Patient Experiences At Diagnosis And Perceptions Of Negative Effects After Different Prostate Cancer Treatments, And Impact On Psychological Well-being: A Nationwide Survey | 62032
Journal of Nursing & Care
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Most prostate cancers (PC) are diagnosed in the early phase and men live for many years after the diagnosis. Thus, their
well-being and quality of life is ever more important. We investigated patient experiences, adverse impacts of different
PC treatments, and psychological well-being in a nation-wide sample (n=1239) of PC patients. We collected information on
experiences at diagnosis (e.g., treatment selection; patient satisfaction with care and information; and psychological reactions)
and negative effects (occurrence, perceived level and bother since the beginning of the treatment) of PC treatments like
prostatectomy, external beam radiotherapy, brachytherapy and hormone therapy. We measured the patients’ psychological
well-being (psychological symptoms, satisfaction with life) for five years after diagnosis. Differences between treatments and
predictors of psychological well-being were investigated. Half of the respondents were satisfied with the care and information
they received about the cancer and side effects of treatment. Negative experiences, like learning of the diagnosis in an
impersonal way and dissatisfaction with the information and care, predicted poorer well-being. Negative effects of treatments
were common, multiple, persistent, and vary by treatment modality. All treatments result in sexual difficulties (70–92%
reported sexual dysfunction and sex life with the spouse ended in 20-58%), prostatectomy and radiotherapies also in urinary
dysfunction, and external radiotherapy in bowel dysfunction. Most symptoms were considered highly bothering. Especially,
urinary symptoms were associated with poorer well-being, but bother of the symptoms had a greater impact than the symptoms
as such. Unmet supportive care and informational needs were common. Along with negative effects of treatments, needs which
improvements in care would probably reduce; have a long-lasting impact on well-being.
Ulla-Sisko Lehto has completed her Master’s degree in Psychology from University of Tampere, and has done her PhD (Oncology) from University of Tampere, School of Medicine. She is currently working as a Senior Researcher in the field of Psychosocial Oncology (Psychological well-being and health after a cancer diagnosis) at the National Institute for Health and Welfare, Finland. She has published papers in reputed journals in Oncology, Health Sciences, and Nursing Sciences.