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전립선암 수술 환자의 불확실성, 불확실성 평가가 삶의 질에 미치는 영향

Influence of Uncertainty and Uncertainty Appraisal on Quality of Life in Prostate Cancer Patients after Prostatectomy

이상미|김청수|태영숙|남금희
대한종양간호학회 (Korean Oncology Nursing Society)|2017.03|Asian Oncology Nursing|제17권 제1호|pp. 45-54

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참고문헌

키워드

삶의 질불확실성UncertaintyQuality of Life전립선암수술ProstatectomyProstatic Neoplasms
주제분류간호학

초록

Purpose : The purpose of this study was to determine the impact of uncertainty and uncertainty appraisal on quality of life (QoL) among prostate cancer patients after prostatectomy. Methods : A descriptive correlational study was conducted with 117 participants at a hospital in S city from October 1 to December 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients and stepwise multiple regression using the IBM SPSS/WIN 21.0 program. Results : According to a multiple regression model of the factors affecting QoL among prostate cancer patients after the operation, 61% of variance (F=13.92, p<.001) was explained by metastasis, recurrence, monthly income, uncertainty, uncertainty danger appraisal, and uncertainty opportunity appraisal. And the most influential factor in the QoL was uncertainty danger appraisal (β=-.37, p<.001). Conclusions : This study demonstrated that QoL was influenced by uncertainty, uncertainty appraisal and personal characteristics. Prostate cancer patients following prostatectomy should be provided with tailored training to improve their uncertainty opportunity appraisal. Also the educational program for reducing their uncertainty should be developed and provided to patients.

Abstract

Purpose : The purpose of this study was to determine the impact of uncertainty and uncertainty appraisal on quality of life (QoL) among prostate cancer patients after prostatectomy. Methods : A descriptive correlational study was conducted with 117 participants at a hospital in S city from October 1 to December 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients and stepwise multiple regression using the IBM SPSS/WIN 21.0 program. Results : According to a multiple regression model of the factors affecting QoL among prostate cancer patients after the operation, 61% of variance (F=13.92, p<.001) was explained by metastasis, recurrence, monthly income, uncertainty, uncertainty danger appraisal, and uncertainty opportunity appraisal. And the most influential factor in the QoL was uncertainty danger appraisal (β=-.37, p<.001). Conclusions : This study demonstrated that QoL was influenced by uncertainty, uncertainty appraisal and personal characteristics. Prostate cancer patients following prostatectomy should be provided with tailored training to improve their uncertainty opportunity appraisal. Also the educational program for reducing their uncertainty should be developed and provided to patients.

참고문헌 (30)

  1. "Survival rates"[URL]
  2. Bach P, "Quality of life of patients after retropubic prostatectomy - pre- and postoperative scores of the EORTC QLQ-C30 and QLQ-PR25", Health Qual Life Outcomes, 9, pp.93~ (2011)
  3. 태영숙, "암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계", 재활간호학회지, 4(2), pp.219~231 (2001), 한국재활간호학회
  4. 최진호, "전립선암 환자에서 치료 후 건강 관련 삶의 질 변화", Investigative and Clinical Urology, 45(9), pp.878~889 (2004), 대한비뇨기과학회
  5. 양금자, "근치적 전립선절제술이나 호르몬치료 후의 건강관련 삶의 질과 우울", Asian Oncology Nursing, 13(4), pp.248~255 (2013), 대한종양간호학회
  6. Bailey DE Jr, "Watching, waiting and uncertainty in prostate cancer", J Clin Nurs, 16, pp.734~741 (2007)
  7. Resnick MJ, "Factors associated with satisfaction with prostate cancer care: results from cancer of the prostate strategic urologic research endeavor (CaPSURE)", BJU Int, 111, pp.213~220 (2013)
  8. Wallace M, "Uncertainty and quality of life of older men who undergo watchful waiting for prostate cancer", Oncol Nurs Forum, 30, pp.303~309 (2003)
  9. 오순영, "전립선암환자의 성건강 교육요구와 우울, 삶의 질", Asian Oncology Nursing, 15(3), pp.163~170 (2015), 대한종양간호학회
  10. Punnen S, "Longterm health-related quality of life after primary treatment for localized prostate cancer: results from the CaPSURE registry", Eur Urol, 68, pp.600~608 (2015)
  11. 최진호, "전립선암의 근치전립선절제술과 외부방사선요법 후 삶의 질과 성기능의 변화", Investigative and Clinical Urology, 46(9), pp.962~969 (2005), 대한비뇨기과학회
  12. Park JE, "Factors related to the quality of life of prostate cancer patients scheduled for prostatectomy within 2 weeks", Glob Health Nurs, 5, pp.38~44 (2015)
  13. Hoyland K, "Post-radical prostatectomy incontinence: etiology and prevention", Rev Urol, 16, pp.181~188 (2014)
  14. 장형숙, "혈액투석 환자의 불확실성과 불확실성 평가가 자기관리에 미치는 영향", Journal of Korean Academy of Nursing, 45(2), pp.271~279 (2015), 한국간호과학회
  15. Mishel MH, "Uncertainty in illness", Image J Nurs Sch, 20, pp.225~232 (1988)
  16. 차경숙, "암환자의 질병에 대한 불확실성이 극복력에 미치는 영향에 관한 연구", Asian Oncology Nursing, 12(2), pp.139~146 (2012), 대한종양간호학회[DOI]
  17. Lee MJ, "Uncertainty, appraisal of uncertainty and health-related quality of life in recovering clients discharged from hospital after CABG", pp.2009
  18. 김경덕, "항암화학요법을 받고 있는 유방암 환자의 증상 클러스터와 삶의 질", 성인간호학회지, 23(5), pp.434~445 (2011), 한국성인간호학회
  19. Lee IS, "Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases", pp.2005
  20. 김윤선, "유방암 생존자의 삶의 질 영향요인", Asian Oncology Nursing, 11(3), pp.221~228 (2011), 대한종양간호학회
  21. 전소연, "방사선 치료 중인 암환자의 극복력과 삶의 질 예측모형", Asian Oncology Nursing, 15(4), pp.228~238 (2015), 대한종양간호학회
  22. 김준철, "Current Trends in the Management of Post-Prostatectomy Incontinence", Investigative and Clinical Urology, 53(8), pp.511~518 (2012), 대한비뇨기과학회
  23. Mishel MH, "The measurement of uncertainty in illness", Nurs Res, 30, pp.258~263 (1981)
  24. 정재원, "항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응", 여성건강간호학회지, 11(1), pp.58~66 (2005), 한국여성건강간호학회
  25. Mishel MH, "Uncertainty in gynecological cancer: a test of the mediating functions of mastery and coping", Nurs Res, 40, pp.167~171 (1991)
  26. Cella DF, "The functional assessment of cancer therapy scale: development and validation of the general measure", J Clin Oncol, 11, pp.570~579 (1993)
  27. Kim SY, "Uncertainty and related factors in young women with breast cancer", pp.2015
  28. Kazer MW, "Uncertainty and perception of danger among patients undergoing treatment for prostate cancer", BJU Int, 111, pp.E84~E91 (2013)
  29. 김혜란, "관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계", 임상간호연구, 20(3), pp.279~289 (2014), 병원간호사회
  30. Lin YH, "Changes in quality of life among prostate cancer patients after surgery", Cancer Nurs, 35, pp.476~482 (2012)

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