良性前列腺增生患者手术接受意愿调查及影响因素研究

Survey on willingness to accept surgery and study of influencing factors in patients with benign prostatic hyperplasia

目的调查良性前列腺增生(BPH)患者对前列腺手术的接受意愿,并分析其影响因素。方法采用问卷调查法,于2021年3月—2022年10月选取中山大学附属第一院惠亚医院收治的133例BPH患者为研究对象。由调查者床边发放问卷,并当场收回。结果调查共发放问卷133份,回收有效问卷130份,有效率为97.74%。单因素分析结果显示,经济负担、医保报销、BPH程度、住院陪护、了解BPH对自身的危害等因素与患者接受手术意愿相关(P<0.05)。Logistic多因素回归分析显示,患者的经济负担、医保报销及已存在BPH并发症是影响患者接受手术意愿的因素(P<0.05)。结论本区域BPH患者由于经济、医保及已存在BPH并发症的问题,直接影响了接受前列腺手术的意愿,不仅影响患者的生理健康,也影响生活质量及家庭和睦关系,应加大疾病认知宣传力度,组建患者互助团体,促进居民对BPH疾病及手术的了解,提高该类患者的生活质量。

Objective To investigate the willingness of patients with benign prostatic hyperplasia(BPH)to accept prostate surgery and analyze its influencing factors.Methods A questionnaire survey method was used to select 133 patients with BPH admitted to a hospital from March 2021 to October 2022.The questionnaires were distributed and collects by the investigator at the bedside.Results A total of 133 questionnaires were distributed during the survey and 130 valid questionnaires were collected,with an effective rate of 97.74%.The results of single factor analysis showed that factors such as financial burden,medical insurance reimbursement,degree of BPH,hospitalization accompaniment,and understanding of the harm of prostate hyperplasia were significantly related to patients’willingness to receive surgery,with statistical significance(P<0.05).Logistic multifactor regression analysis showed that the patient’s financial burden,medical insurance reimbursement,and existing BPH complications were factors that affected the patient’s willingness to receive surgery.Conclusions BPH patients in local region have financial burden,medical insurance and existing complications of BPH,which directly affect their willingness to undergo prostate surgery.Those factors not only affect the patients’physical health but also affect the quality of theirlife and harmonious thier family relationships.Awareness of the disease should be increased to promote publicity,and patient mutual aid groups should be started to improve residents’understanding of BPH disease and surgery and improve the quality of patients’life.