Men's experiences of having lower urinary tract symptoms: factors relating to bother

Men's experiences of having lower urinary tract symptoms: factors relating to bother
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DOI:
10.1111/j.1464-410x.2004.05001.x
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发表时间:
2004-09-01
期刊:
影响因子:
4.5
通讯作者:
Emberton, M
Emberton, M
中科院分区:
医学2区
文献类型:
--
作者:
Glover, L;Gannon, K;Emberton, M

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目的 了解男性下尿路症状 (LUTS) 和烦恼的经历,这是患者是否接受 LUTS 干预的主要决定因素。患者和方法收集了 75 名在泌尿科门诊就诊的 LUTS 患者的数据。男性填写了一份问卷,询问他们的症状、困扰、情绪和对 LUTS 的看法。结果大多数参与者的焦虑和抑郁得分在正常范围内,并表达了中等程度的痛苦。他们在某种程度上对自己的症状感到困扰。大多数男性认为 LUTS 是一个长期问题,但感觉无法控制自己的症状。结果表明,烦恼反映了男性因性欲问题而感到的整体痛苦。困扰似乎与症状严重程度、自我认知、社交限制和 LUTS 的影响有关。尴尬和社交焦虑与烦恼密切相关。结论 一些心理因素与烦恼有关;通过简短的心理干预也许可以减少麻烦。
OBJECTIVE To gain an understanding of men's experiences of having lower urinary tract symptoms (LUTS) and of bother, a principle determinant of whether a patient has an intervention for LUTS.PATIENTS AND METHODSData were collected on 75 patients with LUTS presenting to a urology outpatient clinic. Men completed a questionnaire asking about their symptoms, bother, mood and perceptions about LUTS.RESULTSMost participants scored within the normal range for anxiety and depression, and expressed a moderate level of distress. They were to some extent bothered by their symptoms. Most men perceived LUTS as a long-term problem but felt unable to control their symptoms. The results suggest that bother reflects men's overall distress with having LUTS. Bother appears to be related to symptom severity, self perception, social limitation and the impact of LUTS. Embarrassment and social anxiety relate strongly to bother.CONCLUSIONSeveral psychological factors relate to bother; it may be possible to reduce bother using a brief psychological intervention.