중년 남성 전립선비대증 환자의 건강 관련 삶의 질 영향 요인
Factors Affecting Health-related Quality of Life in Middle-aged Male Patients with Benign Prostatic Hyperplasia
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연구배경: 전립선비대증(BPH)은 중년 남성에서 흔히 발생하며 유병률이 증가하고 있다. 전립선비대 증상으로 인한 정신건강상의 문제는 환자의 HRQoL을 저하시킨다. 이에 본 연구는 중년 남성 BPH 환자의 HRQoL에 영향을 주는 요인들을 확인해보았다. 방법: 대구광역시에 위치한 파티마병원의 중년 남성BPH 환자 124명을 대상으로 설문조사를 수행하여 자료를수집하였으며, SPSS WIN ver. 18.0을 이용해 자료를 분석하였다. 결과: 대상자 BPH의 중증도는 중등증(54%), 중증(31.5%), 경증(14.5%)으로 나타났으며 HRQoL 평균 점수는 3.78점이었다. 각 영역별 점수는 ‘일상생활 활동장애’가 4.18점, ‘전립선비대 증상으로 인한 불편감’이 3.95점, ‘전반적인 심리상태’가 3.69점, ‘질병과 관련된 걱정근심’이 3.65점, ‘성생활’이 2.93점이었다. BPH 증상의 중증도, 지각된 건강상태, 전립선 크기가 나열된 순서대로 HRQoL에 영향을 주는 것으로 나타났다. 요인들의 결정 값은 63.0%였다. BPH 증상의 중증도가 낮을수록 지각된 건강상태가 높았고 전립선크기가 작을수록 HRQoL이 높음을 확인하였다. 결론: 중년 남성 환자의 HRQoL은 전립선비대 증상, 지각된 건강상태, 전립선 크기와 상관이 있음을 확인하였다. 이에 본 연구는 BPH 증상을 완화시키고 전립선 크기를 줄여주는 약의 복용을 격려해야 하며 지속적인 교육, 맞춤형치료 및 간호를 제공해야 할 근거를 제시하였다.
Abstract
Background:This study was conducted to provide a fundamental data and improve health-related quality of life (HRQoL) in increasing population of middle-aged male patients with benign prostatic hyperplasia (BPH) by investigating and analyzing the factors affecting the HRQoL. Methods:The survey was performed with 124 middle-aged male BPH patients of Fatima hospital located in Daegu city. The data were collected by questionnaires and were analyzed by using SPSS WIN ver. 18.0 (IBM Corp., New York, NY, USA). Results:Severity of BPH in participants was classified into moderate (54%), severe (31.5%), and mild (14.5%). The mean HRQoL score was 3.78 points. The scores in each section were 4.18 points for ‘disability of daily living activity’, 3.95 points for ‘discomfort due to BPH’, 3.69 points for ‘psychological state’, 3.65 points for ‘anxiety’ and 2.93 points for ‘sex life’. Perceived health state presented positive correlation with HRQoL and negative correlation with BPH symptoms. The BPH symptoms showed negative correlation with HRQoL. The level of BPH symptoms, perceived health status and prostate volume were revealed to influence the HRQoL in the order of the degree of influence. The factors’ determination value was 63.0%. Conclusions:It was confirmed that the lower the patient’s level of BPH symptoms is, the better the perceived health status is and that the smaller the prostate volume is, the higher the HRQoL is. Therefore, administration of medicine that relieves BPH symptoms and reduces a volume of the prostate should be encouraged and sustainable education, customized treatment and nursing care should be provided.
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