Influence of Patient Related Factors on Health Seeking Behaviours among Men with Lower Urinary Tract Symptoms attending Surgical Out Patient Clinic at Meru Level Five Hospital, Kenya

Authors

  • Festus Mwendia Muriuki Jomo Kenyatta University of Agriculture and Technology, Kenya
  • Sherry Oluchina Jomo Kenyatta University of Agriculture and Technology, Kenya
  • Bernard Wambua Mbithi Jomo Kenyatta University of Agriculture and Technology, Kenya
  • Consolata Kirigia University of Embu, Kenya

DOI:

https://doi.org/10.30994/jnp.v4i1.105

Keywords:

Factors, Health, Seeking, Behaviours, LUTS

Abstract

Background: Currently there are increased cases of men presenting with Lower Urinary Tract Symptoms (LUTS) especially in low resource countries. These symptoms may or may not be related to prostate cancer and health seeking behaviours are not clear.   
Purpose: To establish the influence of patient related factors on health seeking behaviours for Lower Urinary Tract Symptoms (LUTS) among men attending surgical outpatient clinic at Meru hospital, Kenya.
Methods: Descriptive cross-sectional study design was used. The study population involved 120 men suffering from LUTS, 2 physicians and 2 nurses. Questionnaires and interview guides were used for data collection. Study period was from August 2018 to March 2020.
Results: Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, the majority (68.8%) of the respondents had primary level of education. The findings also pointed out majority (72.0%) of the patients were farmers with income level of below Ksh. 20,000. Logistic regression was used whereby P-values determine the statistical significance of results with cut off set at (p ?0.05). The inferential statistics pointed out that patient related factors test items had a statistical significant influence since the p-values were found to be less than 0.05 at 95% confidence interval. 
Conclusion: There was a significant negative influence of patient related factors such as lack of knowledge, low income levels and distance to health care facilities on health seeking practices. Therefore patients seek medical attention when quality of their lives has been threatened. The study recommends adopting measures of rising awareness on need for seeking early medical attention and initiate outreach health services in underserved areas or through telehealth

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References

Francis B, Lynn S, Vancouver B, Jonathan B and Adrew J (2018). Prevalence estimates for lower urinary tract symptoms severity among men in Uganda & Sub Saharan Africa based on regional prevalence data. Canadian urological association journal. 12(11):447-452. Crossref

HuaFan Y, Alex T, Yi-Hsiu Y and KuoChen K (2017). Health care-seeking behavior in benign prostatic hyperplasia patients.Journal of urological science 28(3):169-173 Crossref

Irwin D, Kopp Z, Agatape B, Milson I and Abram P (2011). Worldwide prevalence of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction BJU International, 108:1132-1139 Crossref

Jung K, Kyu K, Ji N, Bo C and Hong M (2017). Social demographic factors related to lower urinary symptoms in men: A Korean community health survey. International neurourology journal. 21(2):143-151 Crossref

Michellekinng, Arber A and Faithfull S (2017). Routes to diagnosis for men with prostate cancer: men's cultural beliefs about how changes to their bodies and symptoms influence help-seeking actions. European Journal of Oncology Nursing 30(1):48-58. Crossref

Ministry of Health Kenya (2010) National Reproductive Health Strategy 2009-2015. Article

Nehilchare O, Kasivisvanathan V, Ellis H and Challacombe B (2017). Anatomy, physiology of large Prostate (eds). The Big Prostate Springer, Cham. Crossref

Ojewola W, Ezekiel S, Olanrewaju S, Ezra O and Taiwo A (2016). Lower urinary tract symptoms: prevalence perceptions and health care seeking behavior amongst Nigerian men. African journal online. World J Men’s Health .34(3):200-208

Olapade O, Owoaje E, Lapido M, Fadimu O, Muoka O and Adedeji T (2015). Frequency and patterns of lower urinary tract symptoms in a screened population of men above 40 years in Ibadan south west Nigeria. Journal of west African college of Surgions. 5(4):60-78. Retrieved from Crossref

Parsons J K (2010). Benign prostatic hyperplasia and male lower urinary tract symptoms: Epidemiological risk factors. Current bladder dysfunction reports 5(4):212-218. Crossref

Soler R, Gomes C, Averbeck M and Koyama M (2017). Prevalence of lower urinary tract symptoms in Brazil. Journal of Neurology Urodynamic 37(4):1356-1364. Crossref

Stothers L, Adrew J, Francis B, Sharif M and Jonathan B (2017). Association between the severity of obstructive lower urinary tract symptoms and care seeking behavior in rural Africa, Uganda Public Library of Science France,12(3): doi.org/10.1371/journal. Crossref

Stranne J, Damber J F, Hammarsten J, Knutson T and Peeker R (2008). One-third of the Swedish male population over 50 years of age suffers from lower urinary tract symptoms. Scandinavian Journal of Urology and Nephrology 43(3):199-205 Crossref

Ugwumba F, Ozoema O, Okoh A, Echetaba K and Mbadiwe O (2014). Transvesical prostatectomy in the management of benign prostatic hyperplasia in a developing country. Nigeria journal of clinical practice 17(6). Crossref

Wallner L, Slezak J, Loo R, Quinn V, Eeden S and Jacobsen S (2014). Progression and treatment of incidence of Lower urinary tract symptoms among men in the California men’s health study. British Journal of Urology International. 115(1):127-133. Crossref

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Published

2020-10-10

How to Cite

Muriuki, F. M., Oluchina, S., Mbithi, B. W., & Kirigia, C. (2020). Influence of Patient Related Factors on Health Seeking Behaviours among Men with Lower Urinary Tract Symptoms attending Surgical Out Patient Clinic at Meru Level Five Hospital, Kenya. Journal Of Nursing Practice, 4(1), 34–50. https://doi.org/10.30994/jnp.v4i1.105

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Articles