Advanced

Experiences of micturition problems, indwelling catheter treatment and sexual life consequences in men with prostate cancer

Jakobsson, Liselotte; Rahm Hallberg, Ingalill LU and Loven, Lars (2000) In Journal of Advanced Nursing 31(1). p.59-67
Abstract
Men with prostate cancer (n=25) were interviewed, focusing on experiences of micturition problems, indwelling catheter treatment and sexual life consequences. Narrations were found to be practical and technical descriptions rather than emotional, and experiences were described with reduction and negligence regarding personal well-being and the impact of problems. Phenomenological-hermeneutic analysis was used and findings ordered in subthemes and themes of meaning. Micturition problems, catheter treatment and sexual life problems were all phenomena that radically affected the clients' autonomy and life quality and changed the life continuum. Impact from the disease was either accepted or not and related to what had already been borne in... (More)
Men with prostate cancer (n=25) were interviewed, focusing on experiences of micturition problems, indwelling catheter treatment and sexual life consequences. Narrations were found to be practical and technical descriptions rather than emotional, and experiences were described with reduction and negligence regarding personal well-being and the impact of problems. Phenomenological-hermeneutic analysis was used and findings ordered in subthemes and themes of meaning. Micturition problems, catheter treatment and sexual life problems were all phenomena that radically affected the clients' autonomy and life quality and changed the life continuum. Impact from the disease was either accepted or not and related to what had already been borne in life. Experiences were linked together, each of them giving rise to feelings of physical deterioration and fear of ridicule, and hidden from others. Maintaining self-image and social role was important and connected with the degree of perceived deprivation of life content. Responsibility for medical decisions was left to professionals while everyday problems with micturition, catheters and sexual life were regarded as the men's sole responsibility. Findings were interpreted to mean that comparing the personal situation with that of others worse off made the life situation look better. The clinical implication of this study was that because the men came forward with their problems when given time to talk in their own way these areas should be given time and interest in the nursing care. Interpretation did not provide a unified picture of problems. Thus, nurses will have to seek men's individual experience actively and give legitimacy to patients' problems by opening up opportunities to speak about otherwise concealed problems. Then it may be possible to provide solutions that may ease the men's burdens. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
qualitative interview, micturition, catheter treatment, sexual life, phenomenological-hermeneutic analysis, prostate cancer, nursing practice, lived experience
in
Journal of Advanced Nursing
volume
31
issue
1
pages
59 - 67
publisher
Wiley-Blackwell
external identifiers
  • pmid:10632794
  • scopus:0033627577
ISSN
0309-2402
language
English
LU publication?
yes
id
e0346b02-32d9-42b3-a30f-f0b48c4142e3 (old id 1116964)
date added to LUP
2008-07-03 13:05:02
date last changed
2017-01-01 04:53:38
@article{e0346b02-32d9-42b3-a30f-f0b48c4142e3,
  abstract     = {Men with prostate cancer (n=25) were interviewed, focusing on experiences of micturition problems, indwelling catheter treatment and sexual life consequences. Narrations were found to be practical and technical descriptions rather than emotional, and experiences were described with reduction and negligence regarding personal well-being and the impact of problems. Phenomenological-hermeneutic analysis was used and findings ordered in subthemes and themes of meaning. Micturition problems, catheter treatment and sexual life problems were all phenomena that radically affected the clients' autonomy and life quality and changed the life continuum. Impact from the disease was either accepted or not and related to what had already been borne in life. Experiences were linked together, each of them giving rise to feelings of physical deterioration and fear of ridicule, and hidden from others. Maintaining self-image and social role was important and connected with the degree of perceived deprivation of life content. Responsibility for medical decisions was left to professionals while everyday problems with micturition, catheters and sexual life were regarded as the men's sole responsibility. Findings were interpreted to mean that comparing the personal situation with that of others worse off made the life situation look better. The clinical implication of this study was that because the men came forward with their problems when given time to talk in their own way these areas should be given time and interest in the nursing care. Interpretation did not provide a unified picture of problems. Thus, nurses will have to seek men's individual experience actively and give legitimacy to patients' problems by opening up opportunities to speak about otherwise concealed problems. Then it may be possible to provide solutions that may ease the men's burdens.},
  author       = {Jakobsson, Liselotte and Rahm Hallberg, Ingalill and Loven, Lars},
  issn         = {0309-2402},
  keyword      = {qualitative interview,micturition,catheter treatment,sexual life,phenomenological-hermeneutic analysis,prostate cancer,nursing practice,lived experience},
  language     = {eng},
  number       = {1},
  pages        = {59--67},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {Experiences of micturition problems, indwelling catheter treatment and sexual life consequences in men with prostate cancer},
  volume       = {31},
  year         = {2000},
}