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Everyday problems in men with prostate cancer: aspects of micturition, indwelling urinary catheter treatment and sexual life
Kristianstad University, Department of Health Sciences. (FPL, Omvårdnadsvetenskap, teori och metod)
2000 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Lund: Univ. , 2000. , 80 p.
Series
Bulletin from the Department of Nursing, the Medical Faculty, Lund University, Sweden, ISSN 1404-7101 ; 6
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-7780ISBN: 91-628-4475-X (print)OAI: oai:DiVA.org:hkr-7780DiVA: diva2:396461
Available from: 2011-04-01 Created: 2011-02-10 Last updated: 2011-04-01Bibliographically approved
List of papers
1. Experiences of daily life and life quality in men with prostate cancer: an explorative study. Part I
Open this publication in new window or tab >>Experiences of daily life and life quality in men with prostate cancer: an explorative study. Part I
1997 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 6, no 2, 108-116 p.Article in journal (Refereed) Published
Abstract [en]

Eleven men with prostate cancer were randomly chosen and interviewed during an in-patient period at a southern Swedish hospital. The interview focused on functional health status in relation to daily life and life quality. In addition the sense of coherence scale was used, as well as the European Organization or Research and Treatment of Cancer (EORTC) QLQ C-30 questionnaire. The interview findings were analysed from a phenomenological-hermeneutic perspective and interpreted within the concept of transition. The entry to transition was marked by the men when experiencing an altered life continuum in terms of physical and existential fatigue, pain, micturition problems and an altered sex life. The passage phase was marked by descriptions of a new lifestyle where hope was a central internal resource, creating a positive illusion of life in order to endure. Their external resources were wives and family who supported physically (household matters, gardening) and psychologically (comfort, encouragement). The exit phase meant continuously adapting to a new life style, living with a slowly deteriorating functional health status, a new sense of dependency on others, daily life routine broken by in-patient hospital periods and contacts with primary health care. Thus the findings pointed more at continously facing new passages than a stable exit, i.e. an ongoing transition. The areas of life imbalance described may serve as a basis for care assessment and intervention as well as supplying support of the transitional process.

Keyword
prostate cancer nursing care, phenomenological-hermeneutic analysis, transition, quality of life, coherence
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7776 (URN)10.1046/j.1365-2354.1997.00019.x (DOI)9233161 (PubMedID)
Available from: 2011-02-09 Created: 2011-02-09 Last updated: 2011-04-01Bibliographically approved
2. Met and unmet nursing care needs in men with prostate cancer: an explorative study. Part II
Open this publication in new window or tab >>Met and unmet nursing care needs in men with prostate cancer: an explorative study. Part II
1997 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 6, no 2, 117-123 p.Article in journal (Refereed) Published
Abstract [en]

Men with prostate cancer (n = 11) were interviewed during an in-patient period at a urological clinic, about their experiences of met and unmet needs from health professionals. Their perception of quality of life and sense of coherence were also assessed. The findings were analysed from a phenemenological-hermeneutic perspective and interpreted within the concept of transition. It was interpreted that objective functional health needs were mostly met by health professionals and subjective existential needs were mostly not met. The analysis revealed patients as passive or active receivers of care. Passive receivers were explicitly and implicitly stating unmet needs, or explicitly stating satisfaction with nursing care at the same time as implicitly contradicting, referring to their needs as bagatelles, unimportant, whereas active receivers talked about their needs explicitly with the staff and did not state implicit unmet needs. This suggests that nurses need to be aware of and have sensitive ears to undertones in statements and actively seek for patients' needs. The most important nursing care areas seemed to be to provide solutions to physical problems together with staff support including information, and acting to increase confidence in staff and staff availability. This encourages patient, wives and families, in cooperation, towards a healthy exit of transition.

Keyword
prostate cancer nursing care needs, sense of coherence, quality of life, phenomenological-hermeneutic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-5933 (URN)10.1046/j.1365-2354.1997.00020.x (DOI)9233162 (PubMedID)
Available from: 2010-02-16 Created: 2010-02-16 Last updated: 2011-04-01Bibliographically approved
3. Experiences of micturition problems, indwelling catheter treatment and sexual life consequences in men with prostate cancer
Open this publication in new window or tab >>Experiences of micturition problems, indwelling catheter treatment and sexual life consequences in men with prostate cancer
2000 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 31, no 1, 59-67 p.Article in journal (Refereed) Published
Abstract [en]

Men with prostate cancer (n=25) were interviewed, focusing on experiences of micturition problems, indwelling catheter treatment and sexual life consequences. Narrations were found to be practical and technical descriptions rather than emotional, and experiences were described with reduction and negligence regarding personal well-being and the impact of problems. Phenomenological-hermeneutic analysis was used and findings ordered in subthemes and themes of meaning. Micturition problems, catheter treatment and sexual life problems were all phenomena that radically affected the clients’ autonomy and life quality and changed the life continuum. Impact from the disease was either accepted or not and related to what had already been borne in life. Experiences were linked together, each of them giving rise to feelings of physical deterioration and fear of ridicule, and hidden from others. Maintaining self-image and social role was important and connected with the degree of perceived deprivation of life content. Responsibility for medical decisions was left to professionals while everyday problems with micturition, catheters and sexual life were regarded as the men’s sole responsibility. Findings were interpreted to mean that comparing the personal situation with that of others worse off made the life situation look better. The clinical implication of this study was that because the men came forward with their problems when given time to talk in their own way these areas should be given time and interest in the nursing care. Interpretation did not provide a unified picture of problems. Thus, nurses will have to seek men’s individual experience actively and give legitimacy to patients’ problems by opening up opportunities to speak about otherwise concealed problems. Then it may be possible to provide solutions that may ease the men’s burdens.

Keyword
qualitative interview, lived experience, micturition, catheter treatment, sexual life, phenomenological-hermeneutic analysis, nursing practice, prostate cancer
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7779 (URN)10.1046/j.1365-2648.2000.01259.x (DOI)10632794 (PubMedID)
Available from: 2011-02-10 Created: 2011-02-10 Last updated: 2011-04-01Bibliographically approved
4. Micturition problems in relation to quality of life in men with prostate cancer or benign hyperplasia: comparison with men from the general population
Open this publication in new window or tab >>Micturition problems in relation to quality of life in men with prostate cancer or benign hyperplasia: comparison with men from the general population
2004 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 27, no 3, 218-229 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to investigate men with prostate cancer and benign prostatic hyperplasia (BPH) in comparison with men from the general population in aspects of presence and frequency of micturition problems in remembrance of prior to treatment and currently. Further, the aim was to investigate the impact of micturition problems on quality of life and the association with micturition problems, and quality of life and sense of coherence (SOC). The samples consisted of 155 men with prostate cancer, 131 with BPH, and 129 from the general population. Micturition problems were assessed with study-specific questions, modified International Prostate Symptom Score (IPSS), quality of life questionnare (QLQ C-30), and SOC questionnaires. Parametric and nonparametric statistics were applied. Most troublesome urinary problems were leakage, feelings of discomfort, and disrupted urinary function and frequency. Men with urological diagnosis had more micturition problems, fatigue, and sleeping difficulties than men from the general population, but the cancer diagnosis did not add to the problems. Role and social functioning (prostate cancer), emotional functioning (BPH), and grade of fatigue (general population) showed itself vital for overall quality of life. Thus, help in solving issues of micturition problems, fatigue, and sleeping disturbances may contribute to maintenance of role, social, and emotional aspects of life.

Keyword
Benign prostatic hyperplasia, General population, Micturition/urination problem, Prostate cancer, Quality of life
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7784 (URN)15238809 (PubMedID)
Available from: 2011-02-10 Created: 2011-02-10 Last updated: 2011-04-01Bibliographically approved
5. Indwelling catheter treatment and health-related quality of life in men with prostate cancer in comparison with men with benign prostate hyperplasia
Open this publication in new window or tab >>Indwelling catheter treatment and health-related quality of life in men with prostate cancer in comparison with men with benign prostate hyperplasia
2002 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, 264-271 p.Article in journal (Refereed) Published
Abstract [en]

Experiences from indwelling urinary catheter treatment periods were studied. Little is known of what is felt from a male perspective although catheter treatment is a common pre- and postoperative measure for men with prostate cancer and benign prostatic hyperplasia (BPH). Also studied were health-related quality of life (HRQOL) and sense of coherence (SOC). Men with catheter experience (prostate cancer n = 71, BPH n = 37) were selected from a larger questionnaire study. Assessment was made with study-specific questions together with the QLQ C-30 assessing HRQOL and the SOC questionnaire measuring sense of coherence. Data reduction method was applied to study specific variables to determine problem patterns. Correlation between HRQOL and SOC was determined. Results showed similar problem patterns in men with prostate cancer and BPH: discomfort in wearing catheter (e.g. uneasiness 48.2%), practical and psychosocial difficulties in handling and wearing catheter (e.g. attaching catheter 32.4%) and discomfort at installation (e.g. pain 29.7%). There was lack of knowledge about wearing and practical handling of the catheter. Having a cancer diagnosis did not add to uneasiness or practical problems. Life quality was correlated to SOC (p ≤ 0.001).

Keyword
prostate cancer, benign prostatic hyperplasia, indwelling urinary catheter treatment, quality of life, sense of coherence
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7782 (URN)10.1046/j.1471-6712.2002.00096.x (DOI)12191038 (PubMedID)
Available from: 2011-02-10 Created: 2011-02-10 Last updated: 2011-04-01Bibliographically approved
6. Sexual problems in men with prostate cancer in comparison with men with benign prostatic hyperplasia and men from the general population
Open this publication in new window or tab >>Sexual problems in men with prostate cancer in comparison with men with benign prostatic hyperplasia and men from the general population
2001 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 4, 573-582 p.Article in journal (Refereed) Published
Abstract [en]

• In a questionnaire study, men with prostate cancer (n=155) or benign prostatic hyperplasia (n=131) identified more sexual problems than did men from the general population (n=129). Sexual dysfunction was acknowledged regarding sexual pleasure and attraction, erectile function and sexual satisfaction and sexual performance.

• Lowered rates of sexual desire, pleasure and attraction were found when comparing their situation in recollection of pre-treatment situation to the current situation. Lower intercourse frequency and sexual satisfaction were also found.

• Medication, masturbation and artificial aids to achieve erection were not used as substitutes for shortcomings of erectile function either by men with prostate cancer and benign prostatic hyperplasia nor by their partners.

• There seemed to be a lack of information about the illness and treatment consequences for sexual life, including what physical dysfunction to expect after surgery and also what possible help to expect to compensate for the shortcomings.

Keyword
benign prostatic hyperplasia, experiences of disease and treatment, general population, prostate cancer, sexual life consequences
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7781 (URN)10.1046/j.1365-2702.2001.00499.x (DOI)000169890600021 ()11822505 (PubMedID)
Available from: 2011-02-10 Created: 2011-02-10 Last updated: 2011-04-01Bibliographically approved

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