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目的:研究中国老年科门诊老年良性前列腺增生(benign prostatic hyperplasia,BPH)患者的不同就诊需求。方法:采用自行设计的《BPH门诊患者就诊需求调查表》,对中国南、北方11个城市(北方:兰州、北京、沈阳;南方:成都、长沙,武汉、济南、南京、杭州、上海、广州)33所三级甲等医院2027例60岁及以上BPH门诊患者与医务人员沟通、采用的检查项目需求、采用的治疗方案和健康指导方面的需求进行调查。结果:本调查问卷克朗巴哈系数为0.845,表明该问卷具有较好的信度。南方北方城市患者沟通需求、诊断需求、治疗需求和健康指导需求评分差异无统计学意义。下尿路症状越严重的患者其沟通需求和健康指导需求更强烈。结论:BPH患者在其就诊中对于沟通、诊断、治疗和健康指导方面具有普遍需求。BPH患者沟通需求、诊断需求、治疗需求和健康指导需求在南北城市间无差异。且下尿路症状越严重的患者其沟通需求和健康指导需求更强烈。
Objective: To study the different treatment needs of patients with benign prostatic hyperplasia (BPH) in geriatric outpatients in China. Methods: The self-designed “BPH Outpatient Clinic Visit Questionnaire” was used to survey 11 cities in south China and northern China (North: Lanzhou, Beijing and Shenyang; South: Chengdu, Changsha, Wuhan, Jinan, Nanjing, Hangzhou, Shanghai and Guangzhou ) Conducted a survey of 2027 BPH outpatients aged 60 years and above in the 33 Grade A Hospitals in communication with medical staff, the requirements of the test items employed, the treatment regimens employed and health guidance requirements. Results: The Cronbach’s coefficient of this questionnaire is 0.845, indicating that the questionnaire has good reliability. There was no significant difference in communication needs, diagnosis needs, treatment needs and health guidance needs scores among patients in northern northern cities. Patients with lower urinary tract symptoms are in greater need of communication and health guidance. Conclusion: Patients with BPH have a general need for guidance in communication, diagnosis, treatment and health during their visit. BPH patients communication needs, diagnostic needs, treatment needs and health guidance needs no difference between the North and the South cities. And the lower urinary tract symptoms in patients with more serious communication needs and health guidance needs more strongly.