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目的:症状性良性前列腺增生(BPH)引起的下尿路症状(LUTS)及其相关事件不仅影响患者的生活质量,而且影响患者配偶的生活质量。本研究目的是调查手术治疗的症状性BPH患者配偶的生活质量。方法:本组包含50对患者及其配偶,患者经检查符合症状性BPH且准备行手术治疗。患者及其配偶分别自我填写相关问卷,其中患者填写IPSS及BPH影响指数问卷(BPHII),配偶填写包括睡眠、社会活动力、性生活、心理影响、担心前列腺癌、担心前列腺手术、料理家务能力在内的7个问题的问卷,并对相关资料进行统计学分析。结果:患者LUTS可不同程度地造成其配偶睡眠障碍(12%)、社会活动力下降(12%)、性生活衰退(20%)、心理影响(38%)、前列腺癌恐惧(68%)、前列腺手术恐惧(40%)及料理家务能力下降(14%)。但是患者配偶生活质量下降程度与患者IPSS、BPHII评分无相关性(P>0.05)。结论:患者的LUTS及其相关事件在一定程度上降低了其配偶生活质量。但是,患者症状的严重程度与其配偶生活质量无明显相关性。提示症状性BPH患者及其配偶应该了解BPH的相关知识及BPH手术的危险性。
OBJECTIVE: Lower urinary tract symptoms (LUTS) caused by BPH and its related events affect not only the patient’s quality of life but also the quality of life of the patient’s spouse. The purpose of this study was to investigate the quality of life of spouses in symptomatic BPH patients undergoing surgical treatment. Methods: This group consisted of 50 pairs of patients and their spouses who were treated with symptomatic BPH and were scheduled for surgical treatment. The patients and their spouses filled in the relevant questionnaires by themselves. Among them, the patients completed the IPSS and BPH Impact Index Questionnaire (BPHII). The spouse filled in including sleep, social activity, sexual life, psychological impact, worry about prostate cancer, worry about prostate surgery, Within the seven questions of the questionnaire, and statistical analysis of relevant information. Results: LUTS of patients could cause sleep disorder (12%), decreased social activity (12%), sexual life recession (20%), psychological impact (38%), prostate cancer fear (68%), Prostate surgery fear (40%) and housekeeping capacity decreased (14%). However, there was no correlation between the decline of the quality of life of the spouse and the patients’ IPSS and BPHII scores (P> 0.05). CONCLUSIONS: LUTS and related events in patients reduced their spouses’ quality of life to a certain extent. However, there was no significant correlation between the severity of symptoms and the quality of life of the spouse. Tips Symptomatic BPH patients and their spouses should understand the relevant knowledge of BPH and the risk of BPH surgery.