The Quality of Life for Patient with Prostate Cancer After Surgery Treatments: A Longitudinal Study

Wednesday, 24 July 2013

Hui-Chi Li, RN, MSN1
Yu-Hua Lin, PhD2
Chu-Yun Lu, PhD, RN3
Tsan-Jung Yu, PhD4
Chia-Hsiang Lin, BS4
(1)School of Nursing, I-Shou University, Kaohsiung County, Taiwan
(2)I-Shou University, Department of Nursing,, Kaohsiung, Taiwan
(3)Department of Nursing, I-Shou University, Kaohsiung County, Taiwan
(4)Divisions of Urology, E-Dah Hospital, Taiwan, Kaohsiung County, Taiwan

Learning Objective 1: The learner will be understood the quality of life after surgery within 8 months period among patient with prostatic cancer

Learning Objective 2: The learner will be understood the relationship between quality of life and related factors among patient with prostatic cancer.

Purpose:

 The purpose of this article is to explore the quality of life in men with prostate cancer after surgery.

Methods:

 This is a longitudinal study. Data were collected at the time of diagnosis of prostate cancer,  one month,  two months, three  months and eight months after surgery treatment. A convenient sample of 51 male participants was recruited in the southern Taiwan. Participants were excluded if they were ongoing with  chemotherapy or hormone therapy. Quality of life was measured using the WHOQOL scale and urinary syndromes were measured using I-PSS (international Prostate Syndrome Score)

Results:

The mean and standard deviation of QOL(Liker Scare:1~5) and I-PSS(total score:0~35) in pre-surgery, one month, two months, three months, and eight months after surgery were: QOL:1.6(±0.25), 1,5(±0.20),1.4(±0.18).1.3(±0.10),.1.4(±0.24); I-PSS: 14.4(±8.38), 12.6(±6.72),8.10(±5.08), 5.70(±4.80), 4.33(±2.89) respectively. Higher scores of QOL indicate better QOL, and higher scores of I-PSS indicates more urinary syndromes. There is significant relationship between QOL and I-PSS in pre(r=0.37, p=0.007),  one month(r=0.57, p=0.000) and  two month after surgery (r=0.63, p=0.000). There is also significant relationship between age and QOL in pre-treatment(r=0.372, p=0.007). However there is no significant relationship between pre-surgery PSA (Prostate Specific Antigen) level, and Gleason Grade with QOL in five period time.

Conclusion:

There is significant relationship between QOL with urinary syndromes (I-PSS) in pre-surgery, and  one month two months after surgery. There is also significant relationship between age and QOL in pre-surgery. However, there is no significant between QOL with PSA level and Gleason Grade. Further study should be devoted to find other factors related with QOL after surgery among Taiwanese man.

Acknowledgement: I am heartily thankful the financial support by CAPCO Foundation to enable me to complete this study.