The Potential Role of a Self-management Intervention for Benign Prostate Hyperplasia

Chen, Ye; Zhang, Xiaowei; Hu, Xiaowei; Deng, Yanqing; Chen, Jie; Li, Sen; Zhang, Chunfang; Wang, Jia; Liu, Zhenhua; Hao, Yichang; Xiao, Yu; Yuan, Jiaqi; Xu, Tao; Wang, Xiaofeng

doi:10.1016/j.urology.2011.11.091

Cited by 21 publications

(50 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The magnitude of the IPSS total symptom score reduction in the intervention group (2.89 out of 35 points) in this study setting appears to be smaller than score reductions reported in a previous study males with LUTS (8.55 out of 35points) [23], however, subjects in that study had a more severe spectrum of LUTS and cannot be directly compared to our study population of primary care patients with a milder spectrum of disease [23]. The relatively modest effect of continence care interventions in our study could be due to the lower baseline severity and subsequently a smaller scope for improvement.…”

Section: Discussioncontrasting

confidence: 65%

Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms

et al. 2015

View full text Add to dashboard Cite

BackgroundThe aim of this study was to evaluate whether community-based nurse-led continence care interventions are effective in improving outcomes for adult Chinese primary care patients with lower urinary tract symptoms (LUTS).Research Design and SubjectsA case-controlled intervention study was conducted. An intervention group of 360 primary care patients enrolled into a nurse-led continence care programme were recruited by consecutive sampling. A control group of 360 primary care patients with LUTS identified by screening were recruited from the waiting rooms of primary care clinics by consecutive sampling. Both groups were monitored at baseline and at 12 months.MeasuresOutcome measures included symptom severity, health-related quality of life (HRQOL), self-efficacy, global health and self-reported health service utilization at 12-months. The effect of the continence care programme on symptom severity and HRQOL was assessed by the difference-in-difference estimation, using independent t-test and multiple liner regression. Chi-square test was used to compare the self-efficacy, global health and self-reported health service utilization between the two groups at 12-months.ResultsAfter adjusting for baseline severity and socio-demographics, the intervention group had significant improvements in LUTS severity (P<0.05) and HRQOL (P<0.05). Improvements in the amount of urine leakage were not significantly different between the two groups. A higher proportion of subjects in the intervention group reported increased self-efficacy (43.48% vs. 66.83%), improved global health condition (17.74% vs. 41.5%), having doctor consultation (18.5% vs. 8.06), having medication due to LUTS (26.50% vs.11.29%) and having non-drug therapy due to LUTS (59.5% vs.9.68%).ConclusionsCommunity-based nurse-led continence care can effectively alleviate symptoms, improve health-related quality of life, and enhance self-efficacy and the global health condition of Chinese male and female primary care patients with LUTS.

show abstract

Section: Discussioncontrasting

confidence: 65%

Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The study by Chen et al . () also found that compared with controls, people enrolled in the intervention group had better improvements in HRQOL as measured by a short‐form benign prostatic hypertrophy HRQOL questionnaire. Another study by Castro et al .…”

Section: Discussionmentioning

confidence: 84%

“…However, the effect size in this study (0·36) was smaller than that of the previous study (1·47) (Chen et al . ). The modest effect observed may have been due to the milder range of LUTS severity in our primary care sample (11·8 points out of 35 points) and relatively smaller scope for improvement as evidenced by the higher baseline IPSS total symptom scores in the study by Chen et al .…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Evaluation of the outcomes of care of nurse‐led continence care clinics for Chinese patients with lower urinary tract symptoms, a 2‐year prospective longitudinal study

Chin

Choi

Wan

et al. 2016

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…It was notable, for example, that physicians rejected the advice about double voiding that has been incorporated in three guidelines . In our review, we only found evidence to support this advice in two studies that mentioned it as part of a multicomponent intervention . Thus, the lack of evidence and the presence of a consensus to exclude this advice led us to remove it from a more recent iteration of the intervention.…”

Section: Discussionmentioning

confidence: 84%

Development of an online personalized self‐management intervention for men with uncomplicated LUTS

Blanker

Brandenbarg

Slijkhuis

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

AimsTo develop an online platform to facilitate evidence‐based self‐management of lower urinary tract symptoms (LUTS) in men.MethodsUsing the PubMed database (search until January 2017) and relevant guidelines, we reviewed evidence for the self‐management of LUTS and identified suitable components for the intervention. Next, we built an algorithm that provided individualized advice based on patient characteristics and symptoms for use on an online platform. Men with LUTS tested the usability of the intervention and provided feedback. Finally, we surveyed urologists and general practitioners to identify potential areas for improvement of the intervention.ResultsWe identified nine self‐help interventions from 48 eligible publications. These were as follows: information and education about LUTS, pelvic floor muscle training, bladder training, urethral milking, double voiding, caffeine management, alcohol management, fluid management, and exercise advice. The level of evidence for each item was low due to the paucity of research available. Six men with LUTS reported difficulties understanding and completing the frequency‐volume chart online. The 158 surveyed physicians agreed (≥50% positive ratings) on the inclusion of seven advice items, but not for double voiding and fluid management. Respondents noted that some advice should be provided to all men with LUTS, while other advice should only be presented to certain groups. Some recommendations for additions were offered.ConclusionsDespite a lack of evidence for the self‐management advice, physicians agreed with most of the included advice. The online platform needs further development. Therefore, adjustments will be made and we will assess its impact in future studies.

show abstract

The Potential Role of a Self-management Intervention for Benign Prostate Hyperplasia

Cited by 21 publications

References 15 publications

Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms

Evaluation of the Effectiveness of Nurse-Led Continence Care Treatments for Chinese Primary Care Patients with Lower Urinary Tract Symptoms

Evaluation of the outcomes of care of nurse‐led continence care clinics for Chinese patients with lower urinary tract symptoms, a 2‐year prospective longitudinal study

Development of an online personalized self‐management intervention for men with uncomplicated LUTS

Contact Info

Product

Resources

About