Nam, Keum-Hee; Shim, JaeLan; Kim, Heui-Yeoung
Geriatric nursing (New York, N.Y.)
2021Dec ; 43 ( 12 ) :206-212.
PMID : 34923311
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Nam, Keum-Hee - College of Nursing, Kosin University, Busan, South Korea.
Shim, JaeLan - College of Nursing, Dongguk University, Gyeongju, South Korea. Electronic address:
Kim, Heui-Yeoung - Department of Nursing, Dong-A University Hospital, Busan, South Korea.
ABSTRACT
Older adult patients with prostate cancer experience symptoms such as uncontrolled sexual and urinary dysfunction after radical prostatectomy, which lowers self-esteem. Lack of access to information about the illness increases uncertainty, requiring interventions from healthcare providers. This study aimed to identify factors affecting the self-esteem of older adult patients who underwent prostate cancer surgery and provided data for establishing nursing strategies to promote healthy lifespans. This cross-sectional study examined participants over 65 years old who underwent radical prostatectomy at two university hospitals in 2017. The results indicated that the most influential factor for self-esteem was inconsistency-related uncertainty, followed by postoperative symptom experience and healthcare provider support. These variables explained 43% of the variance in self-esteem. To improve self-esteem among older adult patients who undergo radical prostatectomy, integrated programs that include sexual-related symptom management, such as erectile dysfunction and incontinence, and healthcare provider support should be developed to reduce inconsistency-related uncertainty. CI - Copyright ??2021 Elsevier Inc. All rights reserved.
keyword
aged; prostatic neoplasms; self-concept; sexuality; uncertainty; urinary incontinence
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