Life disturbance and hospital visit experiences among Chinese patients with benign prostatic hyperplasia: a qualitative study

IF 3.2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

BMC Family Practice Pub Date : 2024-05-03 DOI:10.1186/s12875-024-02378-5

ZiYan An, QiWei Zhou, JinPeng Shao, ShuWei Xiao, Kun Zhao, WenJie Wei, YangYang Wu, Yong Song, Qing Yuan, WeiJun Fu, Xu Zhang

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引用次数: 0

Abstract

The impact of lower urinary tract symptoms (LUTS) on the quality of life of patients with benign prostatic hyperplasia (BPH) has been rarely reported. Additionally, the challenges faced by these patients in seeking medical care have often been overlooked. In order to explore the personal struggles caused by LUTS and the difficulties or barriers experienced by Chinese patients with BPH when seeking help, we conducted a qualitative interview study. Qualitative interviews were conducted among 46 patients with BPH who were hospitalized in three tertiary hospitals in China from July 2021 to November 2022. Grounded theory was adopted as the methodology for the qualitative study. After obtaining written informed consent from the study participants, semi-structured interviews were conducted according to the question guidelines. The interview process was audio-recorded; subsequently, the recordings were transcribed, coded, and thematically analyzed. The difficulties faced by Chinese patients with BPH were classified into seven main themes: (i) disturbed life, (ii) mental burden, (iii) disease cognition and communication, (iv) delayed treatment, (v) medication status, (vi) hospital visits barriers, and (vii) medical insurance issues. Further, each theme was subdivided into 2–5 sub-themes. LUTS have a certain effect on the life and spirit of patients with BPH. These patients face different degrees of difficulties in treatment and hospital visits. Therefore, better healthcare systems and additional social support are crucial for improving the current plight of these patients.

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中国良性前列腺增生症患者的生活困扰和医院就诊经历：一项定性研究

下尿路症状（LUTS）对良性前列腺增生症（BPH）患者生活质量的影响鲜有报道。此外，这些患者在就医时所面临的挑战也常常被忽视。为了探究 LUTS 所带来的个人挣扎，以及中国良性前列腺增生患者在寻求帮助时所遇到的困难或障碍，我们开展了一项定性访谈研究。我们对 2021 年 7 月至 2022 年 11 月期间在中国三家三甲医院住院的 46 名良性前列腺增生症患者进行了定性访谈。定性研究采用基础理论作为研究方法。在获得研究参与者的书面知情同意后，根据问题指南进行了半结构化访谈。访谈过程进行了录音，随后对录音进行了转录、编码和主题分析。中国良性前列腺增生患者所面临的困难被分为七个主题：(i) 生活困扰；(ii) 精神负担；(iii) 疾病认知与沟通；(iv) 延误治疗；(v) 药物治疗状况；(vi) 医院就诊障碍；(vii) 医疗保险问题。此外，每个主题又细分为 2-5 个子主题。LUTS 对良性前列腺增生患者的生活和精神都有一定的影响。这些患者在治疗和就医过程中面临着不同程度的困难。因此，更好的医疗系统和更多的社会支持对于改善这些患者目前的困境至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Family Practice 医学-医学：内科

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.