不同術式之良性攝護腺肥大症患者生活品質探討

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不同術式之良性攝護腺肥大症患者生活品質探討

Life Quality of Benign Prostate Hyperplasia Patient after Different Methods of Surgery

謝德生 , Masters　　Advisor：蘇喜　　

繁體中文

生活品質；攝護腺手術； WHOQOL ； IPSS ； life quality ； prostatectomy ； WHOQOL ； IPSS

Abstract │ Reference (22) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Benign prostate hyperplasia (BPH) is a common disease of old age. Traditionally, the most effective treatment is transurethral resection of the prostate (TURP). However laser prostatectomy (LP) becomes very popular in recent years. Many clinical reports had approved its result of treatment. But there are only few investigations concerning the quality of life after prostatectomy. No publication about this area was seen in Taiwan.
Our research studied 150 cases of BPH patients receiving TURP or LP in one medical center in North Taiwan. Post-operation quality of life is the main interest. Life quality questionnaire from World Health Organization (WHOQOL), International Prostate Symptom Score (IPSS) and change of clinical symptoms were used to see any difference of patient character or any changes of life quality after different operation methods.
The results showed age, education, concomitant chronic medical diseases and family income will affect the patients to choose different methods of surgery. Both surgical methods can get equal good results of clinical symptoms. Laser prostatectomy may have less surgical risks. On the other hand, comparing with TURP, it may get better improvements about quality of life especially in the aspects of health of psychology and satisfaction of social relationships. 
Conclusively, LP may have the same clinical efficacy as TURP and having better post-operation quality of life. It also has less surgical risks. We wish the result of this research may be a useful reference for decision makers of policy of national health insurance.

Reference ( 22 ) 〈TOP〉

1. 行政院衛生署國民健康局：http://www.bhp.doh.gov.tw/BHPnet/Portal/
連結：
3. 林榮第、姚開屏、游芝亭、王榮德：健康相關生活品質之效用測量方法信度的評估：以血液透析之末期腎臟病人為例。中華衛誌 1997；16（5）：404-416。
連結：
4. 姚開屏：健康相關生活品質概念與測量原理簡介。台灣醫學會 2002；6（2）：183-192
連結：
5. 姚開屏：世界衛生組織生活品質問卷之發展與應用。台灣醫學2002；6（3）：193-200。
連結：
6. 姚開屏：台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北世界衛生組織生活品質問卷之發展及使用手冊。
連結：

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