Kim Jeong Sun, Moon Vit Na
College of Nursing, Chonnam National University, Gwangju, Korea.
J Korean Acad Nurs. 2010 Apr;40(2):287-97. doi: 10.4040/jkan.2010.40.2.287.
This study was done to examine the relationship of low urinary tract symptoms (LUTS), depression, sexual function, and health-related quality of life (HRQoL), and to identify factors influencing HRQoL in patients with benign prostatic hyperplasia (BPH) living in the community.
A total of 218 patients with BPH were recruited into the study. The data were collected by personal interviews using questionnaires and were analyzed with SPSS (version 17.0) computer program, and included descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis.
The relationship between HRQoL and LUTS with depression had a significant negative correlation, whereas the relationship between HRQoL and sexual function had a significant positive correlation. Depression, age, LUTS, number of chronic disease, and excercise were found to be significant predictors (35.6%) of the Physical Component Summary of HRQoL. Depression, stress, smoking, LUTS, and sexual function were found to be significant predictors (48.2%) of the Mental Component Summary of HRQoL.
To improve HRQoL of patients with BPH, nurses should focus on the factors identified in this study when doing nursing assessments, and should develop nursing intervention programs for BPH prevention and symptoms management in primary care settings.
本研究旨在探讨下尿路症状(LUTS)、抑郁、性功能与健康相关生活质量(HRQoL)之间的关系,并确定影响社区良性前列腺增生(BPH)患者HRQoL的因素。
共招募了218例BPH患者参与本研究。通过问卷调查进行个人访谈收集数据,并使用SPSS(版本17.0)计算机程序进行分析,包括描述性统计、单因素方差分析、Pearson相关系数和逐步多元回归分析。
HRQoL与伴有抑郁的LUTS之间存在显著负相关,而HRQoL与性功能之间存在显著正相关。抑郁、年龄、LUTS、慢性病数量和运动被发现是HRQoL身体成分总结的显著预测因素(35.6%)。抑郁、压力、吸烟、LUTS和性功能被发现是HRQoL心理成分总结的显著预测因素(48.2%)。
为了提高BPH患者的HRQoL,护士在进行护理评估时应关注本研究中确定的因素,并应制定护理干预计划,用于初级保健机构中BPH的预防和症状管理。