Presurgery experiences of prostate cancer patients and their spouses.
PURPOSE: In this article, the authors describe the experiences of men with prostate cancer and their spouses between diagnosis and surgery. DESCRIPTION: As part of a longitudinal qualitative study, semistructured interviews were held with 34 prostate cancer patients who were waiting for surgery. Sep...
| Publicado en: | Cancer Practice Vol. 7; no. 3; pp. 130 - 136 |
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| Autores principales: | , , , , |
| Formato: | questionnaire/scale research Journal Article |
| Publicado: |
Wiley-Blackwell
May/Jun99
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107208521&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107208521 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10654704 FQQ jtl: Cancer Practice issn: 10654704 maglogo: Y pubinfo: dt: May/Jun99 vid: 7 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 107208521 107208521 1999059554 10.1046/j.1523-5394.1999.07308.x NLM10352075 107208521 ppf: 130 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Presurgery experiences of prostate cancer patients and their spouses. aug: au: Gray RE Fitch MI Phillips C Labrecque M Klotz L affil: Toronto-Sunnybrook Regional Cancer Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada sug: subj: Preoperative Period Cancer Patients Psychosocial Factors Spouses Psychosocial Factors Prostatic Neoplasms Psychosocial Factors Female Male Thematic Analysis Adaptation, Psychological Marriage Information Needs Truth Disclosure Anxiety Canada Middle Age Aged Adult Audiorecording Questionnaires Qualitative Studies Semi-Structured Interview Funding Source Human Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Female Male ab: PURPOSE: In this article, the authors describe the experiences of men with prostate cancer and their spouses between diagnosis and surgery. DESCRIPTION: As part of a longitudinal qualitative study, semistructured interviews were held with 34 prostate cancer patients who were waiting for surgery. Separate interviews were held with their spouses. RESULTS: Six main components of experience were evident from the analysis of transcripts related to the presurgery period: 1) the news of a diagnosis of prostate cancer came initially as a shock for both partners, the impact of which lessened over time; 2) the new reality of illness necessitated readdressing the marital relationship, most often resulting in a sense of renewed connection and commitment; 3) the illness crisis precipitated a search for information to guide decisions about treatment; 4) there was a need for couples to decide who to inform about the cancer diagnosis and how much to say about it; 5) couples attempted to seek a semblance of normality in their lives, especially after treatment decisions had been made; and 6) despite attempts to minimize the potential impact of upcoming surgery, anxiety was typically experienced at least intermittently by one or both partners. CLINICAL IMPLICATIONS: Physicians, nurses, social workers, and other health professionals need to facilitate attempts by the patient to gather and synthesize information. Cancer specialists can play a positive role in reducing distress in couples, and, thus, the attention of the specialists to communication issues is critical. The strain of waiting for surgery must be considered when treatment recommendations are made; watchful waiting protocols require further study from a psychological perspective. Clinicians need to be alert to the balance between being positive and carrying on as normal, and acknowledging and dealing with the distress that arises. pubtype: Academic Journal doctype: questionnaire/scale research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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