J Korean Acad Community Health Nurs.  2010 Sep;21(3):303-310. 10.12799/jkachn.2010.21.3.303.

Lower Urinary Tract Symptoms, Self-management and Quality of Life in Middle Aged Men

• Seo YM

• KMID: 2292887
• DOI: http://doi.org/10.12799/jkachn.2010.21.3.303

Abstract

PURPOSE
The purpose of this study was to find out lower urinary tract symptoms (LUTSs), self-management and quality of life (QOL) in middle aged men and to investigate how these factors are correlated with one another.
METHODS
The participants in this study were 217 men in G City. Data were collected using a questionnaire from October 23 to November 11, 2009. LUTSs were measured by IPSS, self-management by a self-management Likert scale, and QOL by the Korean-version WHOQOL-BREF. The collected data were analyzed through chi-square test, one-way ANOVA, and Pearson's correlation coefficient.
RESULTS
LUTS categories divided according to severity were none (10%), mild (57%), moderate (28%), and severe (5%). The mean score of self-management was 3.14 and that of QOL was 3.27. Self-management and QOL were significantly different according to LUTS. LUTS was negatively correlated with self-management and QOL. Self-management was positively correlated with QOL.
CONCLUSION
In order to develop nursing interventions for middle aged men, comprehensive understanding of LUTS is needed.

Keyword

Urinary tract; Self-management; Quality of life

MeSH Terms

Humans
Lower Urinary Tract Symptoms*
Male
Middle Aged*
Nursing
Quality of Life*
Self Care*
Urinary Tract
Surveys and Questionnaires

Reference

1. Abrams P, Chapple C, Khoury S, Roehrborn C, Rossette J. Evaluation and treatment of lower urinary tract symptoms in older men. J Urol. 2009; 181:1779–1787.

2. Barry MJ, Flower FJ, O'Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, et al. The American urological association symptom index for benign prostatic hyperplasia. J Urol. 1992; 148:1549–1557.

3. Brown CT, Yap T, Cromwell DA, Rixon L, Steed L, Mulligan K, et al. Self management for men with lower urinary tract symptoms: Randomised controlled trial. BMJ. 2007; 334:25–28.

4. Brown CT, Emberon M. Self management for men with lower urinary tract symptoms. Curr Urol Rep. 2009; 10:261–266.

5. Chang SJ. Factors affectin health-related quality of life of the BPH patients. Busan: Dong-A University;2007. Unpublished mater's thesis.

6. Cho KS, Jo MK, Lim DJ, Son HC, Park SK, Yoo KY, et al. Epidermiologic survey using international prostate symptom score (IPSS) of lower urinary tract symptom (LUTS) in elderly men above 40 years old in seoul area. Korean J Urol. 2001; 42(8):840–848.

7. Choi HR, Chung WS, Shim BS, Kwon SW, Hong SJ, Chung BH, et al. Translation validity and reliability of I-PSS korean version. Korean J Urol. 1996; 37(6):659–665.

8. Chung HS, Im CM, Kim SO, Jung SI, Kwon DD, Park KS, et al. The functional effect of palliative transurethral resection of the prostate on lower urinary tract symptoms in patients with prostate cancer. Korean J Urol. 2009; 50(5):445–449.

9. Engström G, Henningsohn L, Walker-Engström ML, Leppert J. Impact on quality of life of different lower urinary tract symptoms in men measured by means of the SF 36 questionnaire. Scand J Urol Nephrol. 2006; 40(6):485–494.

10. Kim AK, Kim JA. Lifestyle characteristics and health related quality of life in Korean adult. J Korean Acad Adult Nurs. 2005; 17(5):772–781.

11. Kim E, Park HS, Kim HS, Chang NS. Diet and lifestyle risk factors of benign prostatic hyperplasia. Korean J Nutr. 2007; 40(3):249–258.

12. Ko DS, Jeong JY, Jang SN, Choi YJ, Kim DH, Kim JB, et al. Association between lower urinary tract symptoms and erectile dysfunction in aging men: Hallym aging study. Korean J Urol. 2008; 49(7):633–640.

13. Lee JG. Pathophysiology of male lower urinary tract symptoms. Korean J Urol. 2005; 46(9):887–896.

14. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000; 39(3):571–579.

15. Moon BN. Lower urinary tract symptoms and health-related quality of life in patients with benign prostate hyperplasia. Gwangju: Chonnam National University;2009. Unpublished mater's thesis.

16. Narihito S, Takakazu Y, Toshihisa T, Mineo T, Akito Y, Seiji N. Association among the symptoms, quality of life and urodynamic parameters in patients with improved lower urinary tract symptoms following a transurethral resection of the prostate. Neurourol Urodyn. 2008; 27:222–225.

17. Oh KH, Ku JH, Park YH. Impact of lower urinary tract symptom on quality of life in young men. Korean J Urol. 2002; 43(5):402–406.

18. Park SM, Kim JY. The effects of lower urinary tract symptoms on depression and quality of life among women in urban areas. J Korean Acad Community Health Nurs. 2009; 20(4):523–530.

19. Parsons JK, Kashefi C. Physical activity, benign prostatic hyperplasia, and lower urinary tract symptoms. Eur Urol. 2008; 53:1228–1235.

20. Parsons JK, Wilt TJ, Wang PY, Barrett-Conner E, Bauer DC, Marshall LM. Progression of lower urinary tract symptoms in older men: A community based study. J Urol. 2010; 183:1915–1920.

21. Rheu JY. A study on subjective dyspnea, self-care and health-related quality of life in patients with chronic obstructive pulmonary disease. Seoul: Dankook University;2004. Unpublished master's thesis.

22. Robertson C, Link CL, Onel E, Keech M, Hobbs R, Fourcade R, et al. The impact of lower urinary tract symptoms and comorbidities on quality of life: The BACH and UREPIK studies. BJU Int. 2007; 99:347–354.

23. Rohrmann S, Crespo CJ, Weber JR, Smit E, Giovannucci E, Platz EA. Association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms in old american men: Findings from the third national health and nutrition examination survey. BJU Int. 2005; 96:77–82.

24. Ryu KS. The degree of lower urinary tract symptoms and relationship between LUTS, self-esteem and sexual adjustment in elderly men with LUTS. Seoul: Yonsei University;2003. Unpublished master's thesis.

25. Shim EH. Impact of lower urinary tract symptoms on quality of life in community-based elderly men. Seoul: Seoul National University;2002. Unpublished mater's thesis.

26. Shin KR, Kang YH, Shin MK. A study of prostate symptom, sleep quality and quality of life in the community-dwelling Korean elderly. J Korean Gerontol Soc. 2008; 28(4):1041–1054.

27. The Korean Prostate Society. Textbook of benign prostatic hyperplasia. Seoul: Iljogak;2004.

28. Yap TL, Brown C, Cromwell DA, van der Meulen J, Emberton M. The impact of self-management of lower urinary tract symptoms on frequency volume chart measures. BJU Int. 2009; 104(8):1104–1108.