Background: Most elderly patients with BPH have experienced patient delay. Based on the TPB, the aim of this study was to describe the influencing factors of BPH patients' intention and behavior of patient delay and to provide a reference for the development of a patient delay intention scale and personalized intervention.Methods: This descriptive qualitative study was carried out 4 months in 2021 in China. The participants were 20 patients with BPH ages 60 to 82 years old who experienced patient delay and were selected through purposive sampling method. The study was performed in a large general hospital and a community hospital. The data were collected via face-to-face semi-structured interviews.Results: The following themes were relevant to BPH patients with intention and behavior of patient delay: “Insufficient cognition of symptoms (low symptom alertness, symptom benign attribution)”, “Experience coping instead of going to a doctor”, “Negative attitude toward seeking medical care (Underestimation of the consequences of delayed medical treatment, Negative evaluation of early medical treatment)”, “The influence of others on decision-making for seeking medical care(People who approve or disapprove of going to a doctor, Do or do not follow the opinions of others)”, “Obstacles to seeking medical care(Factors from the patient, Factors from medical institutions)”Conclusion: The delay was longer in rural areas than in urban areas. BPH patients' intention and behavior of patient delay are the result of a combination of many factors. Therefore, it is recommended to develop a scale to evaluate the patient delay intention for BPH, and provide personalized interventions based on the scale to improve patient delay in elderly BPH patients
BACKGROUND: Lower urinary tract symptoms (LUTSs) are the most common problem in older men with benign prostatic hyperplasia (BPH). Physical activity and sedentariness may be important LUTS risk factors and suitable targets for intervention. However, what is the most effective way to engage in physical activity? There is still no consensus among academics. OBJECTIVE: To observe which of the two different physical activity modalities, square dancing (SD) or walking, is more effective in delaying the effects of LUTSs/BPH in older men and to provide a basis for promoting active participation in appropriate physical activity for BPH patients. DESIGN: This study was a chain design study with cross-sectional (June 2018), retrospective (from June 2014 to June 2018) and follow-up (June 2018 to June 2020) components for LUTSs. PARTICIPANTS: Men aged 60 and over who could perform physical activity alone and lived in the same community. MAIN MEASURES: The effect of different forms of physical activity on the alleviation of LUTSs in BPH patients was observed retrospectively; the main physical activity patterns of older adults in the town were walking and SD. Therefore, the two physical activity modalities of walking and SD were used as the main study factors, and the propensity score 1:1 matching method was applied to control for confounding factors in the retrospective cohort, which was divided into walking and SD groups to compare the clinical progression of LUTSs in the two groups. The time between study entry into the cohort and LUTS progression (appearance or exacerbation of symptoms) was used as the outcome to determine whether LUTS progression occurred in the two groups. The Cox proportional hazards model was applied to analyze the effect of walking and SD on the delay in the clinical progression of LUTSs/BPH in older men. KEY RESULT: Multifactorial Cox regression analysis showed that patients in the square dancing group had a 0.41-fold lower risk of LUTSs than those in the walking group (HR=0.41, 95% CI: 0.19-0.88, p=0.02). CONCLUSIONS: SD can more effectively delay the clinical progression of LUTSs in BPH patients, and the results of this study provide a good reference for the selection of self-guided physical activity intervention modalities for BPH patients.
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