일개 상급전문종합병원 전립샘비대증 환자들의 삶의 질 영향 요인
Quality of Life and its Related Factors in Patients with Benign Prostatic Hyperplasia in One General Hospital
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목적: 본 연구는 전립샘 비대증 환자의 삶의 질에 영향을 미치는 요인을 파악하기 위하여 시행 되었다. 방법: 본 연구는 서술적 상관관계 조사연구이다. 자료수집은 일개 상급전문병원의 외래를 방문한 128명의 전립샘 비대증 환자로부터 설문조사 하였다. 자료 분석은 Mann-Whitney U test, Kruskal-Wallis test, Pearson’s Correlation Coefficient, 위계적 다중회귀분석 방법을 사용하였다. 결과: 환자의 평균 나이는 67.88(±6.94)였다. 평균 진단 기간은 6.41±5.20년 이었다. 삶의 질은 0.820±0.09점으로 다소 낮은 것으로 나타났다. 하부요로 증상(p =.029), 불안 및 우울, 일상생활 수행능력(신체적 건강지수, 정신적 건강지수)이 통계적으로 유의한 상관관계가 있었다(p <.001). 위계적 다중회귀분석 결과, 삶의 질(EQ-5D Index)에 영향을 미치는 요인은 일상생활 수행능력(신체적 건강지수) (β=0.696)으로 총 54% 설명력이 있었다(adjusted R2=.54, p<.001). 결론: 전립샘 비대증 환자의 일상생활 수행능력(신체적 건강지수)을 증진시킴으로써 그들의 삶의 질을 향상시키기 위한 간호중재가 필요하다.
Abstract
Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was 67.81±6.94. Mean years since diagnosis was 6.41±5.20. The mean score of quality of life was 0.82±0.09, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.
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