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- Jakobsson, Liselotte, 1953-, et al.
(author)
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Experiences of micturition problems, indwelling catheter treatment and sexual life consequences in men with prostate cancer
- 2000
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In: Journal of Advanced Nursing. - : Wiley-Blackwell. - 0309-2402 .- 1365-2648. ; 31:1, s. 59-67
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Journal article (peer-reviewed)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.
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- Jakobsson, Liselotte, 1953-
(author)
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Indwelling catheter treatment and health-related quality of life in men with prostate cancer in comparison with men with benign prostate hyperplasia
- 2002
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In: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 16:3, s. 264-271
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Journal article (peer-reviewed)abstract
- Experiences from indwelling urinary catheter treatment periods were studied. Little is known of what is felt from a male perspective although catheter treatment is a common pre- and postoperative measure for men with prostate cancer and benign prostatic hyperplasia (BPH). Also studied were health-related quality of life (HRQOL) and sense of coherence (SOC). Men with catheter experience (prostate cancer n = 71, BPH n = 37) were selected from a larger questionnaire study. Assessment was made with study-specific questions together with the QLQ C-30 assessing HRQOL and the SOC questionnaire measuring sense of coherence. Data reduction method was applied to study specific variables to determine problem patterns. Correlation between HRQOL and SOC was determined. Results showed similar problem patterns in men with prostate cancer and BPH: discomfort in wearing catheter (e.g. uneasiness 48.2%), practical and psychosocial difficulties in handling and wearing catheter (e.g. attaching catheter 32.4%) and discomfort at installation (e.g. pain 29.7%). There was lack of knowledge about wearing and practical handling of the catheter. Having a cancer diagnosis did not add to uneasiness or practical problems. Life quality was correlated to SOC (p ≤ 0.001).
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- Jakobsson, Liselotte, 1953-, et al.
(author)
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Micturition problems in relation to quality of life in men with prostate cancer or benign hyperplasia : comparison with men from the general population
- 2004
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In: Cancer Nursing. - 0162-220X .- 1538-9804. ; 27:3, s. 218-229
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Journal article (peer-reviewed)abstract
- The aim of the study was to investigate men with prostate cancer and benign prostatic hyperplasia (BPH) in comparison with men from the general population in aspects of presence and frequency of micturition problems in remembrance of prior to treatment and currently. Further, the aim was to investigate the impact of micturition problems on quality of life and the association with micturition problems, and quality of life and sense of coherence (SOC). The samples consisted of 155 men with prostate cancer, 131 with BPH, and 129 from the general population. Micturition problems were assessed with study-specific questions, modified International Prostate Symptom Score (IPSS), quality of life questionnare (QLQ C-30), and SOC questionnaires. Parametric and nonparametric statistics were applied. Most troublesome urinary problems were leakage, feelings of discomfort, and disrupted urinary function and frequency. Men with urological diagnosis had more micturition problems, fatigue, and sleeping difficulties than men from the general population, but the cancer diagnosis did not add to the problems. Role and social functioning (prostate cancer), emotional functioning (BPH), and grade of fatigue (general population) showed itself vital for overall quality of life. Thus, help in solving issues of micturition problems, fatigue, and sleeping disturbances may contribute to maintenance of role, social, and emotional aspects of life.
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- Jakobsson, Liselotte, 1953-, et al.
(author)
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Sexual problems in men with prostate cancer in comparison with men with benign prostatic hyperplasia and men from the general population
- 2001
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In: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 10:4, s. 573-582
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Journal article (peer-reviewed)abstract
- • In a questionnaire study, men with prostate cancer (n=155) or benign prostatic hyperplasia (n=131) identified more sexual problems than did men from the general population (n=129). Sexual dysfunction was acknowledged regarding sexual pleasure and attraction, erectile function and sexual satisfaction and sexual performance. • Lowered rates of sexual desire, pleasure and attraction were found when comparing their situation in recollection of pre-treatment situation to the current situation. Lower intercourse frequency and sexual satisfaction were also found. • Medication, masturbation and artificial aids to achieve erection were not used as substitutes for shortcomings of erectile function either by men with prostate cancer and benign prostatic hyperplasia nor by their partners. • There seemed to be a lack of information about the illness and treatment consequences for sexual life, including what physical dysfunction to expect after surgery and also what possible help to expect to compensate for the shortcomings.
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- Lundqvist, Pia, et al.
(author)
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Swedish men's experiences of becoming fathers to their preterm infants
- 2003
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In: Neonatal Network. - : Neonatal Network. - 0730-0832 .- 1539-2880. ; 22:6, s. 25-31
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Journal article (peer-reviewed)abstract
- PURPOSE: To describe Swedish men's experiences of becoming fathers to their preterm infants. DESIGN: A cross-sectional descriptive study. SAMPLE AND METHOD: Eight men participated in semistructured interviews with open-ended questions. The interviews were analyzed using manifest and latent content analysis. MAIN OUTCOME VARIABLES: The concepts of control and noncontrol. RESULT: The manifest analysis of the interview text produced six categories: concern, stress, helplessness, security, support, and happiness. The latent content interpretation indicated that the concepts of control and noncontrol were relevant to the fathers' experiences. The men's experiences of early fatherhood were influenced by their ability to experience control. When concern, stress, and helplessness dominated the fathers' experiences and coincided with low levels of happiness, support, and security, they experienced noncontrol. Conversely, when they experienced support, security, and happiness, they felt that they were in control and able to handle the situation.
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