Family Physician’s Educational Interview with Patients Helps in Early Recognition of Lower Urinary Tract Symptoms

Autor: Lesac Brizić A, Mozetič V
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of General Medicine, Vol Volume 14, Pp 9689-9696 (2021)
Druh dokumentu: article
ISSN: 1178-7074
55353908
Popis: Ana Lesac Brizić, Vladimir Mozetiნommunity Health Center of Primorje - Gorski Kotar County, Rijeka, CroatiaCorrespondence: Ana Lesac Brizić Tel +385 51 666 000Fax +385 51 337 405Email ana.lesac.brizic@domzdravlja-pgz.hrPurpose: Lower urinary tract symptoms (LUTS) can have an etiology outside the lower urinary tract (LUT) and are therefore an important diagnostic indicator for assessing the overall health of a person. However, LUTS is still mainly neglected by primary health care providers as well as by patients. In this study, we assessed the importance of an educational interview (EI) conducted by a GP on the patients’ ability to recognize LUTS. We also investigated other factors that affect the recognition of LUTS: subjects’ personal educational level, number of LUT symptoms and their bothersome level on a scale 0– 10.Patients and Methods: This cross-sectional study was conducted in Croatia (2018– 2020) by interviewing 499 subjects. We compared recognized LUT symptoms before and after the EI and determined whether their number, their bothersome level, or the subjects’ personal educational level were associated with LUTS recognition.Results: EI significantly improved the ability to recognize LUTS (p=0.001). The number of LUT symptoms and bothersome level in subjects before EI was much greater than the number in subjects after EI (p< 0.0001, mean> 4 and p< 0.0001, median> 8, respectively). Subjects with higher educational level recognized LUTS with fewer symptoms after the EI (p< 0.01), but no difference was observed among subjects who recognized LUTS before the EI.Conclusion: For subjects to recognize LUTS, their condition had to be severe – more than 4 symptoms and bothersome level > 8/10. Personal educational level had little impact on LUTS recognition. However, an EI proved to be an excellent tool for raising awareness about LUTS and its early recognition.Keywords: doctor–patient relationship, health promotion, lower urinary tract symptoms, patient education, primary care, quality of care
Databáze: Directory of Open Access Journals
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