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The Effect of Telephone-enforced Pelvic Floor Muscle Exercise on Incontinence, Urinary Function Related Satisfaction, Depression, and Quality of Life for Prostate Cancer Patients

수술 전 골반저 근육운동과 전화관리가 근치적 전립선 적출술을 받은 전립선암 환자의 요실금 지각정도, 배뇨 관련 만족도, 우울 및 삶의 질에 미치는 효과

  • Park, Jieun (College of Nursing, Graduate School, Pusan National University) ;
  • Lee, Haejung (College of Nursing, Pusan National University)
  • 박지은 (부산대학교 대학원 간호학과) ;
  • 이해정 (부산대학교 간호대학)
  • Received : 2015.04.30
  • Accepted : 2015.08.03
  • Published : 2015.08.31

Abstract

Purpose: The purpose of this study was to identify the effects of Telephone-enforced Preoperative Pelvic Floor Muscle Exercise (TP-PFME) for prostate cancer patients on Urinary Incontinence (UI), Urinary Function (UF) related satisfaction, depression, and Quality of Life (QoL). Methods: A non-equivalent control group non-synchronized design was used with 85 participants. The two experimental groups (EG) began the PFME protocol two weeks prior to surgery. The subjects in the EG I received telephone calls to reinforce the PFME protocol. The comparison group began the PFME protocol after their surgery. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics, $x^2$ test, One-way ANOVA, Fisher's exact test, and Repeated measures ANOVA. Results: EG I showed higher performance of PFME at one (p=.001) and three months (p=.015) after surgery than the comparison group. Comparison group showed significantly more severe UI at one (p=.002) and three months (p=.006) after surgery and reported lower UF related satisfaction than EG I at one month after surgery (p=.015). Participants in both experimental groups reported higher QoL scores (p=.001) at three months following surgery than those in the comparison group. There were no significant differences in depression among the three groups. Conclusion: The findings from this study suggest that preoperative TP-PFME was effective in decreasing the perceived severity of UI as well as increasing UF related satisfaction and QoL.

Keywords

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  1. Factors Affecting Quality of Life in Patients with Radical Prostatectomy vol.31, pp.2, 2015, https://doi.org/10.7475/kjan.2019.31.2.190
  2. The Effect of Post-prostatectomy Urinary Incontinence on Health-related Quality of Life in Patients with Prostate Cancer vol.31, pp.3, 2019, https://doi.org/10.7475/kjan.2019.31.3.293