근치적자궁절제술 후 배뇨장애가 자궁경부암 여성의 삶의 질에 미치는 영향
Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
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Purpose: This study was conducted to identify the quality of life (QOL) and the influence of urinary dysfunction on QOL in women with cervical cancer after radical hysterectomy. Methods: A secondary analysis was conducted using data collected for a previous study of Chun et al. and the same subjects of a group of 157 cervical cancer patients. Novel data from the EORTC QLQ-C30 and QLQ-CX24 were used in addition to the results of urinary dysfunction from the previous study. Descriptive analysis of EORTC QLQ-C30 and QLQCX24 results and a multiple regression analysis were conducted to explore the influence of urinary dysfunction on global QOL. Results: Subjects showed low QOL especially for social, physical and role function in the EORTC QLQ-C30 as well as the QLQ-CX24. Intensity of urinary dysfunction (p<.001) as well as daily life distress due to urinary dysfunction (p<.001) were the most significant factors affecting QOL in women with cervical cancer after radical hysterectomy. Conclusion: Results suggest that oncology nurses should pay attention to the relatively low QOL of post-hysterectomy patients. They should also consider the influence of urinary dysfunction on QOL when developing nursing intervention programs to increase the QOL for women with cervical cancer after radical hysterectomy.
Abstract
Purpose: This study was conducted to identify the quality of life (QOL) and the influence of urinary dysfunction on QOL in women with cervical cancer after radical hysterectomy. Methods: A secondary analysis was conducted using data collected for a previous study of Chun et al. and the same subjects of a group of 157 cervical cancer patients. Novel data from the EORTC QLQ-C30 and QLQ-CX24 were used in addition to the results of urinary dysfunction from the previous study. Descriptive analysis of EORTC QLQ-C30 and QLQCX24 results and a multiple regression analysis were conducted to explore the influence of urinary dysfunction on global QOL. Results: Subjects showed low QOL especially for social, physical and role function in the EORTC QLQ-C30 as well as the QLQ-CX24. Intensity of urinary dysfunction (p<.001) as well as daily life distress due to urinary dysfunction (p<.001) were the most significant factors affecting QOL in women with cervical cancer after radical hysterectomy. Conclusion: Results suggest that oncology nurses should pay attention to the relatively low QOL of post-hysterectomy patients. They should also consider the influence of urinary dysfunction on QOL when developing nursing intervention programs to increase the QOL for women with cervical cancer after radical hysterectomy.
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