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目的了解不同文化背景条件下的良性前列腺增生(BPH)患者对中文版国际前列腺症状评分(IPSS)理解能力的准确性。方法自2008年9月至10月间,对我院门诊及病房104例BPH患者进行中文版IPSS问卷调查,患者的年龄是58.90±15.41岁。分别按照其文化层次分为文盲组32例,年龄53.94±18.03岁,小学组23例,年龄61.87±15.15岁,中学组27例,年龄60.93±13.84岁,大学组22例,年龄60.55±12.31岁。首先,在门诊的候诊厅中让BPH的患者根据自己对调查表的理解力自评。然后,有一位泌尿外科医生对其每项条款进行解释,再结合患者的情况及病史做出评价,住院病人在病房调查方法同上。分析两种评分间结果的差异性。结果文盲组中第4项评分在两种评分间差异有显著性意义(P<0.05),但总分数在两种评分间比较的P=0.050。小学组中各项及总分数在两种评分之间差异无显著性意义(P>0.05)。中学组及大学组中各项评分及总分数在两种评分之间差异无显著性意义(P>0.05)。结论不同文化背景下患者对中文版IPSS的理解力同医生间差异无统计学意义,且文化层次越高理解的准确性越高。
Objective To understand the accuracy of Chinese version of International Prostate Symptom Score (IPSS) understanding in patients with benign prostatic hyperplasia (BPH) under different cultural backgrounds. Methods From September 2008 to October 2008, we conducted a Chinese version of IPSS questionnaire survey in 104 outpatients and wards in our hospital. The patient’s age was 58.90 ± 15.41 years. According to their cultural level, 32 cases were divided into illiteracy group, age 53.94 ± 18.03 years old, 23 cases of primary school, age 61.87 ± 15.15 years, 27 cases of secondary school, age 60.93 ± 13.84 years, 22 cases of university group, age 60.55 ± 12.31 years . First, BPH patients are self-rated based on their understanding of the questionnaire in the waiting room of the clinic. Then, a urologist interprets each of these terms, which are combined with the patient’s condition and medical history to evaluate the inpatients’ ward survey methods. Analysis of the difference between the two scores results. Results There was a significant difference between the two scores for the fourth score in the illiterate group (P <0.05), but the overall score was P = .050 between the two scores. There was no significant difference between the two groups in the total score of the primary school group (P> 0.05). There was no significant difference between the two scores in the middle school group and the university group (P> 0.05). Conclusion The understanding of Chinese version of IPSS in patients with different cultural backgrounds is not statistically different from that of doctors, and the higher the level of culture, the higher the accuracy of understanding.