Relationship between Urinary Incontinence and Quality of Life of the Cancer Patient after Radical Prostatectomy

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  • 前立腺全摘除術後がん患者の尿失禁と生活の質の関係
  • ゼンリツセン ゼンテキジョジュツゴ ガン カンジャ ノ ニョウ シッキン ト セイカツ ノ シツ ノ カンケイ

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Abstract

Abstract This study investigated the relationship between the self-perceived severity of urinary incontinence, quality of life（QOL），and perception of emotional support in cancer patients after radical prostatectomy（RP）．An anonymous self-reporting questionnaire was conducted with 77 patients with postoperative urinary incontinence. The questionnaire covered demographics, self-perceived severity of urinary incontinence（International Consultation on Incontinence Questionnaire - Short Form），perception of emotional support from others（Emotional Support Network Scale），and QOL（King's Health Questionnaire）．Descriptive statistics and correlation coefficients were calculated, and hierarchical multiple regression analysis was performed using QOL as a dependent variable. Patients perceived their urinary incontinence as moderately severe, with no significant difference from their perceived general health. Perception of incontinence was significantly related to its impact on daily life and to seven factors describing its impact on daily living. The self-perceived severity of urinary incontinence and perception of emotional support（other people）had the direct main effect of limiting physical activity（β＝.618, p＜0.01 and β＝－.230, p ＜0.01, respectively），while the self-perceived severity of urinary incontinence and perception of emotional support （workplace）had the direct main effect on emotional problems（β＝.419, p＜0.01 and β＝－.236, p＜0.10, respectively）．There were no significant differences among the interaction terms. After RP, patients consider the impact of incontinence on daily life. The influence of urinary incontinence on daily living may be ameliorated by reducing limitations on physical activity through perceived emotional support outside the workplace, and by reducing emotional problems through perceived emotional support in the workplace. Nurses should adequately assess the self-perceived severity of urinary incontinence and the perception of emotional support by patients after RP, in order to provide targeted support for its physical and psychological （mental）impact on daily living.

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