{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:38:22Z","timestamp":1785800302054,"version":"3.56.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Basic Research Fund for Central Universities","award":["lzujbky-2023-42"],"award-info":[{"award-number":["lzujbky-2023-42"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    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 (\u03b2\u2009=\u20091.378,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.01) and self-management abilities (\u03b2\u2009=\u20090.074,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.01) positively impacted SWB, while anxiety (\u03b2\u2009=\u2009\u22120.155,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.01) and sleep disorders (\u03b2\u2009=\u2009\u22120.581,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.01) 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.\n                  <\/jats:p>","DOI":"10.1177\/23743735251341726","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T02:27:53Z","timestamp":1746671273000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"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"],"prefix":"10.1177","volume":"12","author":[{"given":"Shu","family":"Lingzhi","sequence":"first","affiliation":[{"name":"Department of Nursing, Affiliated Hospital of Guizhou Medical University, Guiyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1923-2755","authenticated-orcid":false,"given":"Hongchen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Lanzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhong","family":"Luo","sequence":"additional","affiliation":[{"name":"Lanzhou University"},{"name":"School of Nursing, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15972-6"},{"issue":"1792","key":"e_1_3_2_3_2","first-page":"11","article-title":"Managing lower urinary tract symptoms in men","volume":"260","author":"MacKenzie KR","year":"2016","unstructured":"MacKenzie KR, Aning JJ. 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