Exploration Factors Associated with the Positive and Negative Affects and General Quality of Life Before Treatment of Partners of Men with Prostate Cancer

• Main Authors: LEE, CHIA-JUNG, 李家蓉
• Other Authors: CHIEN, CHING-HUI
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/cwabhh

碩士 === 國立臺北護理健康大學 === 護理研究所 === 106 === Objective: To explore factors associated with the positive and negative affects and general quality of life of partners of men with prostate cancer before treatment. Background: The incidence of prostate cancer is increasing every year, but the prognosis is very good. Despite the high incidence, the survival rate is also high. The focus of medical care should be quality of life and the emotional state in patient with prostate cancer and their partner, but there are few studies on the partners. Methods: This cross-sectional study uses a structured questionnaire as the primary data collection method. A total of 103 partners of men with prostate cancer were recruited from two medical centers in Northern and a hospital in Southern Taiwan. The questionnaires were included a demographic data sheet, the Positive and Negative Affect Schedule (PANAS), and the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12). All statistical analysis was performed using SPSS version 20.0. The analysis includes descriptive statistics, independent sample t-test, one-way ANOVA, Pearson correlation, and multiple regression. Results: The partners of men with prostate cancer had an average positive affect score of 36.09±8.19 and average negative affect score of 25.82±8.97. According to multiple regression analysis, a significant predictors of positive affect among the partners was “the partner’s education.” “The patient with diabetes” was a significant predictor for negative affect among the partners. Positive affect was higher when the education of the partners was "junior high school/senior high school" (β=0.271,p=0.034) or "≥ college/university" (β=0.492,p<0.001). A partner with diabetes has more negative affect (β=0.265,p=0.007) than a prostate cancer patient without diabetes. The average Physical Component Summary score of the partners was 47.28±9.34, and the average Mental Component Summary score was 50.95±3.97. The significant predictors of the Physical Component Summary score of the partners were “the partner with heart disease,” “the partner’s health status,” “the partner with degenerative arthritis,” “the partner’s education,” “the partner’s number of children,” and “the patient with had a stroke” according to multiple regression analysis. The significant predictors of the Mental Component Summary score of the partners were identified as “negative affect” and “the partner’s marital status.” Partners with heart disease had poor Physical Component Summary scores (β=-0.218,p=0.006).Partners with better health status also had better Physical Component Summary scores(β=0.328,p<0.001). Partners with arthritis had poor Physical Component Summary scores (β=-0.283,p<0.001). Partners with education "junior high school/senior high school" (β=0.207,p=0.006) also had higher Physical Component Summary scores, as did partners with fewer children (β=-0.185,p=0.017). Patients with stroke as had poor Physical Component Summary scores (β=-0.168,p=0.024) on partners. The degree of partner’s negative affect and Mental Component Summary score were highly correlated (r=-0.345；p<0.001). Partners in marital relationships also had poor Mental Component Summary scores (β=-0.188,p=0.044). Conclusions and Recommendations: The results demonstrate that the partners with higher negative affect had lower mental health related quality of life. The results also suggest that clinical healthcare providers should regularly assess emotional states and quality of life. Higher negative emotional states and poor general quality of life of partners should receive early intervention.