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Affecting Factors on the Self-esteem after Radical Prostatectomy in elderly patients
KeumHee Nam,JaeLan Shim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aims: Elderly prostate cancer patients experience symptoms such as uncontrolled sexual dysfunction after radical prostatectomy, which lowers their self-esteem. Moreover, the lack of access to information and educational media increases information-related uncertainty about the disease, requiring intervention such as family support. Therefore, this study identified factors affecting the self-esteem of elderly patients underwent surgery for prostate cancer and provided basic data for establishing nursing strategies that can promote healthy lifespan. Methods: A total of 149 elderly patients over the age of 65 who underwent radical prostatectomy at two university hospitals participated in this cross-sectional study. The data were collected from September to December 2017 and the factors affecting the self-esteem of elderly radical prostatectomy patients were analyzed using the Hierarchical Multiple Regression Analysis in the SPSS/WIN 24.0 program. Results: The average age of the study participants was 71.5 (±4.5) years old, and the factors affecting the self-esteem of prostate cancer surgery patients were information-related uncertainty ( β = -0.36, p < .001), which had the highest influence, followed by postoperative symptom experience (β = -0.18, p = .007), and family support (β = 0.13, p = 0.23). These variables explained 54.4% of variance in self-esteem. Conclusions: To improve the self-esteem of elderly patients who undergo radical prostatectomy, it is necessary to develop an integrated program, including physical symptom management and family support, to reduce their uncertainty.
MiRan Bang,KyungAe Kim,JaeLan Shim 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8
Aim(s): The rate of high-risk drinking, a major cause of diabetes mellitus (DM), is continuously on the rise among Korean men, highlighting the urgency of ameliorating the drinking culture to prevent DM. The aim of this study is to examine whether quality of life (QoL) has a mediating effect in the relationship between drinking rate and 10-year DM risk score in adult Korean men. The results would be useful as foundational data for developing intervention strategies to reduce the incidence of DM. Method(s): This study is a descriptive survey aiming to identify the effects of drinking rate and QoL on 10-year DM risk score in adult Korean men. The Korea National Health and Nutrition Examination Survey 7th (KNHANES VII) (January 2016 to December 2018) data was used for analysis. From the data, 4,134 men aged 40–69 years not diagnosed with DM were selected. The data were analyzed using complex sample regression, and after analyzing the mediation, the significance of mediation was tested using the Sobel test. Result(s): In step 1 of the regression, drinking rate significantly predicted QoL (β=0.08, p<.001), and in step 2, drinking rate significantly predicted the 10-year DM risk score ((β=0.08, p<.001). In step 3, drinking rate (β=0.08, p<.001) and QoL (β=-0.09, p<.001) significantly predicted the 10-year DM risk score, confirming that QoL has a partial mediating effect (z=-3.62, p<.001). Conclusion(s): QoL into consideration to reduce the incidence of DM, and particularly, measures to promote healthy drinking habits need to be implemented in order to reduce the incidence of type 2 DM (T2DM) in men. Further, the study findings highlight the need to develop and actively implement various practical intervention strategies that enhance QoL.