碩士 / 高雄醫學大學 / 護理學研究所 / 98 / Background: Depression is common among patients with a variety of cancers, including prostate cancer. Apart from the illness, patients undergone radical prostatectomy usually experience emotional problems caused by urinary, sexual and bowel disturbance. Until now, there is no standard nursing protocol for it and the effectiveness of psychoeducation is yet to be established. The present study aimed to investigate the adjustment problems of theses patients and to evaluate the effectiveness of psychoeducation on depression.
Methods: Purposive sampling was used in this study. At the first stage, 34 patients after radical prostatectomy were recruited into this study. Their demographic data and cancer related parameters were collected. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure their depressive emotions. At the second stage, 18 patients with depression (CES-D ≥ 16) were provided with psychoeducation intervention for 8 times within 2 months. The interventions included providing disease related information and supportive psychoeducation. The patients were led to express their discomforts and were helped to cope with them.
Results: The mean age of the patients were 65.26 ± 7.36 year-old. Half of the subjects have other comorbidities. The mean Gleason Score was 6.79 ± 1.12 and 61.8％ of the patients received laparoscopic operation. After the surgery, the mean CES-D score was 17.32 ± 10.96 and the prevalence rate of depression was 52.9% (95% C.I., 42.2%-62.7%). Patients with financial stress were more likely to have depression (p < 0.05). Ten common adjustment problems were identified. After psychoeducation intervention, depressive emotions were significantly improved and none of them has depression (CES-D ≥ 16).
Conclusion: High prevalence rate of depression was found in patients after radical prostatectomy and health care-giver should pay more attention on it. Psychoeducation was an effective strategy on improving depression in this population.
| Identifer | oai:union.ndltd.org:TW/098KMC05563030 |
| Date | January 2010 |
| Creators | Pei-Chen Huang, 黃沛蓁 |
| Contributors | Mei-Sang Yang, 楊美賞 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 139 |
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