Does partnership status affect the quality of life of men having robotic-assisted radical prostatectomy (RARP) for localised prostate cancer?
| Autor: | Addie Wootten, Adam S. Dowrick, Mari Botti |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Sexual Behavior media_common.quotation_subject medicine.medical_treatment 03 medical and health sciences Prostate cancer 0302 clinical medicine Robotic Surgical Procedures Quality of life Prostate medicine Humans 030212 general & internal medicine General Nursing Aged media_common Reproductive health Aged 80 and over Prostatectomy Gynecology business.industry Prostatic Neoplasms Middle Aged medicine.disease Sexual Partners medicine.anatomical_structure 030220 oncology & carcinogenesis Family medicine Quality of Life Marital status Worry business Follow-Up Studies |
| Zdroj: | Applied Nursing Research. 42:51-55 |
| ISSN: | 0897-1897 |
| DOI: | 10.1016/j.apnr.2018.06.008 |
| Popis: | Objective To investigate whether there are any differences in prostate cancer-specific QoL measures at baseline and at 12-months post-surgery between partnered and unpartnered men having robot-assisted radical prostatectomy (RARP) for localised prostate cancer. Methods We investigated differences in patient-reported outcomes using the Expanded Prostate cancer Index Composite-26 (EPIC-26) and the Clark et al. Prostate Cancer Quality of Life Scales. Results Five hundred and forty patients were eligible for this study, 56 of whom were unpartnered. We found few differences between partnered and unpartnered men in terms of patient-reported quality of life outcomes following RARP. In our sample of patients with a high socio-economic status, partnered men had lower 12-month postoperative EPIC sexual domain scores and clinical T-stage and were more likely to be sexually active preoperatively. Overall, our data show that men having RARP for prostate cancer have low sexual confidence, high PSA concern and a low outlook at 12-months post-RARP, irrespective of partnership status. Conclusion The findings of this study suggest that the RARP patient could benefit from a healthcare system that assesses patient sexual outcome following prostatectomy beyond potency and ability to penetrate a partner. By remaining cognisant of other domains such as sexual intimacy, sexual confidence, masculine self-esteem, health worry, PSA concern, outlook and treatment regret, nursing staff may be able to benefit the prostatectomy patient. Where deficits in these domains are observed by the nurse, referral for specialist psychological review could be made. Whether this could work to improve sexual outcomes in men following RARP deserves further investigation. |
| Databáze: | OpenAIRE |
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