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Analysis of distress in patients undergoing radical prostatectomy: A multicenter prospective study
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논문 기본 정보

Type
Academic journal
Author
Duk Yoon Kim (대구가톨릭대학교) Jae Hyun Ryu (서울보훈병원) YOO TAG KEUN (을지대학교) Yun Beom Kim (서울보훈병원) Tae Young Jung (서울보훈병원) Woo Jin Ko (국민건강보험공단 일산병원) YANG EUN-KYOUNG (경북대학교)
Journal
The Korean Urology Association Investigative and Clinical Urology Investigative and Clinical Urology Vol.65 No.1 KCI Accredited Journals
Published
2024.1
Pages
40 - 52 (13page)
DOI
https://doi.org/10.4111/icu.20230286

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Analysis of distress in patients undergoing radical prostatectomy: A multicenter prospective study
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Purpose: To analyze the degree of psychological distress experienced pre- and postoperatively in patients who underwent radical prostatectomy after being diagnosed with prostate cancer. Materials and Methods: Patients diagnosed with prostate cancer who underwent radical prostatectomy without history of psychiatric disorders were included in this study. The degree of psychological distress was evaluated using hospital anxiety and depression scale (HADS) and distress thermometer (DT) questionnaires preoperatively and at 1, 3, 6, and 12 months postoperatively. Results: Distress was high preoperatively and decreased over the entire period. In addition, HADS-anxiety and HADS-depression scores showed an improved severity, shifting from an abnormal state to a borderline state in some patients. However, the DT score, including emotional problems, spiritual concerns, physical problems, family problems, and practical problems, was slightly higher at 1 month postoperatively compared to preoperatively. Furthermore, even at 12 months postoperatively, about one fifth of patients surveyed had a DT score of 4 or higher, requiring psychiatric intervention. Conclusions: Before and after radical prostatectomy, a significant number of patients complained of distress such as anxiety, depression, and insomnia, and they needed help from a specialist because of psychological distress even 12 months postoperatively. Therefore, a close evaluation of the patient’s psychological distress and supportive treatment are needed during the entire pre- and postoperative period.
#Anxiety #Depression #Insomnia #Prostatectomy #Psychological distress

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