西北地区慢性前列腺炎患者生活质量相关因素调查

A study of the predictors of quality of life in patients with chronic prostatitis in northwest China

目的调查西北地区慢性前列腺炎(CP)患者生活质量(QOL)状况及相关因素。方法2005～2009年对西北各省门诊就诊的慢性前列腺炎患者进行相关问卷调查,共700例。内容包括:①国际前列腺炎症状评分指数表(NIH-CPSI);②居住地海拔高度及气候温度;③中文版知觉压力量表(CPSS);④艾森克人格问卷(EPQ)。结果有效回收问卷617份,生活质量评分平均为9.21±1.93。QOL评分随慢性前列腺炎症状评分(r=0.801,P<0.01)和心理压力评分增高而增高(r=0.573,P<0.01)。QOL影响的严重程度有按海拔高度(r=0.526,P<0.01)和寒冷程度(r=0.501,P<0.01)逐渐上升趋势。QOL分值与P分值(r=0.682,P<0.05)及N分值(r=0.770,P<0.05)正相关,QOL分值与E分值负相关(r=-0.701,P<0.05)。结论慢性前列腺炎对患者生活质量的影响与症状严重程度、高心理压力、寒冷气候、高海拔环境及个性相关。

Objective To examine the predictors of quality of life （QOL） in patients with chronic prostatitis（CP）. Methods From 2005 to 2009, 700 outpatients with chronic prostatitis, residing in northwest China, provided responses to a structured questionnaire including the data of geographical environment, Chronic Prostatitis Symptom Index （NIH-CPSI）, Chinese Perceived Stress Scales （CPSS） and Eysenck Personality Questionnaire（EPQ）. Results 617 valid questionnaires were collected. The QOL score had a positive correlation with the scores of NIH-CPSI（r=0.801,P〈0.01）, stress （r=0.573,P〈0.01）, P（ r=0.682,P〈0.05） and N（r=0.770,P〈0.05）, and a negative correlation with E score （r=-0.701,P〈0.05）. Severity of impact of QOL were associated with high altitude （r=0.526,P〈0.01） and cold （r=0.501,P〈0.01）. Conclusion The impact of QOL in patients with chronic prostatitis is associated with NIH-CPSI, stress, high altitude, cold and personality.