Illness Representations and Quality of Life of Older People with Benign Prostatic Hyperplasia: A Correlational Study
Keywords:
illness representation, quality of life, benign prostatic hyperplasia, older peopleAbstract
Abstract:
Objective: To examine any correlation between illness representations and quality of life in older benign prostatic hyperplasia (BPH) patients.
Design: Descriptive correlational research.
Methodology: The participants were 383 BPH patients aged 60 years and older receiving medical care at the outpatient departments of four hospitals under the Bangkok Metropolitan Administration. Data were collected using the Illness Representation Scale and Quality of Life Scale. The data were analysed using descriptive statistics, and correlation-tested using Spearman’s Rank Correlation.
Results: The older BPH patients displayed a high degree of illness representations concerning disease characteristics, illness duration, personal means of illness control, illness control via medical treatment, mental association with the illness, and risk factors. The patients’ overall quality of life was moderate, whilst their wellbeing dimension of quality of life was high. Through their reflection, the patients identifed the consequences of their illness as disrupting their activities (r = -.102, p < .05). The consequences of the illness, illness duration, emotional health, and risk factors were signifcantly related to the patients’
wellbeing dimension of quality of life (r = .103, .145, .128, .126, p < .05, respectively). The patients’ representations of disease characteristics and risk factors were signifcantly related to their sexuality dimension of quality of life (r = -.147 and -.112, p < .05, respectively).
Recommendations: Some older people have misconceptions about causes of illnesses. Nurses are advised to provide health education for older BPH patients to help them develop a correct understanding of their disease, adopt proper self-management methods, and achieve better quality of life.
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