Asian Oncol Nurs.  2015 Sep;15(3):163-170. 10.5388/aon.2015.15.3.163.

Educational Needs for Sexual Health and Its Effect on Depression and the Quality of Life in Patients with Prostate Cancer

• Oh S
• Ryu E

• KMID: 2069534
• DOI: http://doi.org/10.5388/aon.2015.15.3.163

Abstract

PURPOSE
The purpose of this study was to explore educational needs for sexual health, to identify relations among educational needs for sexual health, depression and quality of life, and to identify the factors affecting quality of life in patients with prostate cancer aged > 40 years.
METHODS
A sample of 78 patients was recruited from a university hospital in Seoul. A cross-sectional design was used in which participants completed the questionnaires to assess educational needs for sexual health, depression and quality of life. The data were analyzed using the t-test, ANOVA, correlation analysis and stepwise regression analysis.
RESULTS
The quality of life of participants differed significantly by occupation status before and after diagnosis, stage at diagnosis, underlying disease, performance status, and in the Gleason sum score. Stepwise regression analysis of the data showed that depression, sexual interaction, Gleason sum score, and occupation since diagnosis were the statistically significant factors associated with quality of life of patients with prostate cancer. This regression model explained 55.1% of the quality of life.
CONCLUSION
These results indicate that depression and sexual interaction had the greatest impact on quality of life in prostate cancer patients. In clinical practice, we recommend that healthcare professionals take the initiative to provide adequate and accurate information about sexual health to prostate cancer survivors.

Keyword

Prostatic Neoplasms; Educational Needs Assessment; Depression; Quality of Life

MeSH Terms

Delivery of Health Care
Depression*
Diagnosis
Humans
Needs Assessment
Occupations
Prostate*
Prostatic Neoplasms*
Quality of Life*
Reproductive Health*
Seoul
Survivors

Reference

1. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015; 47(2):127–141.

2. Choe JH, Lee HM, Chai SE, Choi HY. Long-term health-related quality of life in patients with prostate cancer after treatment. Korean J Urol. 2004; 45:878–889.

3. Yang GJ, Kang JH, Suh IS, Kim HY. Health-related quality of life and depression after radical prostatectomy or hormonal therapy. Asian Oncol Nurs. 2013; 13:248–255.

4. World Health Organization. Health Topics. 2013. Accessed May 1, 2013. http://www.who.int/topics/sexual_health/en/.

5. Woo GJ. A study on depressive mood and educational demand level of the elderly. J Educ Res. 2009; 30(1):31–52.

6. Kim MY, Lee CS. Research trends of "cancer-related depression": analysis using MeSH in PubMed. Proc Korean Soc Inf Manage Conf. 2012; 2012:143–146.

7. Kim DS, Byun SS, Lee SE, Lee ES, Choi HY, Chung BH, et al. The features and prognosis of korean who underwent radical prostatectomy in prostate cancer. Korean J Urol Oncol. 2010; 8:40–46.

8. Lee HW, Lee JY, Kim SW, Lee CB, Kang SH, Cho YH, et al. Pain relief and quality of life assessment following combined chemotheraphy with mitoxantrone and prednisone. J Korean Soc Chemother. 2000; 18:325–334.

9. Jun SS, Kim DH, Kim MY. Sleep disturbance in prostate cancer patients. J Korean Acad Fundam Nurs. 2010; 17:169–176.

10. Cho IR, Jung YH, Lee KC, Jeon JS, Kim JG, Park SS. Affecting factors on erectile dysfunction after radical prostatectomy and treatment. Korean J Androl. 2005; 23:122–126.

11. Song YA. Degree of sexual health educational needs of the hysterectomy patients and the degree of nurses' sexual health educational performances perceived by patients [master's thesis]. Seoul: KyungHee Univ.;2002.

12. Noh S, Kaspar V, Chen X. Measuring depression in korean immigrants: Assessing validity of the translated korean version of CES-D scale. Cross Cult Res. 1998; 32:358–377.

13. Functional Assessment of Chronic Illness Therapy (FACIT) system Website. Accessed October 29, 2012. http://www.facit.org/FACITOrg/Questionnaires.

14. Esper P, Mo F, Chodak G, Sinner M, Cella D, Pienta KJ. Measuring quality of life in men with prostate cancer using the functional assessment of cancer therapy-prostate instrument. Urology. 1997; 50:920–928.

15. Chun N, Park YS. Sexual functioning in women with gynecologic cancer. Korean J Women Health Nurs. 2006; 12:308–315.

16. Crowe H, Costello AJ. Prostate cancer: Perspectives on quality of life and impact of treatment on patients and their partners. Urol Nurs. 2003; 23:279–285.

17. Na DS, Kim YS. The impact of the elderly's sexual life and sexual attitude on their life satisfaction. J Welf Aged. 2011; 52:185–203.

18. Kim YS. Experiencing life of a senior prostate cancer patient [master's thesis]. Nonsan: Kunyang Univ.;2012.

19. Choi DR, Han SS, Jeong SH, Phee YG, Kim H. Influence of somatic symptoms and depression on sexual function in elderly men. J Korean Soc Health Inf Health Stat. 2012; 37:53–63.

20. Ha EH, Seo JE, Jung J, Yang JH, Nam SJ, Lee JU, et al. Biopsychosocial predictors of depressive disorder in breast cancer patients. Korean J Clin Psychol. 2008; 27:961–976.

21. Baek HW. The relation between comprehensive healthcare needs of cancer patient and the quality of life [master's thesis]. Seoul: Ewha Womans Univ.;2013.

22. Kim KE. Relationship between fatigue and Quality of life of hospitalized patients with stomach cancer [master's thesis]. Pusan: Kosin Univ.;2003.

23. Wonghongkul T, Moore SM, Musil C, Schneider S, Deimling G. The influence of uncertainty in illness, stress appraisal, and hope on coping in survivors of breast cancer. Cancer Nurs. 2000; 23:422–429.

24. Kim EY, Kim OS. The learning needs related to cancer treatment among elderly with cancer. Nurs Sci. 2003; 25:11–23.

25. Seo MS, Choi ES. Knowledge and learning needs related to cancer treatment in gynecological cancer patients. J Korean Acad Nurs. 2006; 36:942–949.

26. Yi MS, Lee EO, Park YS, Choe KJ, Noh DY. A descriptive study on educational and counseling needs of breast cancer patients based on the treatment stages. Asian Oncol Nurs. 2003; 3:5–14.

27. Kim JS. Postoperative quality of life in patients with papillary thyroid cancer. J Korea Acad Ind Coop Soc. 2011; 12:1260–1269.

28. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Asian Oncol Nurs. 2012; 12:27–34.

29. Park H, Yoon HG. Menopausal symptoms, sexual function, depression, and quality of life in korean patients with breast cancer receiving chemotherapy. Support Care Cancer. 2013; 21:2499–2507.

30. Ryu E, Kim K, Cho MS, Kwon IG, Kim HS, Fu MR. Symptom clusters and quality of life in korean patients with hepatocellular carcinoma. Cancer Nurs. 2010; 33:3–10.