Doll H A, Black N A, Flood A B, McPherson K
Department of Public Health and Primary Care, University of Oxford.
Br J Urol. 1993 Mar;71(3):297-305. doi: 10.1111/j.1464-410x.1993.tb15946.x.
As part of a prospective cohort study of 388 men undergoing transurethral resection of the prostate (TURP) for benign prostatic hypertrophy, the perceived physical, social and emotional health before and 3, 6 and 12 months after surgery was assessed using the Nottingham Health Profile. Before surgery, 88% of patients reported one or more specific health problems, most commonly concerning sleep (75%). The areas of daily life considered by the patients to be most affected by their health status were employment (by 33% of those currently in work), sex life (31%), social life (29%) and holidays (29%). Comparisons with other patient groups are described. Three months after surgery the proportion of patients reporting at least one health problem had fallen to 66%. Significant improvements occurred in all aspects of health, particularly sleeping problems. The improvements persisted for all aspects during the year following surgery with the exception of physical mobility, which deteriorated. These improvements were reflected in a significant reduction in perceived limitations in the patients' daily lives, with a tendency for the patients to perceive fewer limitations 1 year after surgery than at the 3-month assessment.
作为一项针对388名因良性前列腺增生接受经尿道前列腺切除术（TURP）的男性的前瞻性队列研究的一部分，使用诺丁汉健康量表评估了手术前以及术后3个月、6个月和12个月时患者的身体、社交和情感健康状况。手术前，88%的患者报告了一种或多种特定的健康问题，最常见的是睡眠问题（75%）。患者认为受其健康状况影响最大的日常生活领域是就业（目前在职者中有33%）、性生活（31%）、社交生活（29%）和假期（29%）。文中描述了与其他患者群体的比较情况。术后3个月，报告至少一种健康问题的患者比例降至66%。健康的各个方面都有显著改善，尤其是睡眠问题。术后一年中，除身体活动能力有所下降外，健康的各个方面都持续改善。这些改善反映在患者日常生活中感知到的限制显著减少，且患者在术后1年比3个月评估时感知到的限制更少。
