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
Hauptverfasser: Yim, Pierre W.C., Wang, Wenru, Jiang, Ying, Zakir, Hussain Abdul Salam, Toh, Poh Choo, Lopez, Violeta, He, Hong-Gu
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container_end_page 280
container_issue 4
container_start_page 274
container_title Applied nursing research
container_volume 28
creator Yim, Pierre W.C.
Wang, Wenru
Jiang, Ying
Zakir, Hussain Abdul Salam
Toh, Poh Choo
Lopez, Violeta
He, Hong-Gu
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 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&lt;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. 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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&lt;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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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
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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