Assessing patients' descriptions of lower urinary tract symptoms (LUTS) and perspectives on treatment outcomes: results of qualitative research
Assessing patients' descriptions of lower urinary tract symptoms (LUTS) and perspectives on treatment outcomes: results of qualitative research
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DOI：
10.1111/j.1742-1241.2010.02450.x
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发表时间：
2010-08-01
影响因子：
2.6
通讯作者：
Symonds, T.
中科院分区：
文献类型：
--
作者：
Coyne, K. S.;Sexton, C. C.;Symonds, T.
目的：了解病人的经历和症状描述对评估结果至关重要.因此，有必要进行定性研究，以更好地了解患者如何描述他们的症状和治疗expectations.Methods：八个焦点小组进行了两个研究阶段：第1阶段集中在引起患者的泌尿系统症状的描述，和第2阶段评估患者的治疗结果的观点。从美国的泌尿科诊所和社区环境中招募了具有一系列下尿路症状（LUTS）的参与者。所有访谈都有录音和文字记录。结果：共有33名男性和30名女性参与。第1阶段男性和女性的平均年龄分别为55岁和61岁，第2阶段分别为57岁和61岁。大约73%的参与者是白色人，大多数人受过高中以上教育。对各种LUTS进行了紧急描述，各组的单词、概念和短语通常相似。大多数参与者认同“烦恼”这个词，并认为评估每种症状的频率和烦恼是很重要的。寻求治疗的原因包括症状困扰和对癌症和膀胱感染的恐惧。大多数参与者认为，在一个单一的症状或一组症状的50%的改善将是一个有意义的treatment outcome.Conclusion：这种定性研究提供了一个更好的了解男性和女性如何描述他们的LUTS和他们的观点对治疗结果。这项研究可以用来通知一个新的LUTS结果的工具的开发。
P>Aims:Understanding the patient's experience and symptom descriptions is critical to assess outcomes. Thus, there is a need for qualitative research to better understand how patients describe their symptoms and treatment expectations.Methods:Eight focus groups were conducted in two research phases: Phase 1 focused on eliciting patient's descriptions of urinary symptoms, and Phase 2 assessed patient perspectives on treatment outcomes. Participants with a range of lower urinary tract symptoms (LUTS) were recruited from urology clinics and community settings in the United States. All interviews were audio recorded and transcribed. Content and descriptive analyses were performed.Results:A total of 33 men and 30 women participated. Mean ages for men and women were 55 and 61 in Phase 1, and 57 and 61 in Phase 2, respectively. About 73% of participants were white people, and most had a high school education or greater. A wide range of LUTS were emergently described, and the words, concepts and phrases were generally similar across groups. Most participants identified with the word 'bother', and thought it was important to assess both the frequency and bother of each symptom. Reasons for seeking care included symptom bother and fears about cancer and bladder infections. Most participants thought that a 50% improvement in a single symptom or group of symptoms would be a meaningful treatment outcome.Conclusion:This qualitative research provides a better understanding on how men and women describe their LUTS and their perspectives on treatment outcomes. This research can be used to inform the development of a new LUTS outcomes' tool.