전립선암환자의 성건강 교육요구와 우울, 삶의 질
Educational Needs for Sexual Health and Its Effect on Depression and the Quality of Life in Patients with Prostate Cancer
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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.
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.
참고문헌 (30)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2012", Cancer Research and Treatment, 47(2), pp.127~141 (2015), 대한암학회[DOI]
- 최진호, "전립선암 환자에서 치료 후 건강 관련 삶의 질 변화", Investigative and Clinical Urology, 45(9), pp.878~889 (2004), 대한비뇨기과학회
- 양금자, "근치적 전립선절제술이나 호르몬치료 후의 건강관련 삶의 질과 우울", Asian Oncology Nursing, 13(4), pp.248~255 (2013), 대한종양간호학회
- "Health Topics" (2013)[URL]
- Woo GJ, "A study on depressive mood and educational demand level of the elderly", J Educ Res, 30(1), pp.31~52 (2009)
- Kim MY, "Research trends of “cancer-related depression”: analysis using MeSH in PubMed", Proc Korean Soc Inf Manage Conf, 2012, pp.143~146 (2012)
- Kim DS, "The features and prognosis of korean who underwent radical prostatectomy in prostate cancer", Korean J Urol Oncol, 8, pp.40~46 (2010)
- Lee HW, "Pain relief and quality of life assessment following combined chemotheraphy with mitoxantrone and prednisone", J Korean Soc Chemother, 18, pp.325~334 (2000)
- 전성숙, "전립선암환자의 수면장애", 기본간호학회지, 17(2), pp.169~176 (2010), 기본간호학회
- 조인래, "근치적 전립선적출술 후 발기부전에 영향을 미치는 요인 및 치료", The World Journal of Men's Health, 23(3), pp.122~126 (2005), 대한남성과학회
- 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, pp.2002
- Noh S, "Measuring depression in korean immigrants : Assessing validity of the translated korean version of CES-D scale", Cross Cult Res, 32, pp.358~377 (1998)
- "Functional Assessment of Chronic Illness Therapy (FACIT) system Website"[URL]
- Esper P, "Measuring quality of life in men with prostate cancer using the functional assessment of cancer therapy-prostate instrument", Urology, 50, pp.920~928 (1997)
- 전나미, "부인암 환자의 성기능 조사", 여성건강간호학회지, 12(4), pp.308~315 (2006), 여성건강간호학회
- Crowe H CA, "Prostate cancer: Perspectives on quality of life and impact of treatment on patients and their partners", Urol Nurs, 23, pp.279~285 (2003)
- 나동석, "노인의 성생활과 성태도가 삶의 만족도에 미치는 영향", 노인복지연구, 52(52), pp.185~204 (2011), 한국노인복지학회
- Kim YS, "Experiencing life of a senior prostate cancer patient", master, pp.2012
- 최두래, "남성 노인의 신체증상 및 우울이 성기능에 미치는 영향", 보건정보통계학회지, 37(1), pp.53~63 (2012), 한국보건정보통계학회
- 하은혜, "유방암 환자의 우울장애 예측변인", Korean Journal of Clinical Psychology, 27(4), pp.961~976 (2008), 한국임상심리학회
- Baek HW, "The relation between comprehensive healthcare needs of cancer patient and the quality of life", master, pp.2013
- Kim KE, "Relationship between fatigue and Quality of life of hospitalized patients with stomach cancer", master, pp.2003
- Wonghongkul T, "The influence of uncertainty in illness, stress appraisal, and hope on coping in survivors of breast cancer", Cancer Nurs, 23, pp.422~429 (2000)
- Kim EY, "The learning needs related to cancer treatment among elderly with cancer", Nurs Sci, 25, pp.11~23 (2003)
- 서미숙, "부인암환자의 항암치료에 대한 지식정도 및 교육요구도", Journal of Korean Academy of Nursing, 36(6), pp.942~949 (2006), 한국간호과학회
- 이명선, "치료시기에 따른 유방암 환자들의 교육 및 상담 요구에 관한 조사 연구", Asian Oncology Nursing, 3(1), pp.5~14 (2003), 대한종양간호학회
- 김주성, "갑상선 유두암환자의 수술 후 삶의 질", 한국산학기술학회논문지, 12(3), pp.1260~1269 (2011), 한국산학기술학회
- 변혜선, "유방암 환자의 피로, 통증, 불안, 우울이 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(1), pp.27~34 (2012), 대한종양간호학회
- Park H, "Menopausal symptoms, sexual function, depression, and quality of life in korean patients with breast cancer receiving chemotherapy", Support Care Cancer, 21, pp.2499~2507 (2013)
- Ryu E, "Symptom clusters and quality of life in korean patients with hepatocellular carcinoma", Cancer Nurs, 33, pp.3~10 (2010)