무통계학의의(균위P>0.05). 결론 환자취진수구고,여년령분조、의료보건、증상지속시간、질병학진시간、IPSS、QOL평분등유관,병희망득도건강지도.
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.
