성인간호학회지 (Korean Journal of Adult Nursing)

  • 제25권5호
  • /
  • Pages.483-493
  • /
  • 2013
  • /
  • 1225-4886(pISSN)
  • /
  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지
DOI QR코드

DOI QR Code

직장인 중년남성의 갱년기 증후군과 발기부전, 우울, 삶의 질에 관한 연구

A Study on Late-onset of Hypogonadism, Erectile Dysfunction, Depression, and Quality of Life among Middle-aged Male Worker

  • 투고 : 2013.02.26
  • 심사 : 2013.10.22
  • 발행 : 2013.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to examine late-onset hypogonadism, erectile dysfunction, depression, and quality of life among middle-aged male workers. Methods: The subjects included 343 men aged between 40 and 64, responded to self-report questionnaires on general characteristics, late-onset hypogonadism, erectile dysfunction, depression, and quality of life. Data were collected from May 16, 2012 to October 9, 2012 and analyzed using t-test, ANOVA, $x^2$-test, hierarchical multiple regression. Result: The prevalence rate of late-onset hypogonadism was 63.8% with high points in reduction of libido, energy, physical strength and endurance, and erectile function. There were significant differences in late-onset hypogonadism according to age($x^2$=8.98, p=.048) and in erectile dysfunction according to age(F=11.03, p<.001), monthly income(F=2.84, p=.024) and smoking( t=2.96, p=.018). Significant differences were also found in depression according to educational level(F=8.12, p<.001) and in quality of life according to monthly income(F=7.21, p<.001). The factors which influenced quality of life were late-onset hypogonadism, erectile dysfunction, depression, marital status and religion. Conclusion: Symptoms of erectile dysfunction can be improved by smoking cessation education program. In order to improve the life quality of middle-aged men, nursing intervention programs that would both provide proper knowledge on climacteric syndrome and alleviate symptoms should be designed while, at the same time, other programs to evaluate, prevent and control depression are developed.

키워드

참고문헌

  1. Araujo, A. B., Esche, G. R., Kupelian, V., O'Donnell, A. B., Travison, T. G., Williams, R. E., et al. (2007). Prevalence of symptomatic androgen deficiency in men. Journal of Clinical Endocrinology and Metabolism, 92, 4241-4247. http://dx.doi.org/10.1210/jc.2007-1245
  2. Chung, T. G., Lee, T. K., Chung, S. U., Lee, M. S., Kim, Y. S., & Ahn, T. Y. (1999). The Korean version of the international index of erectile function (IIEF): Reliability and validation study. Korean Journal of Urology, 40, 1334-1343.
  3. Fu, S. K., Anderson, D., Courtney, M., & McAvan, B. (2006). The relationship between country of residence, gender and the quality of life in Australian and Taiwanese midlife residents. Social Indicators Research, 79, 25-49. http://dx.doi.org/10.1007/s11205-005-3002-8
  4. Hwang, T., Lo, H. C., Tsai, F., & Chiou, H. (2007). Association among hypogonadism, quality of life and erectile dysfunction in middle-aged and aged male in Taiwan. International Journal of Impotence Research, 19, 69-75. http://dx.doi.org/10.1038/sj.ijir.3901480
  5. Jeon, G. G., Kwon, G. D., & Kim, S. G. (1999). An attempt to revise the Korean adaptation of the CES-D. Journal of Social Science Research, 6, 429-451.
  6. Kang, H. S., & Lee, D. H. (2004). A study of the subjective quality of life rural residents: Focused on west areas of Chungnam province. Health and Social Science, 16, 201-225.
  7. Kang, J. I., Ham, B. K., Oh, M. M., Kim, J. J., & Moon D. J. (2011). Correlation between serum total testosterone and the AMS and IIEF questionnaires in patients with erectile dysfunction with testosterone deficiency syndrome. Korean Journal of Urology, 52, 416-420. http://dx.doi.org/10.4111/kju.2011.52.6.416
  8. Kim, J. H., & Lee, Y. J. (2005). Study of andropause symptoms and life satisfaction among middle-aged men. Journal of Korean Academy of Community Health Nursing, 16 (2), 186-195.
  9. Kim, J. H., Lee, Y. J., & Lee, S. H. (2003). A study of the knowledge and attitudes toward the andropause among middle aged and elderly man. Nursing Science, 15 (2), 31-38.
  10. Kim, N. J. (2008). Related factors and the symptoms of menopause in male workers. Journal of Korean Society for Health Education and Promotion, 25 (4), 29-42.
  11. Kim, S. C. (2009). Sexual attitude and perception on erectile dysfunction treatment among patients with erectile dysfunction and the patients' spouses. Korean Journal of Andrology, 27 (1), 1-9.
  12. Kim, S. W., Oh, S. J., Paick, J. S., & Kim, S. C. (2004). Development of the Korean-translation of androgen deficiency in aging males (ADAM) questionnaire. Korean Journal of Urology, 45, 674-679.
  13. Kshirsagar, A., Seftel, A., Ross, L., Mohamed, M., & Niederberger, C. (2006). Predicting hypogonadism in men based upon age, presence of erectile dysfunction, and depression. International Journal of Impotence Research, 18, 47-51. http://dx.doi.org/10.1038/sj.ijir.3901369
  14. Lee, A. M., Chu, L. W., Chong, C. S., Chan, S. Y., Tam, S., Lam, K. S., et al. (2009). Relationship between symptoms of androgen deficiency and psychological factors and quality of life among Chinese men. International Journal of Andrology, 33, 755-763. http://dx.doi.org/10.1111/j.1365-2605.2009.01021.x
  15. Lim, S. J., & Auh, S. Y. (2011). The research on the ecological influential factors of the perceived quality of life among the middle aged adults. Korean Journal of Family Resource Management Association, 15 (4), 129-147.
  16. Lim, T., Das, A., Rampal, S., Zaki, M., Sahabudin, R., Rohan, M., et al. (2003). Cross-cultural adaptation and validation of the English version of the international index of erectile function (IIEF) for use in Malaysia. International Journal of Impotence Research, 15, 329-336. http://dx.doi.org/10.1038/sj.ijir.3901009
  17. Makhlouf, A. A., Mohamed, M. A., Seftel, A. D., & Neiderberger, C. (2008). Hypogonadism is associated with overt depression symptoms in men with erectile dysfunction. International Journal of Impotence Research, 20, 157-161. http://dx.doi.org/10.1038/sj.ijir.3901576
  18. Makinen, J. I., Perheentupa, A., Raitakari, O. T., Koskenvuo, M., Pollanen, P., Makinen, J., et al. (2007). Sexual symptoms in aging men indicate poor life satisfaction and increased health service consumption. Urology, 70, 1194-1199. http://dx.doi.org/10.1016/j.urology.2007.08.030
  19. Min, S. G., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. G. (2000). Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of the Korean Neuropsychiatric Association, 39, 571-579.
  20. Morley, J. E., Charlton, E., Patrick, P., Kaiser, F. E., Cadeau, P., McCready, D., et al. (2000). Validation of a screening questionnaire for androgen deficiency in aging males. Metabolism, 49, 1239-1242. http://dx.doi.org/10.1053/meta.2000.8625
  21. Nieschlag, E., Swerdloff, R., Behre, H. M., Gooren, L. J., Kaufman, J. M., Legros, J. J., et al. (2005). Investigation, treatment and monitoring of late-onset hypogonadism in males. Aging Male, 8, 56-58. http://dx.doi.org/10.1080/13685530500130969
  22. Novak, A., Brob, M., & Elbers, J. (2002). Andropause and quality of life: Findings from patient focus groups and clinical experts. Maturitas, 43, 231-237. https://doi.org/10.1016/S0378-5122(02)00274-8
  23. O'Donnell, A. B., Araujo, A. B., & McKinlay, J. B. (2004). The health of normally aging men: The Massachusetts male agin study. Experimental Gerontology, 39, 975-984. http://dx.doi.org/10.1016/j.exger.2004.03.023
  24. Park, H. J., Park, B. K., Kim, J. M., & Park, N. C. (2006). The relationship between serum total testosterone and clinical symptoms of late-onset hypogonadism in aging males. Korean Journal of Andrology, 24 (1), 35-39.
  25. Park, H. J., Ye, J. W., Park, C. S., & Park, N. C. (2008). Influence of metabolic syndrome on late-onset male hypogonadism symptoms and serum total testosterone level. Korean Journal of Andrology, 26 (1), 11-17.
  26. Park, M. G., Kang, S. C., Lee, T. W., Lee, J., Kang, S. H., Moon, D. G., et al. (2007). Attitude of Korean males toward late-onset hypogonadism: Survey of males in their 40s and above. Korean Journal of Andrology, 25 (1), 26-31.
  27. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. http://dx.doi.org/10.1177/014662167700100306
  28. Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822-830. https://doi.org/10.1016/S0090-4295(97)00238-0
  29. Schubert, M., & Jockenhovel, F. (2005). Late-onset hypogonadism in the aging male(LOH): Definition, diagnostic and clinical aspects. Journal of Endocrinological Investigation, 28 (3), 23-27. https://doi.org/10.1007/BF03345525
  30. Serefoglu, E. C., Atmaca, A. F., Dogan, B., Altinova, S., Akbulut, Z., & Balbay, M. D. (2008). Problems in understanding the Turkish translation of the international index of erectile function. Journal of Andrology, 29, 369-373. http://dx.doi.org/10.2164/jandrol.107.004366
  31. Yang, D. H., Jeong, J. Y., Jang, S. N., Lee, S. K., Choi, Y. J., & Kim, D. H. (2007). Prevalence and risk factors for erectile dysfunction in aging men: Hallym aging study. Korean Journal of Urology, 48, 1258-1276. https://doi.org/10.4111/kju.2007.48.12.1258

피인용 문헌

  1. Factors Influencing Sleep Quality among Middle-aged Male Workers vol.23, pp.4, 2014, https://doi.org/10.5807/kjohn.2014.23.4.235
  2. Effects of Shingi-whan on the Male Reproductive and Sexual Function : Enhancing Spermatogenesis, Reducing Testicular Toxicity, and Relaxing Smooth Muscle of Corpus Cavernosum vol.30, pp.3, 2015, https://doi.org/10.6116/kjh.2015.30.3.55.
  3. Experiences in Self-leading Leisure Activities of Middle-aged Office Workers vol.28, pp.5, 2016, https://doi.org/10.13000/JFMSE.2016.28.5.1348
  4. 대도시 일부 중년 남녀의 우울증상과 관련된 사회심리적 요인: 사회적 지지와 스트레스 대처방식을 중심으로 vol.32, pp.3, 2013, https://doi.org/10.14367/kjhep.2015.32.3.43
  5. 기혼 중년 남성의 직업스트레스, 직업 안정성, 우울, 가족유대감, 주관적 건강상태, 사회적 지지가 삶의 질에 미치는 영향에 대한 융합적 연구 vol.8, pp.3, 2013, https://doi.org/10.15207/jkcs.2017.8.3.101
  6. 중년 남성의 갱년기 경험에 관한 현상학적 융합 연구 vol.8, pp.9, 2013, https://doi.org/10.15207/jkcs.2017.8.9.217
  7. 전후기 중년 남성의 삶의 질 영향 요인에 대한 융합적 연구 vol.9, pp.6, 2013, https://doi.org/10.15207/jkcs.2018.9.6.133
  8. 전후기 중년 남성의 삶의 질 영향 요인에 대한 융합적 연구 vol.9, pp.6, 2013, https://doi.org/10.15207/jkcs.2018.9.6.133
  9. 남성 간경변 환자의 성기능, 수면의 질, 우울에 관한 연구 vol.20, pp.2, 2013, https://doi.org/10.5762/kais.2019.20.2.311
  10. 중년남성의 자살생각 경로모형 분석 vol.20, pp.2, 2013, https://doi.org/10.5762/kais.2019.20.2.543
  11. 중년 남성의 경제적 불안, 자기효능감이 재정 스트레스에 미치는 영향 vol.8, pp.3, 2013, https://doi.org/10.15268/ksim.2020.8.3.163
  12. 기혼 중년 남성의 갱년기 증상이 자살 사고에 미치는 영향에서 주관적 행복감의 매개효과 vol.19, pp.4, 2013, https://doi.org/10.14400/jdc.2021.19.4.423
  13. 후기 중년 남성의 우울 영향 요인 vol.12, pp.4, 2021, https://doi.org/10.15207/jkcs.2021.12.4.377
  14. Influencing Factors of Menopausal Symptoms, Social Support, and Marital Intimacy on Quality of Life in Middle-Aged Men vol.33, pp.6, 2021, https://doi.org/10.13000/jfmse.2021.12.33.6.1447