하부요로증상을 호소하는 환자의 증상 평가에서 국제전립선증상점수의 시행 방법에 따른 차이
The Difference in Mode of Administration of International Prostate Symptom Score(IPSS) in Patients with Lower Urinary Tract Symptoms
차경빈, 오철영, 최경화, 유호송, 마상열,
소속 상세정보
차경빈 ( Cha Kyoung-Bin )
인제고려병원 비뇨기과
오철영 ( Oh Cheol-Young )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
최경화 ( Choi Kyung-Hwa )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
유호송 ( Yu Ho-Song )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
마상열 ( Mah Sang-Yol )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
KMID : 0358320070480030291
Abstract
Purpose: The International Prostate Symptom Score(IPSS) is generally self- administrated; however, it is doubtful that the self-administrated IPSS score correctly reflects patients’ symptoms; therefore, the difference in the IPSS self-administrated score and physician-interviewed patients was studied.
Materials & Methods: A total of 202 patients completed two IPSS questionnaires during the same office visit, one by self-administration and the other by physician-interview, at two medical centers, one located in an urban area and the other in a rural area. The mean total symptom score and the score for each question, and the quality of life score were compared between the two modes of administration. A multi-logistical regression analysis was performed to identify differences due to the effects of age, the order of administration, location and educational level.
Results: The mean total symptom score and quality of life score were higher in the self-administrated than physician-interviewed group(14.16 vs. 13.07, p=0.001, 3.27 vs. 3.2, p=0.090). The residual sense(2.03 vs. 1.97, p=0.20), frequency(2.07 vs. 1.97, p=0.026), interruption (1.83 vs. 1.61, p=0.002), urgency (1.89 vs. 1.55, p=0.001), weak stream (2.74 vs. 2.60, p=0.042), hesitancy (1.77 vs. 1.59, p=0.005) and nocturia (1.82 vs. 1.77, p=0.12) were also higher in the self-administrated group. The multi- logistical regression analysis revealed statistically significant differences in relation to age and location.
Conclusion: The self-administrated IPSS score was higher than the physician-interview score, especially in relation to an older age and an urban location. Therefore, active intervention should be considered during the administration of the IPSS, especially for old aged patients living in urban areas. (Korean J Urol 2007;48:291-296)
키워드
Urinary tract;Symptoms;Prostate;Administration
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