Prevalence of benign prostatic hyperplasia patients in Sanshui District : Investigation and strategies of health education

Abstract

Objectives To investigate the prevalence,the awareness rate of health knowledge and the demand of benign prostatic hyperplasia (BPH) in Sanshui District to explore strategies of health education model.Methods We performed a cross-sectional randomized study of 1672 men aged ≥50 years from Sanshui District,obtained their IPSS,measured the prostate volume by transabdominal ultrasonography,measured residual urine volume,checked the digital rectal examination (DRE),recorded the maximum flow (Qmax) by uroflowmetry,Measured prostate specific antigen (PSA),meanwhile conducted a questionnaire in survey population to understand the BPH health education demand and the access ways of BPH patients.Results The total prevalence rate was 30.0％ (501/1672),the prevalence age was from 50 to 102 years old,the suffering average age was(66.23 ±8.35) years old.The prevalence rate was 10.9％,30.2％,53.2％,60.8％,76.2％ in 50-,60-,70-,80-,≥ 90 years group.The IPSS points was (11.2 ± 6.4),the prostate volume was (30.6 ± 17.8) ml,the Qmax was (14.2 ± 7.4) ml / s,the PSA was(3.92 ± 3.82) ng/ ml in the surveyed crowd.Lower urinary tract symptoms,prostate volume were positively correlated with age,while Qmax was negatively correlated with age.With IPSS ＞ 7 points,prostate volume ＞ 20 g,Qmax ＜ 15 ml / s as standard,the prostatic hyperplasia prevalence was26.8％ in Sanshui District.BPH patients understand the way health education was 53.0％,51.4％,18.6％,15.3％,8.1％,5.2％ by TV programs and radio broadcasts,newspapers and magazines,patient communication,guidance of a doctor,community health education.The demand for health education contents were as follows:dietary guidance 91.5％,life care 90.5％,disease prevention 49.9％,knowledge of drug 17.9％,medical expenses 15.6％.Conclusions Lower urinary tract symptoms and prostate volume was positively correlated with age,while Qmax was negatively in ≥ 50 year old man,in Sanshui District.The prevalence of benign prostatic hyperplasia was 52.1％ in Sanshui District.The BPH patients in Sanshui District were lack of the BPH knowledge.The way to popularize BPH health education is still a large room for improvement.It is need to make full use of the correct guidance of media,the hospital professional guidance,actively promote community of multi-level,multi channel reasonable education to promote the elderly BPH recognition,and it is important to improve the standardized diagnosis and treatment of BPH by this means in Sanshui District. Key words: Prostatic Hyperplasia; Health Eduction