Korean J Adult Nurs.  2019 Apr;31(2):190-201. 10.7475/kjan.2019.31.2.190.

Factors Affecting Quality of Life in Patients with Radical Prostatectomy

• Park HJ
• Lee Y

• KMID: 2444137
• DOI: http://doi.org/10.7475/kjan.2019.31.2.190

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.

MeSH Terms

Busan
Erectile Dysfunction
Humans
Korea
Lower Urinary Tract Symptoms
Male
Prostatectomy*
Quality of Life*
Reproductive Health
Resilience, Psychological
Uncertainty

Reference

1. National Cancer Information Center (KR). Survival rates [Internet]. Gyeonggi-do: National Cancer Information Center (KR);2019. cited 2019 January 07. Available from: https://www.cancer.go.kr/lay1/S1T648C650/contents.do.

2. Giannantoni A, Mearini E, Di Stasi SM, Mearini L, Bini V, Pizzirusso G, et al. Assessment of bladder and urethral sphincter function before and after radical retropubic prostatectomy. The Journal of Urology. 2004; 171(4):1563–1566. DOI: 10.1097/01.ju.0000118957.24390.66.

3. Nam KH, Tae YS, Kim CS, Lee SM. Influence of uncertainty and uncertainty appraisal on quality of life in prostate cancer patients after prostatectomy. Asian Oncology Nursing. 2017; 17(1):45–54. DOI: 10.5388/aon.2017.17.1.45.

4. Bober SL, Varela VS. Sexuality in adult cancer survivors: challenges and intervention. Journal of Clinical Oncology. 2012; 30(30):3712–3719. DOI: 10.1200/JCO.2012.41.7915.

5. Cha K, Kim K. Impact of uncertainty on resilience in cancer patients. Asian Oncology Nursing. 2012; 12(2):139–146. DOI: 10.5388/aon.2012.12.2.139.

6. Bailey DE, Wallace M, Mishel MH. Watching, waiting and uncertainty in prostate cancer. Journal of Clinical Nursing. 2007; 16(4):734–741. DOI: 10.1111/j.1365-2702.2005.01545.x.

7. Kim JI, Byeon YS. A study on the factors affecting resilience in patients with colon cancer. Asian Oncology Nursing. 2013; 13(4):256–264. DOI: 10.5388/aon.2013.13.4.256.

8. Kim YM, Jung HJ, Oh EG. Influences of resilience and social support on postoperative recovery among patients with gastrointestinal cancer. Korean Journal of Adult Nursing. 2017; 29(4):432–440. DOI: 10.7475/kjan.2017.29.4.432.

9. Sharpley CF, Bitsika V, Wootten AC, Christie DRH. Does resilience ‘buffer’ against depression in prostate cancer patients? A multi-site replication study. European Journal of Cancer Care. 2014; 23(4):545–552. DOI: 10.1111/ecc.12170.

10. Song YA, Shin HS. Degree of hysterectomy patients' educational needs and nurses' educational performance on sexual health education. Korean Journal of Women Health Nursing. 2004; 10(2):99–108.

11. Potosky AL, Legler J, Albertsen PC, Stanford JL, Gilliland FD, Hamilton AS, et al. Health outcomes after prostatectomy or radiotherapy for prostate cancer: results from the prostate cancer outcomes study. Journal of the National Cancer Institute. 2000; 92(19):1582–1592. DOI: 10.1093/jnci/92.19.1582.

12. Soloway CT, Soloway MS, Kim SS, Kava BR. Sexual, psychological and dyadic qualities of the prostate cancer 'couple'. British Journal of Urology International. 2005; 95(6):780–785. DOI: 10.1111/j.1464-410X.2005.05400.x.

13. Kong SS. A marital-relationship enhancement program for couples: randomized controlled trial. Journal of Korean Academy of Nursing. 2005; 35(6):991–1003. DOI: 10.4040/jkan.2005.35.6.991.

14. Kim SN. A structural model for quality of life in women having hysterectomies. Journal of Korean Academy of Nursing. 1999; 29(1):161–173. DOI: 10.4040/jkan.1999.29.1.161.

15. Park J-H, Bae SH, Lee E. The influence of marital intimacy on mental health and quality of life in breast cancer survivors. Korean Journal of Health Promotion. 2010; 10(4):177–184.

16. Zajdlewicz L, Hyde MK, Lepore SJ, Gardiner RA, Chambers SK. Health-related quality of life after the diagnosis of locally advanced or advanced prostate cancer. Cancer Nursing. 2017; 40(5):412–419. DOI: 10.1097/NCC.0000000000000432.

17. Oh S, Ryu E. Educational needs for sexual health and its effect on depression and the quality of life in patients with prostate cancer. Asian Oncology Nursing. 2015; 15(3):163–170. DOI: 10.5388/aon.2015.15.3.163.

18. Park JE, Lee HJ. The effect of telephone-enforced pelvic floor muscle exercise on incontinence, urinary function related satisfaction, depression, and quality of life for prostate cancer patients. Korean Journal of Adult Nursing. 2015; 27(4):406–417. DOI: 10.7475/kjan.2015.27.4.406.

19. Walsh E, Hegarty J. Men's experiences of radical prostatectomy as treatment for prostate cancer. European Journal of Oncology Nursing. 2010; 14(2):125–133. DOI: 10.1016/j.ejon.2009.10.003.

20. Kim JC, Cho KJ. Current trends in the management of postprostatectomy incontinence. Korean Journal of Urology. 2012; 53(8):511–518. DOI: 10.4111/kju.2012.53.8.511.

21. Lepor H, Kaci L. The impact of open radical retropubic prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. The Journal of Urology. 2004; 171(3):1216–1219. DOI: 10.1097/01.ju.0000113964.68020.a7.

22. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. Journal of Clinical Oncology. 1993; 11(3):570–579. DOI: 10.1200/JCO.1993.11.3.570.

23. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997; 49(6):822–830. DOI: 10.1016/S0090-4295(97)00238-0.

24. Chung TG, Lee TK, Chung S, Lee MS, Kim YS, Ahn TY. The Korean version of the international index of erectile function (IIEF): reliability and validation study. Korean Journal of Urology. 1999; 40(10):1334–1343.

25. Barry MJ, Fowler FJ Jr, O'leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, et al. The American urological association symptom index for benign prostatic hyperplasia. The Journal of Urology. 2017; 197:suppl 2. S189–S197. DOI: 10.1016/j.juro.2016.10.071.

26. Choi HR, Chung WS, Shim BS, Kwon SW, Hong SJ, Chung BH, et al. Translation validity and reliability of I-PSS Korean version. Korean Journal of Urology. 1996; 37(6):659–665.

27. Mishel MH, Sorenson DS. Uncertainty in gynecological cancer: a test of the mediating functions of mastery and coping. Nursing Research. 1991; 40(3):167–171.

28. Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson Resilience Scale(CD-RISC). Depression and Anxiety. 2003; 18(2):76–82. DOI: 10.1002/da.10113.

29. Waring EM, Reddon JR. The measurement of intimacy in marriage: the waring intimacy questionnaire. Journal of Clinical Psychology. 1983; 39(1):53–57. DOI: 10.1002/1097-4679(198301)39:1<53::AID-JCLP2270390110>3.0.CO;2-0.

30. Montgomery DC, Peck EA, Vining GG. Introduction to linear regression analysis. 5th ed. New Jersey: Wiley;2012. p. 285–326.

31. Lee J. Sexual life, sexual satisfaction and quality of life in elderly patients with prostate cancer [master's thesis]. Seoul: Korea University;2015. 26–34.

32. Hoyland K, Vasdev N, Abrof A, Boustead G. Post-radical prostatectomy incontinence: etiology and prevention. Reviews in Urology. 2014; 16(4):181–188.

33. Chae J, Kim Y. Factors influencing the quality of life of prostate cancer patients. Asian Oncology Nursing. 2017; 17(4):237–245. DOI: 10.5388/aon.2017.17.4.237.

34. Jun CY. The effect of happiness enhancement program based upon character strengths on resilience and happiness of stroke patients [master's thesis]. Daegu: Keimyung University;2018. 39–43.

35. Kim HW, Choi-Kwon S. Structural equation modeling on quality of life in pre-dialysis patients with chronic kidney disease. Journal of Korean Academy of Nursing. 2012; 42(5):699–708. DOI: 10.4040/jkan.2012.42.5.699.