Department of Urology, Vanderbilt University Medical Center, Nashville, TN.
Department of Urology, Vanderbilt University Medical Center, Nashville, TN.
Urology. 2022 Jun;164:255-261. doi: 10.1016/j.urology.2021.12.031. Epub 2022 Feb 1.
To determine whether a patient's health literacy impacts patient satisfaction following inflatable penile prosthesis (IPP) or artificial urinary sphincter (AUS) placement.
A retrospective study of patients who underwent IPP or AUS between January 1, 2016 and July 31, 2020 was performed. A telephone questionnaire assessed overall satisfaction and if patients would undergo surgery again. Health literacy was measured using the Brief Health Literacy Screen (BHLS). Multivariate ordinal logistic regression was used to assess the association between health literacy and patient satisfaction.
At a median follow up of 2.4 years, 113 (70%) of the 162 IPP patients were either satisfied or very satisfied with their procedure and 120 (74%) patients would undergo surgery again. Of the 76 AUS patients, 65 (86%) were either satisfied or very satisfied with their procedure and 65 (86%) patients would undergo surgery again. After adjustment for potential confounders, increasing BHLS score was significantly associated with satisfaction for both IPP (OR 1.31, 95% CI 1.11-1.54; P = .001) and AUS surgery (OR 1.25, 95% CI 1.02-1.56; P = .034), as well as with likelihood of undergoing IPP surgery again (OR 1.53, 95% CI 1.25-1.87; P <.001). BHLS was not associated, however, with likelihood of undergoing AUS surgery again (P = .403).
Men with lower health literacy are less likely to be satisfied following prosthetic surgery. The BHLS is an important tool that can be used to identify patients who may benefit from increased preoperative counseling to improve patient expectations and quality of life following prosthetic surgery.
确定患者的健康素养是否会影响充气阴茎假体（IPP）或人工尿道括约肌（AUS）植入术后的患者满意度。
对 2016 年 1 月 1 日至 2020 年 7 月 31 日期间接受 IPP 或 AUS 手术的患者进行了回顾性研究。通过电话问卷调查评估了总体满意度以及患者是否会再次接受手术。使用简短健康素养量表（BHLS）来衡量健康素养。采用多变量有序逻辑回归来评估健康素养与患者满意度之间的关联。
在中位数为 2.4 年的随访中，162 例 IPP 患者中有 113 例（70%）对其手术过程感到满意或非常满意，120 例（74%）患者会再次接受手术。在 76 例 AUS 患者中，有 65 例（86%）对其手术过程感到满意或非常满意，65 例（86%）患者会再次接受手术。在调整了潜在混杂因素后，对于 IPP（比值比 1.31，95%置信区间 1.11-1.54；P =.001）和 AUS 手术（比值比 1.25，95%置信区间 1.02-1.56；P =.034），以及再次接受 IPP 手术的可能性（比值比 1.53，95%置信区间 1.25-1.87；P <.001），BHLS 评分的升高与满意度显著相关。然而，BHLS 与再次接受 AUS 手术的可能性无关（P =.403）。
健康素养较低的男性在接受假体手术后不太可能感到满意。BHLS 是一种重要的工具，可以用来识别可能受益于增加术前咨询的患者，以改善假体手术后的患者预期和生活质量。
