van Schaik P, Ahmed T, Suvakovic N, Hindmarsh J R
School of Social Sciences, University of Teesside, South Cleveland Hospital, Middlesbrough, UK.
Eur Urol. 1999;36(1):36-9. doi: 10.1159/000019924.
To determine the effect of an interactive multimedia prostate education program (MMP) on self assessment of symptom scores due to benign prostatic hyperplasia (BPH).
The interactive MMP was developed including a computer-administered version of the International Prostate Symptom Score (IPSS) questionnaire. Eighty-eight men referred to the Urology Out-patients with prostatic symptoms entered the study. They first completed the IPSS on paper and secondly used the MMP before completing the computer-administered IPSS. A final feedback questionnaire enquiring into their experience including previous exposure to computers, ease of use, and value of the program content was completed.
The use of the MMP resulted in a significant decrease in mean IPSS score from 16.6 to 13.9 (t = 7.456, d.f. = 87, p < 0.01), but no change in quality of life. Patients felt that their knowledge had increased (chi2(1) = 21.253, p < 0.01) and that they had completed the IPSS more accurately (chi2(1) = 10.227, p < 0.01) with the MMP IPSS module compared to the IPSS on paper. Previous use of patient education, patient characteristics and MMP use beyond the information required for the IPSS did not affect IPSS difference (IPSS before versus after MMP use).
The use of the MMP enhanced patients' knowledge of their condition and reduced patients' IPSS score. The results were independent of previous exposure to information, previous IPSS completion, computer use and age.
确定交互式多媒体前列腺教育项目（MMP）对良性前列腺增生（BPH）所致症状评分自我评估的影响。
开发了交互式MMP，其中包括国际前列腺症状评分（IPSS）问卷的计算机管理版本。88名因前列腺症状转诊至泌尿外科门诊的男性进入研究。他们首先在纸上完成IPSS，其次在完成计算机管理的IPSS之前使用MMP。完成了一份最终反馈问卷，询问他们的体验，包括以前使用计算机的情况、易用性以及项目内容的价值。
使用MMP后，IPSS平均得分从16.6显著降至13.9（t = 7.456，自由度 = 87，p < 0.01），但生活质量无变化。患者感觉他们的知识有所增加（卡方(1) = 21.253，p < 0.01），并且与纸上的IPSS相比，使用MMP的IPSS模块能更准确地完成IPSS（卡方(1) = 10.227，p < 0.01）。以前接受患者教育的情况、患者特征以及使用MMP超出IPSS所需信息的情况均不影响IPSS差异（使用MMP前后的IPSS）。
使用MMP提高了患者对自身病情的了解，并降低了患者的IPSS评分。结果与以前接触信息的情况、以前完成IPSS的情况、计算机使用情况和年龄无关。
