The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis
Current benign prostatic hyperplasia (BPH) management prioritizes urological symptoms while neglecting psychological impacts on subjective well-being (SWB). Although chronic disease-SWB associations are established, limited evidence exists regarding interactive effects of psychosocial factors (sleep...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-05-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735251341726 |
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| author | Shu Lingzhi MD Hongchen Zhang PhD Yuhong Luo PhD |
| author_facet | Shu Lingzhi MD Hongchen Zhang PhD Yuhong Luo PhD |
| author_sort | Shu Lingzhi MD |
| collection | DOAJ |
| description | Current benign prostatic hyperplasia (BPH) management prioritizes urological symptoms while neglecting psychological impacts on subjective well-being (SWB). Although chronic disease-SWB associations are established, limited evidence exists regarding interactive effects of psychosocial factors (sleep, anxiety, self-management) in BPH populations. This multicenter cross-sectional study enrolled 412 BPH patients from 6 tertiary hospitals in Northwest China. Validated instruments assessed key variables: Pittsburgh Sleep Quality Index for sleep quality, Self-Rating Anxiety Scale for psychological distress, Memorial University of Newfoundland Happiness Scale for SWB, and Chinese Self-Management Ability Scale for behavioral competencies. Structural equation modeling elucidated pathway relationships. Of the patients, 72.5% experienced sleep disorders, and 79.0% reported anxiety. Regression analysis indicated that income (β = 1.378, P < .01) and self-management abilities (β = 0.074, P < .01) positively impacted SWB, while anxiety (β = −0.155, P < .01) and sleep disorders (β = −0.581, P < .01) negatively affected it. The structural equation model revealed a direct effect of self-management abilities on SWB of 0.20 and an indirect effect of 0.16. This study contributes to the field by proposing a comprehensive, patient-centered model of care that can improve both the quality of life and long-term outcomes for BPH patients. |
| format | Article |
| id | doaj-art-eb5df4a8a17b4b149024dad907d78989 |
| institution | OA Journals |
| issn | 2374-3743 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-eb5df4a8a17b4b149024dad907d789892025-08-20T02:27:25ZengSAGE PublishingJournal of Patient Experience2374-37432025-05-011210.1177/23743735251341726The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional AnalysisShu Lingzhi MD0Hongchen Zhang PhD1Yuhong Luo PhD2 Department of Nursing, Affiliated Hospital of Guizhou Medical University, Guiyang, China School of Nursing, , Lanzhou, China School of Nursing, Capital Medical University, Beijing, ChinaCurrent benign prostatic hyperplasia (BPH) management prioritizes urological symptoms while neglecting psychological impacts on subjective well-being (SWB). Although chronic disease-SWB associations are established, limited evidence exists regarding interactive effects of psychosocial factors (sleep, anxiety, self-management) in BPH populations. This multicenter cross-sectional study enrolled 412 BPH patients from 6 tertiary hospitals in Northwest China. Validated instruments assessed key variables: Pittsburgh Sleep Quality Index for sleep quality, Self-Rating Anxiety Scale for psychological distress, Memorial University of Newfoundland Happiness Scale for SWB, and Chinese Self-Management Ability Scale for behavioral competencies. Structural equation modeling elucidated pathway relationships. Of the patients, 72.5% experienced sleep disorders, and 79.0% reported anxiety. Regression analysis indicated that income (β = 1.378, P < .01) and self-management abilities (β = 0.074, P < .01) positively impacted SWB, while anxiety (β = −0.155, P < .01) and sleep disorders (β = −0.581, P < .01) negatively affected it. The structural equation model revealed a direct effect of self-management abilities on SWB of 0.20 and an indirect effect of 0.16. This study contributes to the field by proposing a comprehensive, patient-centered model of care that can improve both the quality of life and long-term outcomes for BPH patients.https://doi.org/10.1177/23743735251341726 |
| spellingShingle | Shu Lingzhi MD Hongchen Zhang PhD Yuhong Luo PhD The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis Journal of Patient Experience |
| title | The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis |
| title_full | The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis |
| title_fullStr | The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis |
| title_full_unstemmed | The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis |
| title_short | The Impact of Self-Management Abilities, Sleep Quality, and Anxiety on the Well-Being of Patients With Benign Prostatic Hyperplasia: A Cross-Sectional Analysis |
| title_sort | impact of self management abilities sleep quality and anxiety on the well being of patients with benign prostatic hyperplasia a cross sectional analysis |
| url | https://doi.org/10.1177/23743735251341726 |
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