Use of the SF-36 quality of life scale to assess the effect of pelvic floor muscle exercise on aging males who received transurethral prostate surgery
Autor: | Chen-Pang Hou, Chia-Chi Chang, Tzu Yu Chen, Yu-Hsiang Lin, Chien Lun Chen, Yu Chao Hsu, Ke Hung Tsui, Phei Lang Chang |
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Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty SF-36 Urology medicine.medical_treatment Prostatic Hyperplasia Quality of life scale Pelvic Floor Muscle Statistics Nonparametric Lower Urinary Tract Symptoms Quality of life Lower urinary tract symptoms Surveys and Questionnaires medicine Humans Aged Original Research pelvic floor exercise Transurethral resection of the prostate Aged 80 and over benign prostatic hyperplasia Chi-Square Distribution Pelvic floor prostatectomy Electromyography Prostatectomy business.industry Transurethral Resection of Prostate Pelvic Floor General Medicine Middle Aged medicine.disease Exercise Therapy Urodynamics Treatment Outcome medicine.anatomical_structure quality of life Clinical Interventions in Aging Physical therapy Prostate surgery International Prostate Symptom Score Geriatrics and Gerontology business |
Zdroj: | Clinical Interventions in Aging |
ISSN: | 1178-1998 |
DOI: | 10.2147/cia.s44321 |
Popis: | Chen-Pang Hou,1,* Tzu-Yu Chen,2,* Chia-Chi Chang,3 Yu-Hsiang Lin,1 Phei-Lang Chang,1 Chien-Lun Chen,1 Yu-Chao Hsu,1Ke-Hung Tsui1 1Department of Urology, Chang Gung Memorial Hospital Linko, Chang Gung University, Taiwan, Republic of China; 2Department of Nursing, Chang Gung Memorial Hospital, Taipei, Republic of China; 3College of Nursing, Taipei Medical University, Taipei, Republic of China *These authors contributed equally to this work Purpose: We used the Short Form (SF)-36® Health Survey scale to assess the effect of pelvic floor muscle exercise (PFE) on aging males who received transurethral resection of the prostate (TUR-P). Methods: From April 2010 to December 2010, a total of 66 patients who underwent TUR-P were enrolled in this study. They were randomized into two groups (with 33 patients in each group) – an experimental group who performed postoperative PFE every day and a control groups. Data, including the International Prostate Symptom Score (IPSS), uroflowmetry study, and the SF-36 quality of life measure, were collected before the operation, and at 1, 4, 8, and 12 weeks after the operation. We analyzed the differences between the two groups with respect to their IPSS scores, maximal urinary flow rate, residual urine amount, and life quality. Results: A total of 61 patients (experimental group: 32 patients, and control group: 29 patients) completed this study. We found that at 12 weeks postop, patients who performed PFE every day had a better maximal urinary flow rate (16.41 ± 6.20 vs 12.41 ± 7.28 mL/min) (P = 0.026) compared with patients in the control group. The experimental group had a much greater decrease in IPSS score (P < 0.001). As for the SF-36 scale, the experimental group had higher scores than did the control group on both the physiological domain (54.86 vs 49.86) (P = 0.029) and the psychological domain (61.88 vs 52.69) (P = 0.005). However, there were no significant differences with respect to the postvoiding residual urine between the two groups (57.24 ± 52.95 vs 64.68 ± 50.63 mL) (P = 0.618). Conclusion: Compared with the control group, patients who performed PFE for 12 weeks after TUR-P showed improvement in their maximal urinary flow rate and lower urinary tract symptoms, and had a better quality of life. The immediate initiation of PFE is suggested for patients who undergo TUR-P. Keywords: benign prostatic hyperplasia, SF-36, pelvic floor exercise, prostatectomy, quality of life |
Databáze: | OpenAIRE |
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