Department of Urology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Department of Urology, Istanbul Atlas University, Istanbul, Turkey.
BMC Urol. 2024 Aug 12;24(1):172. doi: 10.1186/s12894-024-01562-0.
Transrectal ultrasound-guided prostate biopsy (TRUS-Bx) is the gold standard diagnostic method for prostate cancer. In people with low health literacy, accurate and early diagnosis rates decrease, making it difficult to maintain health and compliance with treatment. In our study, we investigated how health literacy and sociocultural parameters affected compliance and awareness in patients with suspected prostate cancer, for whom TRUS-Bx was planned.
In the study, 98 male patients aged 50-80 years, recommended for TRUS-Bx, were included in our study. The data including age, prostate-specific antigen, prostate volume, digital rectal examination findings, education leveland area of residence of the patients included in the study were recorded. Health Literacy Survey-Turkey- Questionnaire 47 and Turkish Health Literacy Scale-32 forms were completed by the patients who agreed to participate in the study, and their scores were recorded. Patients scheduled for TRUS-Bx were divided into two groups: those who attended their appointments and underwent the biopsy, and those who did not attend their scheduled appointments. The effect of health literacy and other parameters on the TRUS-Bx requirement was examined between the two groups. Furthermore, 52 patients who underwent TRUS-Bx were divided into two groups as malignancy (malignant) detected and not-detected (benign) patients according to the pathology results, and the parameters were analyzed separately for these groups.
The education level of the patients who underwent the TRUS-Bx procedure was found to be statistically higher (p = 0.026). Health Literacy Survey-Turkey- Questionnaire 47 and Turkish Health Literacy Scale-32 scores were statistically significantly higher in the TRUS-Bx group (p = 0.001, p < 0.001, respectively). In the logistic regression analysis, education level, Health Literacy Survey-Turkey- Questionnaire 47 and Turkish Health Literacy Scale-32 were found to be important predictors for awareness of the requirement for TRUS-Bx.
The study's findings indicate that patients with higher health literacy and education levels were more likely to receive an early diagnosis and promptly proceed with the recommended TRUS-Bx after visiting a urologist.
经直肠超声引导前列腺活检（TRUS-Bx）是前列腺癌的金标准诊断方法。在健康素养较低的人群中，准确和早期诊断率会下降，这使得维持健康和遵守治疗变得困难。在我们的研究中，我们调查了健康素养和社会文化参数如何影响疑似前列腺癌患者的依从性和意识，这些患者计划进行 TRUS-Bx。
在这项研究中，我们纳入了 98 名年龄在 50-80 岁之间的男性患者，这些患者被推荐进行 TRUS-Bx。记录了患者的年龄、前列腺特异性抗原、前列腺体积、直肠指检结果、教育水平和居住地区等数据。同意参加研究的患者填写了健康素养调查-土耳其-问卷 47 和土耳其健康素养量表-32 表，并记录了他们的得分。计划进行 TRUS-Bx 的患者被分为两组：按时就诊并接受活检的患者和未按时就诊的患者。检查了健康素养和其他参数对 TRUS-Bx 要求的影响。此外，根据病理结果，将 52 名接受 TRUS-Bx 的患者分为恶性（恶性）组和未发现恶性（良性）组，分别对这些组的参数进行了分析。
接受 TRUS-Bx 手术的患者的教育水平明显更高（p=0.026）。TRUS-Bx 组的健康素养调查-土耳其-问卷 47 和土耳其健康素养量表-32 评分明显更高（p=0.001，p<0.001）。在逻辑回归分析中，教育水平、健康素养调查-土耳其-问卷 47 和土耳其健康素养量表-32 被发现是对 TRUS-Bx 要求的意识的重要预测因素。
该研究结果表明，健康素养和教育水平较高的患者更有可能在看泌尿科医生后尽早获得诊断，并及时进行推荐的 TRUS-Bx。
