Urology Department, ABC Medical School, Santo André - São Paulo, Brazil.
Clin Genitourin Cancer. 2011 Sep;9(1):53-8. doi: 10.1016/j.clgc.2011.05.005. Epub 2011 Jul 13.
Patients submitted for prostatectomy were evaluated regarding their quality of life, behavioral problems, and marital adjustment. Thirty-two patients aged 54-76 years old were included. The results indicated that prostatectomy does not prevent normal psychological functioning, although there is a relationship between smoking and lower quality of life in these patients.
Different types of monotherapy for prostate cancer leads to impairment in urinary and sexual functions, but prostatectomy seems to have worse results in physical functioning when compared with other treatments. Nevertheless, patients report high quality of life (QOL) levels, even when there are comments about the impact of sexual dysfunction on psychological health. The objectives of this work were to analyze levels of QOL, marital adjustment (MA), and behavioral problems (BP) of patients submitted to prostatectomy.
Thirty-two patients from 54 to 76 years of age who underwent radical prostatectomy were evaluated during their follow-up appointments with the medical staff at the urology department of a private medical school. QOL scores were obtained from the World Health Organization Quality of Life instrument, short version. BP scores of patients younger than 60 years of age were assessed through the Adult Self-Report, whereas patients older than 60 years were assessed through the Older Adult Self-Report. MA scores were obtained by using the Locke-Wallace Marital Adjustment Test.
The patients reported relatively high levels of QOL and MA, along with low BPs. Marital support was associated with higher levels of QOL. BPs were associated with lower physical and total QOL scores. Smoking habits were associated with lower levels of MA, psychological health, and QOL. Erectile dysfunction was related to lower MA levels and lower QOL scores.
Overall, the patients had high self-reported QOL levels, which indicated that physical impairments related to surgery did not prevent patients to return to normal functioning.
对接受前列腺切除术的患者进行了生活质量、行为问题和婚姻调整评估。纳入 32 名年龄在 54-76 岁的患者。结果表明，前列腺切除术并不能预防正常的心理功能，尽管这些患者的吸烟习惯与较低的生活质量有关。
不同类型的前列腺癌单药治疗会导致尿功能和性功能受损，但与其他治疗方法相比，前列腺切除术似乎在身体功能方面的结果更差。然而，即使有关于性功能障碍对心理健康影响的评论，患者仍报告了较高的生活质量（QOL）水平。本研究旨在分析接受前列腺切除术的患者的生活质量、婚姻调整（MA）和行为问题（BP）水平。
对一家私立医学院泌尿科医务人员随访的 32 名年龄在 54-76 岁之间接受根治性前列腺切除术的患者进行评估。使用世界卫生组织生活质量工具（简短版）获得 QOL 评分。年龄在 60 岁以下的患者的 BP 评分通过成人自我报告评估，年龄在 60 岁以上的患者通过老年自我报告评估。MA 评分采用 Locke-Wallace 婚姻调整测试获得。
患者报告了相对较高的 QOL 和 MA 水平，以及较低的 BP。婚姻支持与更高的 QOL 水平相关。BP 与较低的身体和总体 QOL 评分相关。吸烟习惯与较低的 MA、心理健康和 QOL 水平相关。勃起功能障碍与较低的 MA 水平和较低的 QOL 评分相关。
总体而言，患者自我报告的 QOL 水平较高，这表明与手术相关的身体损伤并未阻止患者恢复正常功能。
