Factors Affecting Quality of Life in Patients with Radical Prostatectomy

Hyo Jung Park; Yoonju Lee

doi:10.7475/kjan.2019.31.2.190

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Park and Lee: Factors Affecting Quality of Life in Patients with Radical Prostatectomy

Original Article

Korean Journal of Adult Nursing 2019; 31(2): 190-201.

Published online: 20 April 2019

DOI: https://doi.org/10.7475/kjan.2019.31.2.190

Factors Affecting Quality of Life in Patients with Radical Prostatectomy

Hyo Jung Park¹

, Yoonju Lee²

¹MSN, RN, Department of Nursing, Graduate School of Pusan National University, Yangsan, Korea.

²Associate Professor, College of Nursing, Pusan National University, Yangsan, Korea.

Corresponding author: Lee, Yoonju. College of Nursing, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 50612, Korea. Tel: +82-51-510-8361, Fax: +82-51-510-8308, lyj@pusan.ac.kr

Received 14 January 2019 Revised 21 February 2019 Accepted 25 March 2019

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aimed to identify the factors affecting the quality of life of patients with radical prostatectomy.

Methods

Participants included 114 patients with radical prostatectomy in Pusan National University Hospital in Busan, Korea. Data were collected from May to July 2018, using a structured questionnaire measuring quality of life, erectile dysfunction, lower urinary tract symptoms, appraisal of uncertainty, resilience, educational needs for sexual health, and marital intimacy. Data were analyzed using descriptive statistics, an independent t-test, a one-way analysis of variance, and hierarchical multiple regression.

Results

The statistically significant regression model explained about 77% of the variance in quality of life. Appraisal of uncertainty as an opportunity, appraisal of uncertainty as a danger, and resilience were identified as factors influencing the participants' quality of life.

Conclusion

In order to improve the quality of life of patients with radical prostatectomy, it is necessary to reduce uncertainty through providing practical information on uncertain situations, and the programs should be applied that can lower the danger aspect of uncertainty, increase the opportunity factor of uncertainty, and increase the resilience of the patient himself.

Keywords: Prostatectomy, Quality of life, Resilience, psychological, Lower urinary tract symptoms, Erectile dysfunction

Figures and Tables

Table 1

Socio-demographic and Disease-related Characteristics of Patients (N=114)

PFME=pelvic floor muscle exercise; ^†Hypertension, diabetes, cardiac disease, etc.

Table 2

Erectile Dysfunction, Lower Urinary Tract Symptoms, Appraisal of Uncertainty, Resilience, Educational Needs for Sexual Health, Marital Intimacy, and Quality of Life in Patients with Radical Prostatectomy (N=114)

LUTS=lower urinary tract symptoms; FACT-G=functional assessment of cancer therapy-general; FACT-P=functional assessment of cancer therapy-prostate.

Table 3

Differences in Quality of Life according to Socio-demographic, Disease-related Characteristics, Erectile Dysfunction, and Lower Urinary Tract Symptoms (N=114)

PFME=pelvic floor muscle exercise; LUTS=lower urinary tract symptoms; ^‡Scheffé test.

Table 4

Correlation of Appraisal of Uncertainty, Resilience, Educational Needs for Sexual Health, Marital Intimacy and Quality of Life in Patients with Radical Prostatectomy (N=114)

FACT-P=functional assessment of cancer therapy-prostate.

Table 5

Factors Affecting Quality of Life in Patients with Radical Prostatectomy (N=114)

SE=standard error; LUTS=lower urinary tract symptoms.

ACKNOWLEDGEMENT

This manuscript is a revision of the first author's master thesis from Pusan National University.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

^AUTHORSHIP

Study conception and design acquisition - PHJ and LY
Data collection - PHJ
Analysis and interpretation of the data - PHJ and LY
Drafting and critical revision of the manuscript - PHJ and LY.

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ORCID iDs

Hyo Jung Park
https://orcid.org/0000-0002-2988-7608

Yoonju Lee
https://orcid.org/0000-0001-9378-7022

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