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知情患者:良性前列腺增生男性患者信息寻求行为与手术结果分析

The Informed Patient: An Analysis of Information Seeking Behavior and Surgical Outcomes Among Men With Benign Prostatic Hyperplasia.

作者信息

Abdul-Muhsin Haidar, Tyson Mark, Raghu Santanam, Humphreys Mitchell

机构信息

1 Mayo Clinic Hospital, Phoenix, AZ, USA.

2 Arizona State University, Tempe, AZ, USA.

出版信息

Am J Mens Health. 2017 Jan;11(1):147-153. doi: 10.1177/1557988315617527. Epub 2016 Jul 8.

Abstract

The Internet has placed considerable information at the disposal of patients, but the sources for credible and accurate information may be difficult for a layperson to discern. Benign prostatic hyperplasia (BPH) in elderly men can be treated with different surgical interventions. The purpose of this research was to determine information seeking behaviors (ISB) of BPH patients before and after each type of surgery. All patients who underwent surgical intervention for BPH at a tertiary training center between January 2007 and January 2013 were included in this study. A comprehensive questionnaire regarding their ISB was sent through a third-party survey center. The following areas were examined: (1) the patient's opinion regarding information sources of BPH and its treatment, (2) the extent of ISB for each patient and its relation to the type of surgical intervention he eventually underwent, and (3) the relationship between the extent of ISB and the patient's final satisfaction. The results indicated that the majority of patients felt that it is relatively easy to find information about BPH and its treatment. Most of the patient started with either general online search engines or used the hospital website. Patients who explored more sources of information ended up choosing a more specific and sophisticated procedure. Generally, patients used fewer sources postoperatively regardless of the procedure they underwent. There was no correlation between the extent of ISB and overall satisfaction ( r = -0.0719, p = .1610) and regret ( r = -0.0436, p = .3945).

摘要

互联网为患者提供了大量信息,但外行人可能难以辨别可靠准确信息的来源。老年男性的良性前列腺增生(BPH)可以通过不同的手术干预进行治疗。本研究的目的是确定每种手术前后BPH患者的信息寻求行为(ISB)。2007年1月至2013年1月期间在一家三级培训中心接受BPH手术干预的所有患者均纳入本研究。一份关于他们ISB的综合问卷通过第三方调查中心发送。研究了以下几个方面:(1)患者对BPH及其治疗信息来源的看法,(2)每位患者的ISB程度及其与他最终接受的手术干预类型的关系,以及(3)ISB程度与患者最终满意度之间的关系。结果表明,大多数患者认为找到有关BPH及其治疗的信息相对容易。大多数患者从一般的在线搜索引擎开始或使用医院网站。探索更多信息来源的患者最终选择了更具体、更复杂的手术。一般来说,无论接受何种手术,患者术后使用的信息来源都较少。ISB程度与总体满意度(r = -0.0719,p = 0.1610)和遗憾感(r = -0.0436,p = 0.3945)之间没有相关性。

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