Effects of a Nursing Intervention on Marital, Physical, and Social Dimensions After Radical Prostatectomy

2.50
Hdl Handle:
http://hdl.handle.net/10755/165621
Category:
Abstract
Type:
Presentation
Title:
Effects of a Nursing Intervention on Marital, Physical, and Social Dimensions After Radical Prostatectomy
Author(s):
Pickett, Mary
Author Details:
Mary Pickett, Villanova University, College of Nursing, Villanova, Pennsylvania, USA, email: mary.pickett@villanova.edu
Abstract:
Prostate cancer survivors may experience immediate and long-term negative consequences related to treatment effects. Psychological distress, urinary incontinence, impotence, marital communication problems, and fatigue frequently define the postoperative recovery period following radical prostatectomy. These symptoms can exert a negative impact on patient physical and psychosocial functioning and alter the marital relationship either temporarily or permanently. Cost containment efforts within the healthcare environment fostering short-stay hospitalizations and development of evidence based practice guidelines designed to support couples through the process of recovery after radical prostatectomy are needed. The conceptual framework guiding this study was based on a competency-based model of coping with cancer that involves individuals interacting with the environment (Meyerowitz, Henrich, & Schag, 1983). A randomized clinical trial of a home-based nursing protocol designed to provide information and support for post-prostatectomy patients and spouses during an eight-week period immediately following hospital discharge was launched in 1998. The protocol focused on three key areas: (1) symptom management; (2) restoration of urinary continence; and (3) promotion of marital communication and psychosexual functioning. This study employed a prospective, randomized, experimental design. Subjects were randomly assigned to a group (control or intervention) using a blinded randomization procedure. Advanced practice nurses provided the standardized intervention during 16 contacts (eight home visits, eight telephone consultations). This report describes findings obtained from a sample of 99 men recruited at two urology clinics of a large university health system. Reliable and valid measures were used for data collection at baseline (one to two days post-op) and repeated at three and six months. Between-group comparisons using repeated measures analyses were performed for the following subscales: SF-36 Physical Functioning, SF-36 Social Functioning (Ware, et al.,), and the CARES Marital (Coscarelli & Henrich, 1988). Significant between-group differences were detected and clinical implications of these findings will be reported. Study results support that the nursing intervention facilitated rehabilitation outcomes during the initial six months following radical prostatectomy.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEffects of a Nursing Intervention on Marital, Physical, and Social Dimensions After Radical Prostatectomyen_GB
dc.contributor.authorPickett, Maryen_US
dc.author.detailsMary Pickett, Villanova University, College of Nursing, Villanova, Pennsylvania, USA, email: mary.pickett@villanova.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165621-
dc.description.abstractProstate cancer survivors may experience immediate and long-term negative consequences related to treatment effects. Psychological distress, urinary incontinence, impotence, marital communication problems, and fatigue frequently define the postoperative recovery period following radical prostatectomy. These symptoms can exert a negative impact on patient physical and psychosocial functioning and alter the marital relationship either temporarily or permanently. Cost containment efforts within the healthcare environment fostering short-stay hospitalizations and development of evidence based practice guidelines designed to support couples through the process of recovery after radical prostatectomy are needed. The conceptual framework guiding this study was based on a competency-based model of coping with cancer that involves individuals interacting with the environment (Meyerowitz, Henrich, & Schag, 1983). A randomized clinical trial of a home-based nursing protocol designed to provide information and support for post-prostatectomy patients and spouses during an eight-week period immediately following hospital discharge was launched in 1998. The protocol focused on three key areas: (1) symptom management; (2) restoration of urinary continence; and (3) promotion of marital communication and psychosexual functioning. This study employed a prospective, randomized, experimental design. Subjects were randomly assigned to a group (control or intervention) using a blinded randomization procedure. Advanced practice nurses provided the standardized intervention during 16 contacts (eight home visits, eight telephone consultations). This report describes findings obtained from a sample of 99 men recruited at two urology clinics of a large university health system. Reliable and valid measures were used for data collection at baseline (one to two days post-op) and repeated at three and six months. Between-group comparisons using repeated measures analyses were performed for the following subscales: SF-36 Physical Functioning, SF-36 Social Functioning (Ware, et al.,), and the CARES Marital (Coscarelli & Henrich, 1988). Significant between-group differences were detected and clinical implications of these findings will be reported. Study results support that the nursing intervention facilitated rehabilitation outcomes during the initial six months following radical prostatectomy.en_GB
dc.date.available2011-10-27T12:21:59Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:59Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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