Qualitative insights into the experiences of living with moderate-to-severe lower urinary tract symptoms among community-dwelling ageing males.

Qualitative insights into the experiences of living with moderate-to-severe lower urinary tract symptoms among community-dwelling ageing males.
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DOI:
10.1371/journal.pone.0187085
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发表时间:
2017
期刊:
影响因子:
3.7
通讯作者:
Chan IWS
Chan IWS
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Suen LKP;Cheng HL;Yeung SKW;Au-Yeung CH;Lee JCY;Ho KKY;Lau NMY;Ng CKF;Chan IWS

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下尿路症状(LUTS)在老年男性人群中是一种非常普遍的慢性疾病。现有的关于男性LUTS经历的文献很少,因为只有少数研究探索了就医行为和应对策略。目前对老年男性LUTS的认识相当有限。因此,本研究旨在找出中国社区老年男性中重度下尿路感染的生活经验及其应对策略,以促进医疗服务提供者对下尿路感染的管理。采用主题分析的定性探索性设计。对24名患有中到重度LUTS的中国老年男性进行了半结构化访谈。根据参与者的说法,LUT对他们日常生活的身体方面产生了不利影响。他们中的大多数人不愿意寻求社会支持,甚至不好意思与同龄人分享这个话题。从参与者身上可以观察到一系列的心理反应,从将这种情况视为一种自然的生命过程到失去自尊。大多数受访者缺乏知识,对LUTS存在误解,这阻碍了他们寻求医疗建议。大多数参与者还寻求替代治疗方法,并开发出自助方法来应对他们的症状。LUTS影响患者的身体和社会方面。这项定性研究的结果可以提高人们对中国LUTS老年患者的生活经历、认知、误解和求助行为的认识。可以为这一人群提供适当的健康教育和建议。
Lower urinary tract symptoms (LUTS) comprise a highly prevalent chronic condition among the aging male population. Existing literature on the experiences of men with LUTS is scarce given that only a few studies explored medical care-seeking behaviors and coping strategies. The current understanding of the experiences of elderly males with LUTS is considerably limited. Therefore, the present study aimed to identify the experiences of living with moderate-to-severe LUTS among community-dwelling Chinese ageing males and their coping strategies to facilitate the management of LUTS by healthcare providers. A qualitative exploratory design using thematic analysis was used. Semi-structured interviews with 24 Chinese ageing males with moderate-to-severe LUTS were conducted. According to the participants, LUTS adversely affect the physical aspects of their daily lives. Most of them were unwilling to seek social support and were even embarrassed to share this topic with their peers. A range of psychological responses could be observed from the participants that range from regarding the condition as a natural life course to loss of one’s self-esteem. Most of the interviewees lacked knowledge and held misconceptions toward LUTS, which prevented them from pursuing medical advice. Most of the participants also sought alternative treatments and developed self-help methods to cope with their symptoms. LUTS affects the physical and social aspects of sufferers. The findings of this qualitative study can raise awareness about the life experiences, perceptions, misconceptions, and help-seeking behaviors of Chinese elderly with LUTS. Proper health education and advice can be provided for this population.
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