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良性前列腺增生手术患者生活质量评估

Evaluation of quality of life in patients undergoing surgery for benign prostatic hyperplasia.

作者信息

Erkoc Mustafa, Otunctemur Alper, Besiroglu Huseyin, Altunrende Fatih

机构信息

a Department of Urology , Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi , Istanbul , Turkey.

b Okmeydani Training and Research Hospital , Istanbul , Turkey.

出版信息

Aging Male. 2018 Dec;21(4):238-242. doi: 10.1080/13685538.2018.1433654. Epub 2018 Feb 2.

Abstract

INTRODUCTION

Benign prostatic hyperplasia (BPH) is one of the most common diseases in the world and also one of the most common causes of urinary complaints that occur with increasing age. Thus, BPH should be addressed with surgical procedures. To contribute to the relevant literature, the present study aims to investigate the effects of surgical therapies for BPH on the patients quality of life.

MATERIALS AND METHODS

This study included 120 patients who underwent surgery for BPH at a Training and Research Hospital. The short-form health survey (SF-36) was administered to the patients before the surgery and at three months after the surgery. Eight parameters of the SF-36 and mental (MCS) and physical (PCS) component summary scores were calculated. The Student's t-test, Wilcoxon, and chi-square test were used in the statistical analysis.

RESULTS

When the eight parameters within the SF-36 health questionnaire were examined separately, the findings showed that patients quality of life increased significantly with respect to physical functioning, social functioning, and role limitations because of emotional problems , vitality, bodily pain, general health perceptions, and mental health domains three months after surgery (p < .001). The PCS and MCS significantly increased after surgery (p < .001).

CONCLUSION

The SF-36 questionnaire results showed that a significant improvement in the patients quality of life was observed in patients who underwent surgery for BPH. Our findings suggest that SF-36 could be considered a reliable evaluation test to be used in the patients with BPH after surgery.

摘要

引言

良性前列腺增生(BPH)是世界上最常见的疾病之一,也是随着年龄增长而出现的泌尿系统疾病的最常见病因之一。因此,BPH应通过外科手术进行治疗。为丰富相关文献,本研究旨在探讨BPH外科治疗对患者生活质量的影响。

材料与方法

本研究纳入了120例在一家培训和研究医院接受BPH手术的患者。在手术前及术后三个月对患者进行简短健康调查问卷(SF-36)评估。计算SF-36的八个参数以及心理(MCS)和生理(PCS)成分总结得分。统计分析采用学生t检验、威尔科克森检验和卡方检验。

结果

单独检查SF-36健康问卷中的八个参数时,结果显示,术后三个月,患者在身体功能、社会功能、因情感问题导致的角色限制、活力、身体疼痛、总体健康感知和心理健康领域的生活质量显著提高(p < 0.001)。术后PCS和MCS显著增加(p < 0.001)。

结论

SF-36问卷调查结果显示,接受BPH手术的患者生活质量有显著改善。我们的研究结果表明,SF-36可被视为用于BPH术后患者的可靠评估测试。

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