Survivors’ perspectives on the impact of prostate cancer: Implications for oncology nurses

Margaret I. Fitch, Beverley Johnson, Ross Gray, Edmee Franssen

Abstract


Providing effective care for individuals with prostate cancer is an important issue for oncology nurses. However, the paucity of empirical work regarding the impact of prostate cancer presents a limitation in designing and implementing appropriate nursing interventions. This article presents the findings from a national survey of 621 Canadian men living with prostate cancer regarding the impact of their disease and the availability of support. The most frequently identified problems included sexual function, side effects, fear of dying, incontinence, anger and pain. Approximately one-third of the respondents experienced a lifestyle change, but relatively few indicated experiencing a negative impact from the changes they experienced. The majority of respondents indicated they had been informed accurately about their treatment, but dissatisfaction was expressed regarding lack of information about emotional reactions, alternative therapies, how to speak with other prostate cancer patients and the availability of counselling and self-help groups. Clearly these results have implications for oncology nurses.


Full Text:

PDF

References


Braslis, K.G., Santa-Cruz, C., Brickman, A.L., Soloway, M.S. (1995).

Quality of life 12 months after radical prostatectomy. British Journal

of Urology, 75, 48-53.

Caffo, O., Fellin, G., Graffer, U., Luciani, L. (1996). Assessment of

quality of life after radical radiotherapy for prostate cancer. British

Journal of Urology, 78, 557-563.

DaSilva, F.C., Reis, E., Costa, T., Denis, L. (1993). Quality of life in

patients with prostate cancer. Cancer, 71, 1138-42.

Fossa, S.D. (1996). Quality of life in prostate cancer: What are the issues and

how are they measured? European Urology, 29(Suppl 2), 121-123.

Fowler, F.J., Barry, M.J., Lu-Yao, G., Wasson, J., Roman, A., Wennberg,

J. (1995). Effect of radical prostatectomy for prostate cancer on patient

quality of life: Results from a Medicare survey. Urology, 45(6), 1007-

Fransson, P., Widmark, A. (1996). Self-assessed sexual function after pelvic

irradiation for prostate carcinoma. Cancer, 78(5), 1066-1078.

Gittes, R.F. (1991). Carcinoma of the prostate. New England Journal of

Medicine, 324, 236-45.

Gray, R., Fitch, M., Davis, C., Phillips, C. (1997a). Interviews with men

with prostate cancer about their self-help group experiences. Journal

of Palliative Care, 13(1), 15-21.

Gray, R., Greenberg, M., Fitch, M., Parry, N. Douglas, M.S., Labrecque, M.

(1997b). Perspectives of cancer survivors interested in unconventional

therapies. Journal of Psychosocial Oncology, 15(3/4), 149-71.

Gray, R., Fitch, M., Davis, C., Phillips, C. (1997c). A qualitative study of

breast cancer self-help groups. Psycho-oncology, 6, 279-289.

Hanks, G.E. (1988). External beam radiation therapy for clinically

localized prostate cancer patients: Patterns of care studies in the

United States. NCI Monograph, 7, 75-84.

Kornblith, A.B., Herr, H.W., Ofman, U.S., Scher, H.I., Holland, J.C.

(1994). Quality of life of patients with prostate cancer and their

spouses. Cancer, 73(11), 2791-2802.

Leandri, P., Rossignol, G., Gautier, J.R., Ramon, J. (1992). Radical

retropubic prostatectomy: Morbidity and quality of life. Journal of

Urology, 147, 883-887.

Lim, A.J., Brandon, A.H., Fielder, J., Brickman, A.L., Boyer, C.I., Raub,

W.A., Soloway, M.S. (1995). Quality of life: Radical prostatectomy

versus radiation therapy for prostate cancer. Urology, 154, 1420-1425.

Litwin, M.S., Hays, R.D., Fink, A., Ganz, P., Leake, B., Leach, G.E.,

Brook, R.H. (1995). Quality of life outcomes in men treated for

localized prostate cancer. Journal of the American Medical

Association, 273(2), 129-135.

Montie, J.E. (1994). Counselling the patient with localized prostate

cancer. Urology, 45(2), Supplement, 36-40.

National Cancer Institute of Canada. (1998). Canadian Cancer

Statistics. Toronto: Author.

Pedersen, K.V., Carlsson, P., Rahmquist, M., Varenhorst, E. (1993).

Quality of life after radical retropubic prostatectomy for carcinoma of

the prostate. European Urology, 24, 7-11.

Pontes, J.E., Huber, R., Wolf, R. (1986). Sexual function after radical

prostatectomy. Prostate, 8, 123-126.

Sinder, P.A., Tasch, E.S., Stocking, C., Rubin, S., Siegler, M.,

Weichselbaum (1991). Sex or survival: Trade-offs between quality

and quantity of life. Journal of Clinical Oncology, 9(2), 328-334.

Smith, J.A., Middleton (1991). Clinical management of prostate

cancer. Chicago: Year Book Medical Publishers.

Talcott, J.A. (1996). Quality of life in early prostate cancer - do we know

enough to treat? Hematology/Oncology Clinics of North America,

(3), 691-701.

Walsh, P.C. (1988). Nerve sparing radical prostatectomy for early stage

prostate cancer. Term Oncology, 15, 351-358.

Walsh, P.C., Epstein, J.I., Lowe, F.C. (1987). Potency following radical

prostatectomy with wide unilateral excision of the neurovascular

bundle. Journal Urology, 138, 832-827.

Zinreich, E.S., Derogatis, L.R., Herpst, J., Auvil, G., Piantadosi, S.,

Order, S.E. (1990). Pretreatment evaluation of sexual function in

patients with adenocarcinoma of the prostate. International Journal

of Radiation, 19, 1001-1004.


Refbacks

  • There are currently no refbacks.