Journal List > Korean J Adult Nurs > v.31(3) > 1128023

Kim, Jang, Choi, and Oh: The Effect of Post-prostatectomy Urinary Incontinence on Health-related Quality of Life in Patients with Prostate Cancer

Abstract

Purpose

The purpose of this study was to examine the degree of Health-Related Quality of Life (HRQoL), and determine the effect of Urinary Incontinence (UI) on HRQoL in patients after prostatectomy.

Methods

The participants were 110 adults who had undergone radical prostatectomies at Severance Hospital in Seoul, Korea. The data of this cross-sectional study were collected between April 10, 2015, and June 12, 2015. The questionnaire included demographic and disease-related characteristics, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the King's Health Questionnaire (KHQ). Descriptive statistics and multiple linear regression were used.

Results

The mean age was 66.27±7.24 years. The mean score of HRQoL was 47.37 (range 0~100). The lowest-ranked domains were “physical limitations” (M=51.21) and “role limitations” (M=49.85). The HRQoL was significantly different according to the number of post-operative day. HRQoL was significantly correlated with UI, and was affected by UI. The regression model of this study accounted for 70% of the HRQoL.

Conclusion

UI might influence HRQoL in patients after prostatectomy. Nursing interventions with special consideration of UI are needed to improve their HRQoL.

Figures and Tables

Table 1

Demographic and Clinical Characteristics of Patients (N=110)

kjan-31-293-i001

BMI=body mass index; DM=diabetes mellitus; LRP=laparoscopic radical prostatectomy; POD=post operative day; RALP=robotic-assisted laparoscopic prostatectomy; RRP=radical retropubic prostatectomy.

Table 2

Urinary Incontinence and Health related Quality of Life in Patients after Prostatectomy (N=110)

kjan-31-293-i002

UI=urinary incontinence; HRQoL=helath related quality of life.

Table 3

Differences in Health related Quality of Life according to the General Characteristics of Patients (N=110)

kjan-31-293-i003

BMI=body mass index; DM=diabetes mellitus; HRQoL=health related quality of life; LRP=laparoscopic radical prostatectomy; POD=post operative day;RALP=robotic-assisted laparoscopic prostatectomy; RRP=radical retropubic prostatectomy; Equal variances not assumed; a, b, c, d, e, f=group for Scheffé test.

Table 4

Factors influencing HRQOL in Patients after Prostatectomy (N=110)

kjan-31-293-i004

BMI=body mass index; DM=diabetes mellitus; LRP=laparoscopic radical prostatectomy; OP=operation; POD=post operative day; RALP=robotic-assisted laparoscopic prostatectomy; RRP=radical retropubic prostatectomy.

ACKNOWLEDGEMENT

This article is a condensed form of the first author's master's thesis from Yonsei University.

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

AUTHORSHIP

  • Study conception and design acquisition - KJH, JYS, CYD and OEG.

  • Data collection - KJH, CYD.

  • Analysis and interpretation of the data - KJH, JYS and OEG.

  • Drafting and critical revision of the manuscript - KJH and OEG.

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TOOLS
ORCID iDs

Jeong Hyun Kim
https://orcid.org/0000-0002-2339-3703

Yeon Soo Jang
https://orcid.org/0000-0002-1898-025X

Young Deuk Choi
https://orcid.org/0000-0002-8545-5797

Eui Geum Oh
https://orcid.org/0000-0002-6941-0708

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