国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
5期
714-718
,共5页
目的 了解三水区良性前列腺增生(BPH)的发病现状,患者对BPH健康知识的认知率及需求状况,探讨健康教育的策略模式.方法 2011年6月～ 2012年10月期间随机整群抽样方法在三水区人群中抽取≥50岁男性居民1672例作为调查对象,进行国际前列腺症状(IPSS)评分、腹部B超测量前列腺体积、膀胱残余尿量测定、直肠指检(DRE)、最大尿流率(Qmax)测定、前列腺特异性抗原(PSA)测定;同时对调查人群进行问卷调查,了解患者对BPH健康教育知识及获取途径需求状况.结果 1672例被调查人群中,总患病率为(501/1672) 30.0％,患病年龄50 ～ 102岁,平均患病年龄(66.23 ±8.35)岁.50～ 59岁、60～69岁、70 ～ 79岁、80 ～ 89岁、≥90岁年龄组的患病率分别为10.9％、30.2％、53.2％、60.8％、76.2％.IP-SS(11.2±6.4)分,前列腺体积(30.6±17.8) mL,Qmax(14.2±7.4)mL/s,PSA(3.92±3.82) ng/mL.下尿路症状、前列腺体积与年龄呈正相关,Qmax与年龄呈负相关.以IPSS＞7分、前列腺体积＞20g、Qmax＜ 15 mL/s为标准,三水区前列腺增生患病率为26.8％.BPH患者健康教育知识了解途径依次为:电视栏目和电台广播53.0％,报刊和杂志51.4％,病友交流18.6％,医生指导为15.3％,社区健康教育为8.1％,网络信息为5.2％;健康教育需求内容依次为:饮食指导91.5％,生活保健90.5％,疾病预防49.9％,用药知识17.9％,诊疗费用15.6％.结论 三水区≥50岁男性下尿路症状、前列腺体积与年龄呈正相关,Qmax与年龄呈负相关,三水区前列腺增生患病率为52.1％.三水区BPH患者对BPH认识不足,BPH健康教育普及途径仍有较大完善的空间,需充分运用媒体的正确引导,医院的专业指导、社区积极普及等多层次、多渠道合理教育,对促进三水区老年人对BPH的认识,提高BPH的规范化诊治有重要意义.
目的 瞭解三水區良性前列腺增生(BPH)的髮病現狀,患者對BPH健康知識的認知率及需求狀況,探討健康教育的策略模式.方法 2011年6月～ 2012年10月期間隨機整群抽樣方法在三水區人群中抽取≥50歲男性居民1672例作為調查對象,進行國際前列腺癥狀(IPSS)評分、腹部B超測量前列腺體積、膀胱殘餘尿量測定、直腸指檢(DRE)、最大尿流率(Qmax)測定、前列腺特異性抗原(PSA)測定;同時對調查人群進行問捲調查,瞭解患者對BPH健康教育知識及穫取途徑需求狀況.結果 1672例被調查人群中,總患病率為(501/1672) 30.0％,患病年齡50 ～ 102歲,平均患病年齡(66.23 ±8.35)歲.50～ 59歲、60～69歲、70 ～ 79歲、80 ～ 89歲、≥90歲年齡組的患病率分彆為10.9％、30.2％、53.2％、60.8％、76.2％.IP-SS(11.2±6.4)分,前列腺體積(30.6±17.8) mL,Qmax(14.2±7.4)mL/s,PSA(3.92±3.82) ng/mL.下尿路癥狀、前列腺體積與年齡呈正相關,Qmax與年齡呈負相關.以IPSS＞7分、前列腺體積＞20g、Qmax＜ 15 mL/s為標準,三水區前列腺增生患病率為26.8％.BPH患者健康教育知識瞭解途徑依次為:電視欄目和電檯廣播53.0％,報刊和雜誌51.4％,病友交流18.6％,醫生指導為15.3％,社區健康教育為8.1％,網絡信息為5.2％;健康教育需求內容依次為:飲食指導91.5％,生活保健90.5％,疾病預防49.9％,用藥知識17.9％,診療費用15.6％.結論 三水區≥50歲男性下尿路癥狀、前列腺體積與年齡呈正相關,Qmax與年齡呈負相關,三水區前列腺增生患病率為52.1％.三水區BPH患者對BPH認識不足,BPH健康教育普及途徑仍有較大完善的空間,需充分運用媒體的正確引導,醫院的專業指導、社區積極普及等多層次、多渠道閤理教育,對促進三水區老年人對BPH的認識,提高BPH的規範化診治有重要意義.
목적 료해삼수구량성전렬선증생(BPH)적발병현상,환자대BPH건강지식적인지솔급수구상황,탐토건강교육적책략모식.방법 2011년6월～ 2012년10월기간수궤정군추양방법재삼수구인군중추취≥50세남성거민1672례작위조사대상,진행국제전렬선증상(IPSS)평분、복부B초측량전렬선체적、방광잔여뇨량측정、직장지검(DRE)、최대뇨류솔(Qmax)측정、전렬선특이성항원(PSA)측정;동시대조사인군진행문권조사,료해환자대BPH건강교육지식급획취도경수구상황.결과 1672례피조사인군중,총환병솔위(501/1672) 30.0％,환병년령50 ～ 102세,평균환병년령(66.23 ±8.35)세.50～ 59세、60～69세、70 ～ 79세、80 ～ 89세、≥90세년령조적환병솔분별위10.9％、30.2％、53.2％、60.8％、76.2％.IP-SS(11.2±6.4)분,전렬선체적(30.6±17.8) mL,Qmax(14.2±7.4)mL/s,PSA(3.92±3.82) ng/mL.하뇨로증상、전렬선체적여년령정정상관,Qmax여년령정부상관.이IPSS＞7분、전렬선체적＞20g、Qmax＜ 15 mL/s위표준,삼수구전렬선증생환병솔위26.8％.BPH환자건강교육지식료해도경의차위:전시란목화전태엄파53.0％,보간화잡지51.4％,병우교류18.6％,의생지도위15.3％,사구건강교육위8.1％,망락신식위5.2％;건강교육수구내용의차위:음식지도91.5％,생활보건90.5％,질병예방49.9％,용약지식17.9％,진료비용15.6％.결론 삼수구≥50세남성하뇨로증상、전렬선체적여년령정정상관,Qmax여년령정부상관,삼수구전렬선증생환병솔위52.1％.삼수구BPH환자대BPH인식불족,BPH건강교육보급도경잉유교대완선적공간,수충분운용매체적정학인도,의원적전업지도、사구적겁보급등다층차、다거도합리교육,대촉진삼수구노년인대BPH적인식,제고BPH적규범화진치유중요의의.
Objectives To investigate the prevalence,the awareness rate of health knowledge and the demand of benign prostatic hyperplasia (BPH) in Sanshui District to explore strategies of health education model.Methods We performed a cross-sectional randomized study of 1672 men aged ≥50 years from Sanshui District,obtained their IPSS,measured the prostate volume by transabdominal ultrasonography,measured residual urine volume,checked the digital rectal examination (DRE),recorded the maximum flow (Qmax) by uroflowmetry,Measured prostate specific antigen (PSA),meanwhile conducted a questionnaire in survey population to understand the BPH health education demand and the access ways of BPH patients.Results The total prevalence rate was 30.0％ (501/1672),the prevalence age was from 50 to 102 years old,the suffering average age was(66.23 ±8.35) years old.The prevalence rate was 10.9％,30.2％,53.2％,60.8％,76.2％ in 50-,60-,70-,80-,≥ 90 years group.The IPSS points was (11.2 ± 6.4),the prostate volume was (30.6 ± 17.8) ml,the Qmax was (14.2 ± 7.4) ml / s,the PSA was(3.92 ± 3.82) ng/ ml in the surveyed crowd.Lower urinary tract symptoms,prostate volume were positively correlated with age,while Qmax was negatively correlated with age.With IPSS ＞ 7 points,prostate volume ＞ 20 g,Qmax ＜ 15 ml / s as standard,the prostatic hyperplasia prevalence was26.8％ in Sanshui District.BPH patients understand the way health education was 53.0％,51.4％,18.6％,15.3％,8.1％,5.2％ by TV programs and radio broadcasts,newspapers and magazines,patient communication,guidance of a doctor,community health education.The demand for health education contents were as follows:dietary guidance 91.5％,life care 90.5％,disease prevention 49.9％,knowledge of drug 17.9％,medical expenses 15.6％.Conclusions Lower urinary tract symptoms and prostate volume was positively correlated with age,while Qmax was negatively in ≥ 50 year old man,in Sanshui District.The prevalence of benign prostatic hyperplasia was 52.1％ in Sanshui District.The BPH patients in Sanshui District were lack of the BPH knowledge.The way to popularize BPH health education is still a large room for improvement.It is need to make full use of the correct guidance of media,the hospital professional guidance,actively promote community of multi-level,multi channel reasonable education to promote the elderly BPH recognition,and it is important to improve the standardized diagnosis and treatment of BPH by this means in Sanshui District.
