Australian men's long term experiences following prostatectomy: a qualitative descriptive study.
The experiences of men in the immediate postoperative period following surgery for primary prostate cancer are well reported in the literature. Recognition of the unresolved morbidity encountered by men in the medium term suggests that a more complete understanding of how men cope in the long term is needed. Health professionals are deserving of a more complete literature for the purpose of providing holistic care for this group of men, providing informed advocacy and better support for men living with the diagnosis of prostate cancer. Emerging literature reveals that men's knowledge of the long term problems associated with prostatectomy was inadequate at the time they consented to treatment; the likely outcomes at all phases of recovery should be taken into account when deciding on choice of treatment or no treatment. This qualitative study aims to describe men's long term recovery following prostatectomy for the purpose identifying the effects of unresolved post surgical morbidity. The content analysis of focus group interviews revealed that incontinence and impotence were a major source of emotional tension affecting the men's social interactions and sense of self-worth. The men expressed great regret over the lack of information accessible to them for evaluating the risk and nature of long term problems. The thick description provided in this study identifies the need for empathetic assessment of men with ongoing post surgical issues and alerts the reader to the inadequacies of information provided prior to consent to prostatectomy.
School of Nursing and Midwifery, University of South Australia - City East Campus, Adelaide, SA, Australia.
Peter 'kevin'
P'
O'Shaughnessy
Tom A
TA
Laws
D000223:Adaptation, Psychological; D001294:Attitude to Health; D001315:Australia; D001828:Body Image; D007172:Erectile Dysfunction / Q000209:etiology; D017144:Focus Groups; D006801:Humans; D008297:Male; D008571:Men / Q000193:education / Q000523:psychology*; D020380:Needs Assessment; D024802:Nurse's Role; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D011468:Prostatectomy / Q000009:adverse effects / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000209:etiology