Perceived Quality of Life Patients With Benign Prostatic Hyperplasia at The Komfo Anokye Teaching Hospital, Kumasi, Ashanti Region

ABSTRACT

Background: The commonest ailment of the prostate of men is Benign Prostatic Hyperplasia (BPH) and is a common histologic condition among older men throughout the world. All men from age 50 are at a higher risk of getting BPH and it is common among blacks than the white race. The urology department of the Komfo Anokye Teaching Hospital (KATH) has recorded the highest number of BPH among all the urological cases. It is, therefore, necessary to identify the problems these men face and the degree at which the disease impact on their life positively or negatively. In spite of these facts, data on the perceived quality of life of patients with benign prostatic hyperplasia presenting at KATH is limited. Aim: This study sought to determine the perceived quality of life of patients with benign prostatic hyperplasia at the Komfo Anokye Teaching Hospital (KATH) by determining the proportion of BPH patients whose quality of life is affected. Method: The study design was cross-sectional and the study type was descriptive. A sample size of 310 was used to carry out the study. The study population was men visiting the urology department of KATH and has been diagnosed of having BPH. The study used consecutive sampling method to recruit the study participants after they have consented to partake in the study. Data was collected by using structured questionnaire. Ethical clearance was sought from the Ghana Health Service Ethics Review Commitee and that of the Komfo Anokye Ethical Review Board. The data was analysed using StataSE version 15. Bivariate analysis using Chi-square was performed to test the associations between independent variables and perceived quality of life. Multiple logistic regression was carried out on the factors that were significant at the bivariate level, crude and adjusted odds ratio were computed and statistical significance was accepted at p≤0.05. v Results: The results of this study shows that the overall proportion of BPH patients with good perceived quality of life is 5.0%. The educational level (AOR=0.11; CI=0.03-0.43), support from friends and families (AOR=13.42; 95% CI=3.62-49.76), sleep disturbances and inability to support financially were the factors found to be significantly associated with perceived quality of life of BPH patients. Conclusion This study has revealed that good perceived quality of life among BPH patients is low. These therefore implies that BPH patients need to be supported by family members and friends in order to improve their quality of life