Symptoms and self-care strategies during and six months after radiotherapy for prostate cancer - Scoping the perspectives of patients, professionals and literature.
OBJECTIVE
Under-diagnosed and uncontrolled symptoms in patients with prostate cancer during radiotherapy can have a negative impact on the individual's quality of life. An opportunity for patients to report their symptoms systematically, communicate these symptoms to cancer nurses and to receive self-care advice via an application in an Information and Communication Technology-platform could overcome this risk. The content in the application must precisely capture symptoms that are significant to both patients and health care professionals. Therefore, the aim of the study was to map and describe symptoms and self-care strategies identified by patients with prostate cancer undergoing radiotherapy, by health care professionals caring for these patients, and in the literature.


METHODS
The study combines data from interviews with patients (n = 8) and health care professionals (n = 10) and a scoping review of the literature (n = 26) focusing on the period during and up to 6 months after radiotherapy.


RESULTS
There was a concordance between the patients, health care professionals, and the literature on symptoms during and after radiotherapy. Urinary symptoms, bowel problems, pain, sexual problems, fatigue, anxiety, depression, cognitive impairment and irregular symptoms were commonly described during the initial treatment period. Self-care strategies were rarely described in all three of the sources.


CONCLUSIONS
The results show which symptoms to regularly assess using an Information and Communication Technology-platform for patients with newly-diagnosed prostate cancer during radiotherapy. The next step is to evaluate the efficacy of using the platform and the accuracy of the selected symptoms and self-care advice included in a smartphone application.
Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, S-70182 Örebro, Sweden. Electronic address: karin.blomberg@oru.se.
Karin
K
Blomberg
Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, S-70182 Örebro, Sweden; Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
Yvonne
Y
Wengström
Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
Kay
K
Sundberg
Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden; School of Life Sciences, University of Skövde, Skövde, Sweden.
Maria
M
Browall
Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, S-70182 Örebro, Sweden.
Ann-Kristin
AK
Isaksson
Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, S-70182 Örebro, Sweden.
Maria Hälleberg
MH
Nyman
Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
Ann
A
Langius-Eklöf
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D000223:Adaptation, Psychological; D005500:Follow-Up Studies; D020380:Needs Assessment; D011471:Prostatic Neoplasms / Q000150:complications / Q000523:psychology / Q000532:radiotherapy; D011788:Quality of Life; D012648:Self Care; D013548:Sweden; D063189:Symptom Assessment; D013997:Time Factors
Health information technology; Nursing care; Patient care management; Prostate cancer; Radiotherapy; Self-care; Symptoms