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중년 남성 전립선비대증 환자의 건강관련 삶의 질 영향 요인

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Author(s)
김도형
Issued Date
2016-06
Abstract
This study was conducted to provide the fundamental data maintenance and improvement of health-related quality of life in increasing population of middle-aged male patients with benign prostate hyperplasia (BPH) by investigating and analyzing the factors affecting the health-related quality of life. In order to conduct this study, 124 male patients who were diagnosed with BPH and whose age ranged between 40 and 64 years old were recruited from the outpatient clinic of Department of Urology of F hospital located in D metropolitan city. Structuralized questionnaires composed of general characteristics, lifestyle, disease-related characteristics of a patient and quality of life were used to gather information. The data were analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient and stepwise multiple regression analyses by using SPSS WIN/18.0. The results of this study are as follows: 1) Severity classification of prostate hypertrophy was ranked as moderate (54%), severe (31.5%) and mild (14.5%). The mean for quality of health-related life was 3.78 (±0.82) points. The scores for each area was 4.18 (±1.12) points for daily routine disability, 3.95 (±0.99) points for discomfort due to BPH, 3.69 (±0.87) points for psychological state, 3.65 (±1.22) points for anxiety and 2.93 (±0.94) points for sex life. 2) With regard to the patients' general characteristics, statistically significant difference was found in health-related quality of life depending on academic ability (F = 4.11, p = .019) and occupation(t = 3.97, p < .001). 3) With regard to the patients' lifestyle, statistically significant difference was found in health-related quality of life depending on whether the patient exercises or not (t = 2.44, p = 0.16). 4) Regarding to the patients' disease-related characteristics, statistically significant difference was found in health-related quality of life based on the patient's state of recognition for his own health condition (F = 10.42, p < .001). 5) Statistically significant differences were found in symptoms of prostate hypertrophy (F = 243.90, p < .001) and health-related quality of life (F = 46.56, p < .001) due to severity of BPH. 6) Recognition of health state presented positive correlation with health-related quality of life (r = .350, p < .001) and negative correlation with symptoms of prostate hypertrophy (r = -.224, p= .013). The symptoms of prostate hypertrophy presented negative correlation with health-related quality of life (r = -.758, p< .001). 7) As a result of analyses, the level of prostate hyperplasia symptom, perceived health status and prostate size were revealed to influence the health-related quality of life in the order of the degree of the influence. Also, the factors' determination value for middle-aged male BPH patient's health-related quality of life was found to be 62.5%. In conclusion, the lower the patient's level of prostate hyperplasia symptom is, the higher the perceived health status is. And the smaller the prostate size is, the better the health-related quality of life is.
본 연구는 중년 남성 전립선비대증 환자의 건강관련 삶의 질 영향 요인을 파악하고 분석함으로써 중년 남성에서 점점 증가하는 전립선비대증 환자의 건강관련 삶의 질을 유지 및 증진시키기 위한 기초자료를 제공하기 위하여 시행되었다. 연구대상자는 D 광역시 소재 F 종합병원의 비뇨기과 외래에서 전립선비대증으로 진단받은 만 40세 이상 65세 미만의 남성 124명을 대상으로 하였다. 연구도구는 일반적 특성, 생활습관 및 질병관련 특성으로 이루어진 구조화된 설문지를 제공하였으며, 자료 분석은 SPSS version 18.0 program을 이용하여 빈도분석, t-test, ANOVA, Scheffe test, Pearson's correlation cofficient, stepwise multiple regression을 사용하였다.. 본 연구의 결과를 요약하면 다음과 같다. 1) 대상자의 전립선 비대 증상 중증도 분류는 중등증(54%), 중증(31.5%), 경증(14.5%)순이었고, 대상자의 건강관련 삶의 질 평균 점수는 3.78(±0.82)점이었다. 영역별로는 일상생활의 활동장애 4.18(±1.12)점, 전립선 비대로 인한 불편감 3.95(±0.99)점, 심리상태 3.69(±0.87)점, 걱정근심 3.65(±1.22)점, 성생활 2.93(±0.94)점 순이었다. 2) 대상자의 일반적 특성에 따른 건강관련 삶의 질은 학력(F=4.11, p=.019), 직업 유무(t=3.97, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 3) 대상자의 생활습관에 따른 건강관련 삶의 질은 운동 유무(t=2.44, p=.016)에 따라 통계적으로 유의한 차이가 있었다. 4) 대상자의 질병관련 특성에 따른 건강관련 삶의 질은 지각된 건강상태(F=10.42, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 5) 대상자의 전립선 비대 증상 중증도에 따른 전립선 비대 증상과 건강관련 삶의 질에서 전립선 비대 증상 (F=243.90, p<.001), 건강관련 삶의 질(F=46.56, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 6) 대상자의 지각된 건강상태, 전립선 비대 증상과 건강관련 삶의 질 상관관계는 지각된 건강상태(r=.350, p<.001)와 정(+)적 상관관계, 전립선 비대 증상(r=-.758, p<.001)과 부(-)적 상관관계가 있었다. 7) 대상자의 건강관련 삶의 질 영향 요인을 분석한 결과 전립선 비대 증상, 지각된 건강상태, 전립선 크기 순서로 나타났고, 중년 남성 전립선비대증 환자의 건강관련 삶의 질 설명력은 62.5%로 나타났다. 결론적으로, 대상자의 전립선 비대 증상 정도가 낮을수록, 지각된 건강상태가 좋을수록, 전립선 크기가 작을수록 중년 남성 전립선비대증 환자의 건강관련 삶의 질은 높아질 것으로 나타났다.
Alternative Title
Factors Affecting the Health-Related Quality of Life in Middle-Aged Male Patients with Benign Prostate
Awarded Date
2016
Degree
석사
Citation
김도형. (201606). 중년 남성 전립선비대증 환자의 건강관련 삶의 질 영향 요인.
Type
Thesis
Source
http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000072987
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/12956
Appears in Collections:
2. College of Nursing (간호대학) > 석사
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