Lingzhi Shu, Zhang Hongchen, Luo Yuhong
Department of Nursing, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
School of Nursing, Lanzhou University, Lanzhou, China.
J Patient Exp. 2025 May 7;12:23743735251341726. doi: 10.1177/23743735251341726. eCollection 2025.
Current benign prostatic hyperplasia (BPH) management prioritizes urological symptoms while neglecting psychological impacts on subjective well-being (SWB). Although chronic disease-SWB associations are established, limited evidence exists regarding interactive effects of psychosocial factors (sleep, anxiety, self-management) in BPH populations. This multicenter cross-sectional study enrolled 412 BPH patients from 6 tertiary hospitals in Northwest China. Validated instruments assessed key variables: Pittsburgh Sleep Quality Index for sleep quality, Self-Rating Anxiety Scale for psychological distress, Memorial University of Newfoundland Happiness Scale for SWB, and Chinese Self-Management Ability Scale for behavioral competencies. Structural equation modeling elucidated pathway relationships. Of the patients, 72.5% experienced sleep disorders, and 79.0% reported anxiety. Regression analysis indicated that income (β = 1.378, < .01) and self-management abilities (β = 0.074, < .01) positively impacted SWB, while anxiety (β = -0.155, < .01) and sleep disorders (β = -0.581, < .01) negatively affected it. The structural equation model revealed a direct effect of self-management abilities on SWB of 0.20 and an indirect effect of 0.16. This study contributes to the field by proposing a comprehensive, patient-centered model of care that can improve both the quality of life and long-term outcomes for BPH patients.
当前良性前列腺增生（BPH）的管理侧重于泌尿系统症状，而忽视了对主观幸福感（SWB）的心理影响。尽管慢性病与SWB之间的关联已得到证实，但关于社会心理因素（睡眠、焦虑、自我管理）在BPH患者群体中的交互作用的证据有限。这项多中心横断面研究招募了来自中国西北6家三级医院的412例BPH患者。使用经过验证的工具评估关键变量：匹兹堡睡眠质量指数用于评估睡眠质量，自评焦虑量表用于评估心理困扰，纽芬兰纪念大学幸福量表用于评估SWB，以及中国自我管理能力量表用于评估行为能力。结构方程模型阐明了路径关系。在这些患者中，72.5%经历过睡眠障碍，79.0%报告有焦虑。回归分析表明，收入（β = 1.378，<0.01）和自我管理能力（β = 0.074，<0.01）对SWB有积极影响，而焦虑（β = -0.155，<0.01）和睡眠障碍（β = -0.581，<0.01）对其有负面影响。结构方程模型显示自我管理能力对SWB的直接效应为0.20，间接效应为0.16。本研究通过提出一个全面的、以患者为中心的护理模式，为该领域做出了贡献，该模式可以改善BPH患者的生活质量和长期预后。
