The Potential Role of a Self-management Intervention for Benign Prostate Hyperplasia

被引:19
作者
Chen, Ye
Zhang, Xiaowei
Hu, Xiaowei
Deng, Yanqing
Chen, Jie
Li, Sen
Zhang, Chunfang
Wang, Jia
Liu, Zhenhua
Hao, Yichang
Xiao, Yunbei
Yuan, Jiaqi
Xu, Tao [1 ]
Wang, Xiaofeng
机构
[1] Peking Univ, Peoples Hosp, Dept Urol, Beijing, Peoples R China
关键词
URINARY-TRACT SYMPTOMS; PROGRAM; MEN; HYPERTROPHY;
D O I
10.1016/j.urology.2011.11.091
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To tentatively evaluate the usefulness of self-management interventions in improving the lower urinary tract symptoms (LUTS) and quality of life (QoL) in patients with benign prostatic hyperplasia (BPH). METHODS Two-hundred twent-two men were recruited from a teaching hospital at Peking University from March 2008 to September 2009. They were referred by general practitioners to urologic outpatient departments because of BPH after 3-month administration of alpha-blockers. Participants were randomized to attend either a self-management program or undergo standard care. Difference of scores of International Prostate Symptom Score (IPSS) and BPH-specific QoL scale between 2 groups was analyzed at the enrollment period, and at the first week, third month, and sixth month. RESULTS All participants had been followed for 6 months. There was no significant difference in IPSS score and QoL score between the 2 groups at the enrollment period and first week, whereas at the third month and sixth month, the IPSS scores and QoL self-management interventional group scores were statistically significant lower than those of the standard care group. CONCLUSION Self-management intervention may be associated with decreased LUTS symptoms and may improve QoL in BPH patients with alpha-blocker administration. UROLOGY 79: 1385-1389, 2012. (C) 2012 Elsevier Inc.
引用
收藏
页码:1385 / 1388
页数:4
相关论文
共 15 条
[1]   Self-management approaches for people with chronic conditions: a review [J].
Barlow, J ;
Wright, C ;
Sheasby, J ;
Turner, A ;
Hainsworth, J .
PATIENT EDUCATION AND COUNSELING, 2002, 48 (02) :177-187
[2]   Lifestyle and behavioural interventions for men on watchful waiting with uncomplicated lower urinary tract symptoms: a national multidisciplinary survey [J].
Brown, CT ;
Van Der Meulen, J ;
Mundy, AR ;
Emberton, M .
BJU INTERNATIONAL, 2003, 92 (01) :53-57
[3]   Defining the components of a self-management programme for men with uncomplicated lower urinary tract symptoms: A consensus approach [J].
Brown, CT ;
van der Meulen, J ;
Mundy, AR ;
O'Flynn, E ;
Emberton, M .
EUROPEAN UROLOGY, 2004, 46 (02) :254-263
[4]   A self-management program for adult asthma. III. Maintenance and relapse of skills [J].
Caplin, DL ;
Creer, TL .
JOURNAL OF ASTHMA, 2001, 38 (04) :343-356
[5]   5-year outcome of surgical resection and watchful waiting for men with moderately symptomatic benign prostatic hyperplasia: A department of Veterans Affairs cooperative study [J].
Flanigan, RC ;
Reda, DJ ;
Wasson, JH ;
Anderson, RJ ;
Abdellatif, M ;
Bruskewitz, RC .
JOURNAL OF UROLOGY, 1998, 160 (01) :12-16
[6]   HIGH PREVALENCE OF BENIGN PROSTATIC HYPERTROPHY IN THE COMMUNITY [J].
GARRAWAY, WM ;
COLLINS, GN ;
LEE, RJ .
LANCET, 1991, 338 (8765) :469-471
[7]   Arthritis self-management program variations:: Three studies [J].
Lorig, K ;
González, VM ;
Laurent, DD ;
Morgan, L ;
Laris, BA .
ARTHRITIS CARE AND RESEARCH, 1998, 11 (06) :448-454
[8]   Construction and validation of a short-form benign prostatic hypertrophy health-related quality-of-life questionnaire [J].
Lukacs, B ;
Comet, D ;
Grange, JC ;
Thibault, P .
BRITISH JOURNAL OF UROLOGY, 1997, 80 (05) :722-730
[9]   Self-management interventions for chronic illness [J].
Newman, S ;
Steed, L ;
Mulligan, K .
LANCET, 2004, 364 (9444) :1523-1537
[10]  
Richards T, 1998, BMJ-BRIT MED J, V316, P85