Comparison of the Uncertainty Level of Radical Prostatectomy Recipients with or without Received Psychological Support

Monday, July 11, 2011

Yu-Hua Lin, PhD, RN
Nursing Department, I-Shou University, Kaohsiung County, Taiwan

Learning Objective 1: The learner will be able to understand the levels of uncertainty in radical prostatectomy (RP) recipients in Taiwan.

Learning Objective 2: The learner will be able to understand the effects of psychological support on uncertainty in radical prostatectomy recipients.

Purpose:

 To measure the levels of uncertainty in radical prostatectomy (RP) recipients who have received psychological support in comparison to those who have not.

Methods:  

 Participants were recruited from two hospitals. Sixty-two participants who underwent an RP were recruited in the support group, and 43 participants were included in the non- support group. The support group of males received psychological support and the other group of males without psychological support. A survey was developed to assess men at least 3 months after an RP. All subjects participated and self-reported using the Chinese version of Mishel uncertainty illness scale (MUIS). The reliability (alpha) of overall MUIS was 0.92 in this study.

Results:

 The mean level of uncertainty score among the support group was 45.65 (SD = 10.81), and 80.47 (SD = 5.00) among the non- support group. A two-way ANOVA showed that after the controlled patients’ understood the treatment for their disease and complications, a significant effect was induced by psychological support (F= 197.25, p< .001), which indicated that the males in the psychological support group expressed lower levels of uncertainty than males in the non- support group.

Conclusion:

The results suggest that offering psychological support is an effective nursing intervention that can decrease the levels of uncertainty in radical prostatectomy recipients.