Plos one:前列腺钬激光剜除术后患者满意度调查以及原因分析。

2017-08-13 fengxiangxin MedSci原创

为了调查患者前列腺钬激光剜除术(HoLEP)后的满意度,并分析其不满意的原因。研究者将于2012年5月到2014年,接受同一个外科医生操作HoLEP的所有397例患者全部纳入一项前瞻性研究中。

为了调查患者前列腺钬激光剜除术(HoLEP)后的满意度,并分析其不满意的原因。研究者将于2012年5月到2014年,接受同一个外科医生操作HoLEP的所有397例患者全部纳入一项前瞻性研究中。基线数据包括年龄、PSA水平、经直肠超声、国际前列腺症状评分(IPSS)、膀胱过度活动症评分(OABSS)。术后6个月,通过患者自我管理调查问卷,包括治疗满意度(STQ)、总体反应评估(ORA)和接受手术的意愿(WSQ),来评价外科手术效果。

本研究共纳入331例(平均年龄69.6±7岁)术后患者。平均前列腺总体积为69.5(±42.2)ml,术前平均IPSS评分为18.5(±7.8)分。

STQ显示大多数患者(91.8%)术后较为满意,只有11名(3.3%)患者回答"不满意",没有病人回答"非常不满意"。

WSQ显示311(94%)位患者表示如果他们必须重新考虑手术决定,他们接受手术的决定仍然不变。

ORA显示所有患者(99.4%)术后有了较大改善。与术后满意的患者相比,中立/不满意的患者IPSS生活质量得分较低(2.7 vs. 0.9,P<0.001),IPSS排尿症状评分较高(7 vs 1.4,P<0.001),并且,在术后6个月,OABSS评分中显示,急迫性尿失禁发作越来越频繁(1 vs 0.3,P = 0.017)。

结论:HoLEP总体水平上的满意度是较高的。不满意最常见的原因是术后急迫性尿失禁的发生。如何最大程度的减轻这一症状,是提高HoLEP满意度的重要因素。

原始出处:

Lee, Y.J., S.A. Oh, S.H. Kim, et al., Patient satisfaction after holmium laser enucleation of the prostate (HoLEP): A prospective cohort study. 2017. 12(8): p. e0182230.

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    2017-08-15 oliver169
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    2017-08-13 ishtar

    问卷是?

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1790024, encodeId=52de1e90024a6, content=<a href='/topic/show?id=6e4814388e2' target=_blank style='color:#2F92EE;'>#Plos one#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14388, encryptionId=6e4814388e2, topicName=Plos one)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fda6311, createdName=119337457, createdTime=Thu Jun 07 06:17:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1924789, encodeId=41171924e89a6, content=<a href='/topic/show?id=5d87530552b' target=_blank style='color:#2F92EE;'>#患者满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53055, encryptionId=5d87530552b, topicName=患者满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=bugit, createdTime=Fri Apr 27 13:17:00 CST 2018, time=2018-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279678, encodeId=75bd12e967837, content=<a href='/topic/show?id=265c66e50ea' target=_blank style='color:#2F92EE;'>#激光#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66750, encryptionId=265c66e50ea, topicName=激光)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4fd6156, createdName=oliver169, createdTime=Tue Aug 15 01:17:00 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478653, encodeId=0f5f14e865305, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Tue Aug 15 01:17:00 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233198, encodeId=e81523319873, content=问卷是?, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfGccQGCB4aeJK5D3ibPlZfB4mO50cwGAa6xz9uorDUr0FT59IwUMUYkiaFauF3AlibI8nVj81lYz9dfMEAp6IOrHX/0, createdBy=74421964351, createdName=ishtar, createdTime=Sun Aug 13 17:02:55 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233162, encodeId=397a2331627e, content=蟹蟹分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRr63iayTjay9otQ2yDAmbravgszHBxSLHIJpTZ8uNAiaa87bfqeDpEPTUicdBhBlf5yABuAj1OwClO4/0, createdBy=c3622063904, createdName=fengxiangxin301, createdTime=Sun Aug 13 11:59:15 CST 2017, time=2017-08-13, status=1, ipAttribution=)]
    2017-08-13 fengxiangxin301

    蟹蟹分享

    0