Health-related quality of life, psychological well-being, and sexual function in patients with benign prostatic hyperplasia after prostatic surgery
Patients with benign prostatic hyperplasia (BPH) may receive prostatic surgery due to severe lower urinary tract symptoms (LUTS). This study aimed to investigate the health-related quality of life (HRQoL), psychological well-being, and sexual function of patients with BPH after prostatic surgery and...
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Veröffentlicht in: | Applied nursing research 2015-11, Vol.28 (4), p.274-280 |
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description | Patients with benign prostatic hyperplasia (BPH) may receive prostatic surgery due to severe lower urinary tract symptoms (LUTS). This study aimed to investigate the health-related quality of life (HRQoL), psychological well-being, and sexual function of patients with BPH after prostatic surgery and identify the predictors of HRQoL among this group of patients.
This was a cross-sectional, descriptive, correlational study. A convenience sample of 94 participants was recruited from a urology center in a tertiary public hospital in Singapore. The 12-item Short Form Health Survey version 2 (SF-12v2), International Prostate Symptom Score (IPSS), Hospital Anxiety and Depression Scale (HADS), and 5-item International Index of Erectile Function (IIEF-5) were used to measure the study variables.
Compared to the general population norms and the findings of similar studies conducted in western countries, this group of patients reported poorer physical health but better mental health as assessed by SF-12v2. Despite the prostatic surgery, over a quarter of the patients experienced moderate LUTS, and 13.8% experienced severe erectile dysfunction. Multiple linear regression analysis identified that LUTS (B=–0.51, p=0.02) and maximum flow rate (B=–0.23, p=0.02) predicted poor physical health, accounting for 45.9% of variance, while HADS-Anxiety (B=–1.07, p |
doi_str_mv | 10.1016/j.apnr.2015.02.007 |
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This was a cross-sectional, descriptive, correlational study. A convenience sample of 94 participants was recruited from a urology center in a tertiary public hospital in Singapore. The 12-item Short Form Health Survey version 2 (SF-12v2), International Prostate Symptom Score (IPSS), Hospital Anxiety and Depression Scale (HADS), and 5-item International Index of Erectile Function (IIEF-5) were used to measure the study variables.
Compared to the general population norms and the findings of similar studies conducted in western countries, this group of patients reported poorer physical health but better mental health as assessed by SF-12v2. Despite the prostatic surgery, over a quarter of the patients experienced moderate LUTS, and 13.8% experienced severe erectile dysfunction. Multiple linear regression analysis identified that LUTS (B=–0.51, p=0.02) and maximum flow rate (B=–0.23, p=0.02) predicted poor physical health, accounting for 45.9% of variance, while HADS-Anxiety (B=–1.07, p<0.01) and LUTS (B=–0.32, p=0.03) predicted poor mental health, accounting for 57.2% of variance.
The physical health of BPH patients with prostatic surgery was poor, with many suffering moderate LUTS and sexual dysfunction. Special attention should be given to those patients with severe LUTS who have a low maximum flow rate or have anxiety symptoms.</description><identifier>ISSN: 0897-1897</identifier><identifier>EISSN: 1532-8201</identifier><identifier>DOI: 10.1016/j.apnr.2015.02.007</identifier><identifier>PMID: 26608425</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Anxiety ; Anxiety-Depression ; Benign prostatic hyperplasia ; Cross-Sectional Studies ; Depression ; Erectile dysfunction ; Health status ; Health-related quality of life ; Humans ; Linear regression analysis ; Male ; Mental health ; Nursing ; Postoperative Complications ; Prostate ; Prostatectomy ; Prostatic Hyperplasia - surgery ; Prostatic surgery ; Psychological wellbeing ; Quality of Life ; Regression analysis ; Sexual Behavior - physiology ; Sexual dysfunction ; Sexual function ; Sexuality ; Singapore ; Statistics as Topic ; Suffering ; Surgery ; Symptoms ; Urinary tract ; Urologic Diseases - etiology ; Urology ; Wellbeing</subject><ispartof>Applied nursing research, 2015-11, Vol.28 (4), p.274-280</ispartof><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright W.B. Saunders Company/JNL Nov 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-b6f37f65258c52cd652fdbad38a6b4046ab22a7edbc16c1e2e04cd2c2db245c3</citedby><cites>FETCH-LOGICAL-c417t-b6f37f65258c52cd652fdbad38a6b4046ab22a7edbc16c1e2e04cd2c2db245c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0897189715000579$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26608425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yim, Pierre W.C.</creatorcontrib><creatorcontrib>Wang, Wenru</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zakir, Hussain Abdul Salam</creatorcontrib><creatorcontrib>Toh, Poh Choo</creatorcontrib><creatorcontrib>Lopez, Violeta</creatorcontrib><creatorcontrib>He, Hong-Gu</creatorcontrib><title>Health-related quality of life, psychological well-being, and sexual function in patients with benign prostatic hyperplasia after prostatic surgery</title><title>Applied nursing research</title><addtitle>Appl Nurs Res</addtitle><description>Patients with benign prostatic hyperplasia (BPH) may receive prostatic surgery due to severe lower urinary tract symptoms (LUTS). This study aimed to investigate the health-related quality of life (HRQoL), psychological well-being, and sexual function of patients with BPH after prostatic surgery and identify the predictors of HRQoL among this group of patients.
This was a cross-sectional, descriptive, correlational study. A convenience sample of 94 participants was recruited from a urology center in a tertiary public hospital in Singapore. The 12-item Short Form Health Survey version 2 (SF-12v2), International Prostate Symptom Score (IPSS), Hospital Anxiety and Depression Scale (HADS), and 5-item International Index of Erectile Function (IIEF-5) were used to measure the study variables.
Compared to the general population norms and the findings of similar studies conducted in western countries, this group of patients reported poorer physical health but better mental health as assessed by SF-12v2. Despite the prostatic surgery, over a quarter of the patients experienced moderate LUTS, and 13.8% experienced severe erectile dysfunction. Multiple linear regression analysis identified that LUTS (B=–0.51, p=0.02) and maximum flow rate (B=–0.23, p=0.02) predicted poor physical health, accounting for 45.9% of variance, while HADS-Anxiety (B=–1.07, p<0.01) and LUTS (B=–0.32, p=0.03) predicted poor mental health, accounting for 57.2% of variance.
The physical health of BPH patients with prostatic surgery was poor, with many suffering moderate LUTS and sexual dysfunction. Special attention should be given to those patients with severe LUTS who have a low maximum flow rate or have anxiety symptoms.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety-Depression</subject><subject>Benign prostatic hyperplasia</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Erectile dysfunction</subject><subject>Health status</subject><subject>Health-related quality of life</subject><subject>Humans</subject><subject>Linear regression analysis</subject><subject>Male</subject><subject>Mental health</subject><subject>Nursing</subject><subject>Postoperative Complications</subject><subject>Prostate</subject><subject>Prostatectomy</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Prostatic surgery</subject><subject>Psychological wellbeing</subject><subject>Quality of Life</subject><subject>Regression analysis</subject><subject>Sexual Behavior - physiology</subject><subject>Sexual dysfunction</subject><subject>Sexual function</subject><subject>Sexuality</subject><subject>Singapore</subject><subject>Statistics as Topic</subject><subject>Suffering</subject><subject>Surgery</subject><subject>Symptoms</subject><subject>Urinary tract</subject><subject>Urologic Diseases - etiology</subject><subject>Urology</subject><subject>Wellbeing</subject><issn>0897-1897</issn><issn>1532-8201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkc1u1DAUhS0EokPhBVggS2xYNMF2bCeV2KAKKFIlNt1b_rmZ8cjjpLZDm-fghfFoCkIsEBvbuve7R_f4IPSakpYSKt_vWz3H1DJCRUtYS0j_BG2o6Fgz1NpTtCHDZd_QepyhFznvCaGUS_IcnTEpycCZ2KAf16BD2TUJgi7g8N2igy8rnkYc_AgXeM6r3U1h2nqrA76HEBoDPm4vsI4OZ3ioA3hcoi1-ithHPOviIZaM733ZYQPRb2sxTbnUhsW7dYY0B529xnoskP7o5SVtIa0v0bNRhwyvHu9zdPv50-3VdXPz7cvXq483jeW0L42RY9ePUjAxWMGsq6_RGe26QUvDCZfaMKZ7cMZSaSkwINw6ZpkzjAvbnaN3J9m6wN0CuaiDz7Ya1BGmJSvaS065oMPwH2jX815UvqJv_0L305Ji9VEpPohLzpisFDtRtprPCUY1J3_QaVWUqGO4aq-O4apjuIowVcOtQ28epRdzAPd75FeaFfhwAqD-2ncPSWVbs7DgfAJblJv8v_R_AqaeuNo</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Yim, Pierre W.C.</creator><creator>Wang, Wenru</creator><creator>Jiang, Ying</creator><creator>Zakir, Hussain Abdul Salam</creator><creator>Toh, Poh Choo</creator><creator>Lopez, Violeta</creator><creator>He, Hong-Gu</creator><general>Elsevier Inc</general><general>W.B. Saunders Company/JNL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Health-related quality of life, psychological well-being, and sexual function in patients with benign prostatic hyperplasia after prostatic surgery</title><author>Yim, Pierre W.C. ; Wang, Wenru ; Jiang, Ying ; Zakir, Hussain Abdul Salam ; Toh, Poh Choo ; Lopez, Violeta ; He, Hong-Gu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-b6f37f65258c52cd652fdbad38a6b4046ab22a7edbc16c1e2e04cd2c2db245c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety-Depression</topic><topic>Benign prostatic hyperplasia</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Erectile dysfunction</topic><topic>Health status</topic><topic>Health-related quality of life</topic><topic>Humans</topic><topic>Linear regression analysis</topic><topic>Male</topic><topic>Mental health</topic><topic>Nursing</topic><topic>Postoperative Complications</topic><topic>Prostate</topic><topic>Prostatectomy</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Prostatic surgery</topic><topic>Psychological wellbeing</topic><topic>Quality of Life</topic><topic>Regression analysis</topic><topic>Sexual Behavior - physiology</topic><topic>Sexual dysfunction</topic><topic>Sexual function</topic><topic>Sexuality</topic><topic>Singapore</topic><topic>Statistics as Topic</topic><topic>Suffering</topic><topic>Surgery</topic><topic>Symptoms</topic><topic>Urinary tract</topic><topic>Urologic Diseases - etiology</topic><topic>Urology</topic><topic>Wellbeing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yim, Pierre W.C.</creatorcontrib><creatorcontrib>Wang, Wenru</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zakir, Hussain Abdul Salam</creatorcontrib><creatorcontrib>Toh, Poh Choo</creatorcontrib><creatorcontrib>Lopez, Violeta</creatorcontrib><creatorcontrib>He, Hong-Gu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Applied nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yim, Pierre W.C.</au><au>Wang, Wenru</au><au>Jiang, Ying</au><au>Zakir, Hussain Abdul Salam</au><au>Toh, Poh Choo</au><au>Lopez, Violeta</au><au>He, Hong-Gu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life, psychological well-being, and sexual function in patients with benign prostatic hyperplasia after prostatic surgery</atitle><jtitle>Applied nursing research</jtitle><addtitle>Appl Nurs Res</addtitle><date>2015-11</date><risdate>2015</risdate><volume>28</volume><issue>4</issue><spage>274</spage><epage>280</epage><pages>274-280</pages><issn>0897-1897</issn><eissn>1532-8201</eissn><abstract>Patients with benign prostatic hyperplasia (BPH) may receive prostatic surgery due to severe lower urinary tract symptoms (LUTS). This study aimed to investigate the health-related quality of life (HRQoL), psychological well-being, and sexual function of patients with BPH after prostatic surgery and identify the predictors of HRQoL among this group of patients.
This was a cross-sectional, descriptive, correlational study. A convenience sample of 94 participants was recruited from a urology center in a tertiary public hospital in Singapore. The 12-item Short Form Health Survey version 2 (SF-12v2), International Prostate Symptom Score (IPSS), Hospital Anxiety and Depression Scale (HADS), and 5-item International Index of Erectile Function (IIEF-5) were used to measure the study variables.
Compared to the general population norms and the findings of similar studies conducted in western countries, this group of patients reported poorer physical health but better mental health as assessed by SF-12v2. Despite the prostatic surgery, over a quarter of the patients experienced moderate LUTS, and 13.8% experienced severe erectile dysfunction. Multiple linear regression analysis identified that LUTS (B=–0.51, p=0.02) and maximum flow rate (B=–0.23, p=0.02) predicted poor physical health, accounting for 45.9% of variance, while HADS-Anxiety (B=–1.07, p<0.01) and LUTS (B=–0.32, p=0.03) predicted poor mental health, accounting for 57.2% of variance.
The physical health of BPH patients with prostatic surgery was poor, with many suffering moderate LUTS and sexual dysfunction. Special attention should be given to those patients with severe LUTS who have a low maximum flow rate or have anxiety symptoms.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26608425</pmid><doi>10.1016/j.apnr.2015.02.007</doi><tpages>7</tpages></addata></record> |
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subjects | Aged Anxiety Anxiety-Depression Benign prostatic hyperplasia Cross-Sectional Studies Depression Erectile dysfunction Health status Health-related quality of life Humans Linear regression analysis Male Mental health Nursing Postoperative Complications Prostate Prostatectomy Prostatic Hyperplasia - surgery Prostatic surgery Psychological wellbeing Quality of Life Regression analysis Sexual Behavior - physiology Sexual dysfunction Sexual function Sexuality Singapore Statistics as Topic Suffering Surgery Symptoms Urinary tract Urologic Diseases - etiology Urology Wellbeing |
title | Health-related quality of life, psychological well-being, and sexual function in patients with benign prostatic hyperplasia after prostatic surgery |
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