Application effect of pelvic floor function exercise based on health belief model in patients with benign prostatic hyperplasia after electrocautery.

IF 1.9 4区医学 Q3 UROLOGY & NEPHROLOGY

International Urology and Nephrology Pub Date : 2025-11-01 Epub Date: 2025-04-25 DOI:10.1007/s11255-025-04454-w

Juan Xiao, LiangJun Gui, HuaJuan Yao, ChengHong Liao, ShaoYan Yuan, Fang Xu, Jing Jing Zhong

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引用次数: 0

Abstract

Background: Benign prostatic hyperplasia (BPH) commonly affects men over 50, often requiring interventions like TURP. Postoperative pelvic floor muscle training (PFMT), guided by the Health BeliefModel (HBM), may enhance recovery, particularly in urinary and erectile function.

Methods: Outcomes assessed included Health Promotion Lifestyle Profile II (HPLP-II) scores, International Prostate Symptom Scores (IPSS), International Index of Erectile Function-5 (IIEF-5), psychological states, and compliance behaviors.

Results: In this retrospective case-control study, 180 men with BPH post-TURP were divided into a control group (standard care, n = 97) and an intervention group (PFMT based on HBM, n = 83). Post-intervention, the intervention group showed a significant improvement in HPLP-II, IPSS, and IIEF-5 scores compared to controls (P < 0.001). Prostate symptoms and erectile function improved markedly in the intervention group (IPSS: 5.16 vs. 8.39; IIEF-5: 20.08 vs. 20.99). Psychological assessments revealed lower anxiety and depression scores in the intervention group (SAS: 46.09 vs. 54.97; SDS: 42.15 vs. 53.29; P < 0.001). However, no significant differences in quality of life measures were reported between groups.

Conclusion: PFMT guided by the HBM significantly improved urinary and erectile function, reduced postoperative complications, and enhanced psychological well-being in patients with BPH following TURP. These benefits should be evaluated in future longitudinal studies to assess their sustainability.

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基于健康信念模型的盆底功能锻炼在良性前列腺增生患者电切术后的应用效果。

背景：良性前列腺增生（BPH）常见于50岁以上的男性，通常需要TURP等干预措施。在健康信念模型（HBM）的指导下，术后盆底肌肉训练（PFMT）可以增强恢复，特别是在泌尿和勃起功能方面。方法：评估结果包括健康促进生活方式概况II （HPLP-II）评分、国际前列腺症状评分（IPSS）、国际勃起功能指数5 （IIEF-5）、心理状态和依从性行为。结果：在这项回顾性病例对照研究中，180名前列腺增生患者被分为对照组（标准治疗组，n = 97）和干预组（基于HBM的PFMT， n = 83）。干预后，干预组的HPLP-II、IPSS和IIEF-5评分较对照组有显著改善（P < 0.001）。干预组前列腺症状和勃起功能明显改善(IPSS: 5.16 vs. 8.39；ief -5: 20.08 vs. 20.99)。心理评估显示干预组焦虑和抑郁评分较低(SAS: 46.09 vs. 54.97；SDS: 42.15 vs. 53.29；P < 0.001)。然而，两组之间的生活质量指标没有显著差异。结论：HBM引导下的PFMT显著改善了TURP后BPH患者的泌尿和勃起功能，减少了术后并发症，增强了心理健康。这些益处应在今后的纵向研究中加以评价，以评估其可持续性。

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

International Urology and Nephrology 医学-泌尿学与肾脏学

CiteScore

3.40

自引率

5.00%

发文量

329

审稿时长

1.7 months

期刊介绍： International Urology and Nephrology publishes original papers on a broad range of topics in urology, nephrology and andrology. The journal integrates papers originating from clinical practice.