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Osei EA, Garti I, Ani-Amponsah M, Frimpong E, Toure HA, Kappiah JB, Menka MA, Kontoh S. Adjustment and coping in spousal caregivers of cervical cancer patients in Ghana: A qualitative phenomenological study. Medicine (Baltimore) 2024; 103:e38807. [PMID: 38968518 PMCID: PMC11224807 DOI: 10.1097/md.0000000000038807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Accepted: 06/12/2024] [Indexed: 07/07/2024] Open
Abstract
Cervical cancer is a common and significant health issue for women worldwide. To address the dearth of research on male partners' experiences when their significant others are diagnosed with cervical cancer, we aim to explore the unique challenges and perspectives encountered by men in these circumstances. The study adopted interpretive phenomenological analysis to qualitatively assess the experiences of males with partners diagnosed of cervical cancer. A phenomenological research design with purposive sampling technique was used to recruit and collect data from 38 participants until saturation occurred. Face to face interviews were conducted using a developed semi-structured interview guide. The data collected was analyzed using content analysis after verbatim transcription was done. The study resulted in the identification of 2 main themes, and 10 subthemes. These themes focused on the multifaceted impact of cervical cancer on spousal caregivers' lives and the coping and support mechanisms utilized by spouses of cervical cancer patients. The findings indicated that men faced several challenging experiences as a result of their spouses' condition and revealed the strategies they employed to cope with the stress of caring for their wives. Almost every man adopted a strategy to cope with the condition of their wives. This study would assist other men to understand the psychological, social, emotional, and spiritual experiences the men went through to appreciate and adopt their coping strategies whenever they go through such challenges.
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Affiliation(s)
| | | | - Mary Ani-Amponsah
- Maternal & Child Health Department, School of Nursing and Midwifery, University of Ghana, Legon, Ghana
| | | | | | - Jamilatu B. Kappiah
- School of Nursing and Midwifery, C. K. Tedam University of Technology and Applied Sciences, Navrongo, Ghana
| | | | - Samuel Kontoh
- School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
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Li M, Wang D, Huang J, Luan S, Wang Q. Sexual Behaviors and Intimate Relationships of Sexual Partners of Young Patients with Early-Stage Cervical Cancer: A Qualitative Study. Int J Gen Med 2023; 16:5377-5387. [PMID: 38021052 PMCID: PMC10674558 DOI: 10.2147/ijgm.s437150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 11/09/2023] [Indexed: 12/01/2023] Open
Abstract
Purpose This study aimed to explore the sexual behaviors and intimate relationships of sexual partners of young patients with cervical cancer. Patients and Methods This study employed a descriptive phenomenological research design, which falls within the realm of qualitative research methods. Qualitative research typically utilizes interview techniques for gathering participants' experiences, perceptions, and behaviors. This study conduct face-to-face semi-structured interviews with the sexual partners of 15 young cervical cancer patients receiving cancer treatment to collect their experiences and perspectives on intimate relationships and sexual behavior with cervical cancer patients, and use the Colaizzi method for data analysis. Results Four themes were identified through the interview analysis: (1) reduction or absence of sexual behavior, (2) unpleasant sexual experiences, (3) adjustment of intimate relationships, and (4) lack of sexual health education. Conclusion The sexual partners of young cervical cancer patients have experienced significant shifts in their perspectives on sexual behavior and intimate relationships. These changes include reduction or absence of sexual behavior, unpleasant sexual experiences, adjustment of intimate relationships, and lack of sexual health education. Hospitals should pay more attention to the sexual behavior and intimate relationships of patients with cervical cancer and their sexual partners, and social support systems and psychological and emotional counselling services should be established for providing relevant knowledge and guidance.
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Affiliation(s)
- Mingyue Li
- School of Nursing, Binzhou Medical University, Binzhou, 256603, People’s Republic of China
| | - Dongyang Wang
- Department of Nursing, the Third People’s Hospital of Henan Province, Zhengzhou, 450000, People’s Republic of China
| | - Jiaxiang Huang
- Oncology Department, Binzhou Medical University Hospital, Binzhou, 256603, People’s Republic of China
| | - Shunlian Luan
- Oncology Department, Binzhou Medical University Hospital, Binzhou, 256603, People’s Republic of China
| | - Qinghua Wang
- School of Nursing, Binzhou Medical University, Binzhou, 256603, People’s Republic of China
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Benidir A, Levert MJ, Bilodeau K. The Role of Islamic Beliefs in Facilitating Acceptance of Cancer Diagnosis. Curr Oncol 2023; 30:7789-7801. [PMID: 37754480 PMCID: PMC10530149 DOI: 10.3390/curroncol30090565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 08/14/2023] [Accepted: 08/20/2023] [Indexed: 09/28/2023] Open
Abstract
Although survival rates for patients with cancer have increased, this disease continues to affect couples significantly. Religion and culture seem to be part of the therapeutic process for people with cancer. Despite the abundance of the Arab Muslim community in Western countries, there is a lack of documented data on Arab Muslim couples experiencing cancer. A simple exploratory qualitative study was conducted through semi-structured interviews on six married couples (n = 12) identifying with the Arab Muslim culture and being affected by cancer. An iterative data analysis was performed. Results were reported under the following themes: accepting illness through coping strategies provided by Muslim religious beliefs and practices, experiencing problems with the expression of needs and feelings within the couple, experiencing closeness within the family, and experiencing illness in the hospital setting as Muslims. Our results show that Islamic beliefs can facilitate acceptance of a cancer diagnosis. It is also noted that religion seems to unite spouses in supporting each other and maintaining hope in a difficult context. Communication issues may persist between a couple due to stressors related to cancer. The results of this study could raise awareness about the importance of exploring religious and spiritual beliefs when supporting couples affected by cancer.
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Affiliation(s)
- Amina Benidir
- Faculty of Nursing, University of Montreal, Station Centre-Ville, Montreal, QC H3C 3J7, Canada; (M.-J.L.); (K.B.)
| | - Marie-Josée Levert
- Faculty of Nursing, University of Montreal, Station Centre-Ville, Montreal, QC H3C 3J7, Canada; (M.-J.L.); (K.B.)
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, 6363, Hudson Road, Montreal, QC H3S 1M9, Canada
| | - Karine Bilodeau
- Faculty of Nursing, University of Montreal, Station Centre-Ville, Montreal, QC H3C 3J7, Canada; (M.-J.L.); (K.B.)
- Maisonneuve-Rosemont Hospital Research Centre, 5415 Boul. Assomption, Montreal, QC H1T 2M4, Canada
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Vardar O, Serçekus P. Experiences of Muslim women living with gynaecological cancer and family caregivers. Int J Palliat Nurs 2023; 29:225-234. [PMID: 37224095 DOI: 10.12968/ijpn.2023.29.5.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
BACKGROUND Cancer has a large impact on the life of the diagnosed person and also their caregivers, who are typically family members. The impact of cancer on a Muslim woman and her caregivers has not been well researched because of cultural and social constraits. AIMS The aim of this study was to explorel the experiences of Muslim women with gynaecological cancers and their family caregivers. METHODS A descriptive phenomenological approach was adopted. A convenience sample was used in the research. FINDINGS The study findings were grouped into four major themes: the initial reaction to a cancer diagnosis from women and their caregivers, difficulties the patient and caregiver experienced (physiological, psychological, social and sexual), coping with cancer and expectations that caregivers and patients have of the institution and the health personnel. It was determined that during this disease and treatment, both the patients and caregivers faced difficulties, which can be categorised as physiological, psychological, social and sexual. Muslim women with gynaecological cancer frequently used coping behaviours, such as worshiping and believing that illness and healing come from God during the illness process. CONCLUSIONS Patients and their family caregivers lived through various difficulties. Healthcare professionals need to consider the expectations of patients with gynecological cancer, alongside those of their family caregivers. Nurses can help Muslim patients and their families cope with the problems they experience by being aware of the positive coping methods of Muslim cancer patients and their caregivers. Nurses should consider individuals' religious beliefs and cultural differences while giving care.
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Zhou L, Hong J, Henricson M, Qin R, Dai Y, Enskär K, Stenmarker M, Browall M. Factors associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer: A cross-sectional study. Nurs Open 2023; 10:630-640. [PMID: 36040057 PMCID: PMC9834501 DOI: 10.1002/nop2.1329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 08/02/2022] [Accepted: 08/07/2022] [Indexed: 01/16/2023] Open
Abstract
AIM The aim of this study was to explore the factors that are associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer. DESIGN A cross-sectional descriptive study. METHODS A convenience sample of 312 spouses of women diagnosed with gynaecological cancer was recruited from two comprehensive hospitals in China, from March 2018 to March 2020. Demographic characteristics, cancer-related characteristics, posttraumatic growth, perceived social support and coping were assessed using self-reported questionnaires. Descriptive statistics and multiple linear regression analysis were performed. The methods were guided by the STROBE checklist. RESULTS The mean score of posttraumatic growth was 46.7 (standard deviation = 16.7). The associated factors of posttraumatic growth were spouses' age, perceived social support, problem-focused coping, dysfunctional coping (e.g. denial) and cancer treatment received by partners, which accounted for 34% of total posttraumatic growth score. PATIENT OR PUBLIC CONTRIBUTION All participants contributed to the conducting of this study by completing self-reported questionnaires.
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Affiliation(s)
- Lihua Zhou
- School of Nursing, Anhui Medical University, Hefei, China
| | - Jingfang Hong
- School of Nursing, Anhui Medical University, Hefei, China
| | - Maria Henricson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Rumeng Qin
- Department of Nursing, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Yu Dai
- Department of General Surgery (Third Ward), Suzhou Hospital of Anhui Medical University, Suzhou, China
| | - Karin Enskär
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | - Margaretha Stenmarker
- Department of Paediatrics, Institute of Clinical Sciences, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden
| | - Maria Browall
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Young J, Snowden A, Kyle RG, Stenhouse R. Men's perspectives of caring for a female partner with cancer: A longitudinal narrative study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e5346-e5355. [PMID: 35946441 PMCID: PMC10087334 DOI: 10.1111/hsc.13956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 06/19/2022] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
Increasing evidence on men's involvement in informal, unpaid care has not transferred to the research literature around men's experiences. The aim was to explore the perspectives of men who are caring for a female partner with cancer over 1 year. Longitudinal narrative interviews (n = 22) were conducted with eight men in the UK from 2018 to 2019. Participants were aged from 32 to 76 years old, were all white British and in heterosexual relationships with women diagnosed with a range of cancer types. Interviews were transcribed and then analysed using a structural and performance approach to narrative analysis. We present, across four scenes, a process of change, transition and emotion management as the men were launched into a role that came with new responsibilities and expectations. Our study advances knowledge by highlighting the way that men perform and reflect on their negotiation with masculine discourses while supporting their partner, with implications for policy, research and practice.
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Mulikaburt T, Apidechkul T, Wongnuch P, Kitchanapaibul S, Udplong A, Srichan P, Upala P, Chomchoei C, Yeemard F, Tamornpark R, Singkhorn O. Components of stigma and its impact on maternal and child health service and outcomes: perspective of Akha hill tribe women in Thailand. BMC Health Serv Res 2022; 22:1263. [PMID: 36261838 PMCID: PMC9583464 DOI: 10.1186/s12913-022-08622-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 09/30/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Maternal and child health (MCH) is crucial to the well-being of mothers and children. Stigma regarding access to MCH services is a major challenge, especially for hill tribe people in Thailand. The study aimed to understand the components of stigma and its impact on MCH service and outcomes including experiences and expectations to address the stigma in perspective of Akha hill tribe women in Thailand. METHODS A phenomenological qualitative approach was used to gather information from Akha women who had attended MCH service one year prior and had an experience with stigma. A validated question guide was used in the study. The interview was conducted in private and confidential rooms in the Akha hill tribe villages between June and September 2021. A thematic analysis was used to extract the major and minor themes and develop the findings. RESULTS A total of 61 Akha postdelivery participants were recruited to provide information; the average age was 28.9 years, 32.8% had no Thai ID card, and 93.4% were married. Language, traditional clothing, poverty, and name were identified as drivers of stigma, while health care providers' background, gender differences between clients and health care providers, and knowledge gaps facilitated the stigma. Being a member of a hill tribe acted as the stigma marker. Stigma manifestation was presented in the forms of verbal or physical abuse, refusal to provide treatment, and intentional disclosure of personal information to the public. Accepting the situation with no better option, defending oneself to receive better care and services, and using a private care service were experiences in addressing the stigma. Gender matching, active MCH service, mobile emergency clinics, and appropriate, permanent medical equipment in health care facilities located in their villages were the expectations. CONCLUSION Akha women face a variety of stigmas in access to MCH services, with substantial impacts on health outcomes, especially the rate of services in women and child health. Creating laws to prevent the occurrence of any forms of stigma and implementing gender matching in MCH services should be considered.
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Affiliation(s)
| | - Tawatchai Apidechkul
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand. .,Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand. .,School of Health Science, Mae Fah Luang University, 333 Moo 1, Ta Sud Subdistrict, Muang District, 57100, Chiang Rai Province, Thailand.
| | - Pilasinee Wongnuch
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand.,Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Siwarak Kitchanapaibul
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand.,Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Anusorn Udplong
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand
| | - Peeradone Srichan
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand.,Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Panupong Upala
- Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Chalitar Chomchoei
- Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Fartima Yeemard
- Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Ratipark Tamornpark
- School of Health Sciences, Mae Fah Luang University, Chiang Rai, Thailand.,Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand
| | - Onnalin Singkhorn
- Center of Excellence for Hill Tribe Health Research, Mae Fah Luang University, Chiang Rai, Thailand.,School of Nursing, Mae Fah Luang University, Chiang Rai, Thailand
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8
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Rosdiana M, Afiyanti Y. [Sexual and social adjustments of indonesian male partners of gynecological cancer survivor]. ENFERMERIA CLINICA (ENGLISH EDITION) 2022; 32:344-350. [PMID: 36085000 DOI: 10.1016/j.enfcle.2021.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 09/01/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE This study explores the sexual and social adjustments of the partners of gynecological cancer survivors in Indonesia. METHOD Phenomenological research interviewed seven male participants whose spouses sought gynecological cancer treatment at the Army Hospital in Jakarta from July to August 2020. The collected data were transcribed and thematically analyzed. RESULTS The male partners described their loss of sexual desire and intimacy. They indicated a constructed sexual and social adjustments, including having sexual distractions, alternative sexual activities, and performing extended roles in the family after their partner's diagnosis and treatment. CONCLUSIONS These research findings suggest that oncology and family nursing interventions should mitigate the gynecological cancer survivors and partners' sexual and social distress to enhance the couple's relationship and well-being after a gynecological cancer diagnosis.
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Affiliation(s)
- Meyke Rosdiana
- Facultad de Enfermería, Universidad de Indonesia, Depok, Java Occidental, Indonesia
| | - Yati Afiyanti
- Facultad de Enfermería, Universidad de Indonesia, Depok, Java Occidental, Indonesia.
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9
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Abstract
Informal caregivers invest a significant amount of time and effort to provide cancer patients with physical, psychological, information, and social support. These challenging tasks can harm their own health and well-being, while a series of social-ecological factors may also influence the outcomes of cancer caregiving. Several instruments have been developed to help clinicians and researchers understand the multi-dimensional needs and concerns of caregivers. A growing body of evidence indicates that supportive interventions including psychoeducation, skills training, and therapeutic counseling can help improve the burden, information needs, coping strategies, physical functioning, psychological well-being, and quality of life of caregivers. However, there is difficulty in translating research evidence into practice. For instance, some supportive interventions tested in clinical trial settings are regarded as inconsistent with the actual needs of caregivers. Other significant considerations are the lack of well-trained interdisciplinary teams for supportive care provision and insufficient funding. Future research should include indicators that can attract decision-makers and funders, such as improving the efficient utilization of health care services and satisfaction of caregivers. It is also important for researchers to work closely with key stakeholders, to facilitate evidence dissemination and implementation, to benefit caregivers and the patient.
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10
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Fugmann D, Boeker M, Holsteg S, Steiner N, Prins J, Karger A. A Systematic Review: The Effect of Cancer on the Divorce Rate. Front Psychol 2022; 13:828656. [PMID: 35356338 PMCID: PMC8959852 DOI: 10.3389/fpsyg.2022.828656] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 02/10/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Research on the impact of cancer on close relationships brings up conflicting results. This systematic review collects empirical evidence on the research questions whether a cancer diagnosis in general or the type of cancer affects the divorce rate. Materials and Methods This systematic review was conducted according to the guidelines of the Cochrane Collaboration and the PRISMA statement. The following electronic databases were searched: Web of Science, Ovid SP MEDLINE, PsycINFO, PsyINDEX, CINAHL, ERIC. Risk of bias assessment was performed with the preliminary risk of bias for exposures tool template (ROBINS-E tool). The grading of methodological quality was assessed with the Newcastle-Ottawa Scale. Results Of 13,929 identified records, 15 were included in the qualitative synthesis. In 263,616 cancer patients and 3.4 million healthy individuals, we found that cancer is associated with a slightly decreased divorce rate, except for cervical cancer, which seems to be associated with an increased divorce rate. Discussion According to this systematic review, cancer is associated with a tendency to a slightly decreased divorce rate. However, most of the included studies have methodologic weaknesses and an increased risk of bias. Further studies are needed.
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Affiliation(s)
- Dominik Fugmann
- Medical Faculty, Clinical Institute of Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University-Düsseldorf, Düsseldorf, Germany
| | - Martin Boeker
- University Medical Center Rechts der Isar, School of Medicine, Institute of Artificial Intelligence and Informatics in Medicine, Technical University of Munich, Munich, Germany
| | - Steffen Holsteg
- Medical Faculty, Clinical Institute of Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University-Düsseldorf, Düsseldorf, Germany
| | - Nancy Steiner
- Medical Faculty, Clinical Institute of Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University-Düsseldorf, Düsseldorf, Germany
| | - Judith Prins
- Department of Medical Psychology, Radboud Institute of Health Sciences, Radboud University Medical Centre, Nijmegen, Netherlands
| | - André Karger
- Medical Faculty, Clinical Institute of Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University-Düsseldorf, Düsseldorf, Germany
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11
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Afiyanti Y, Gayatri D, Besral B, Haryani H, Juliastuti D. Unmet Supportive Care Needs Survey among Male Partners of Gynecological Cancer Survivors in Indonesia. Asia Pac J Oncol Nurs 2021; 8:662-669. [PMID: 34790850 PMCID: PMC8522600 DOI: 10.4103/apjon.apjon-2113] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 05/30/2021] [Indexed: 11/04/2022] Open
Abstract
Objective The number of gynecological cancer survivors is increasing in Indonesia, and these women often require physical and emotional support from their male partners as primary caregivers. However, the male caregiver's need for biological, psychological, and social support is often neglected. This study aims to assess the demographic and clinical determinants affecting the unmet supportive care needs of the gynecological cancer survivors' husbands in Indonesia. Methods This cross-sectional survey involved 152 husbands of survivors who were recruited by a consecutive sampling method in two national referral hospitals. A self-administered Cancer Survivors' Partners Unmet Needs Questionnaire was used for data collection. Multiple linear regression was performed to analyze the data. Results The majority of participants (97.4%) reported at least one unmet need. The primary unmet needs were legal services (71.1%), financial support (70.4%), cancer recurrence concerns (69.7%), and ongoing health support (66.4%). These needs were significantly associated with the wife's radio-chemotherapy and lower household income (P < 0.01) and also related to the husband's education level, duration of caregiving, and wife's cancer stage. Conclusions Husbands of gynecological cancer survivors in Indonesia reported a need for legal, financial, and health-care information and assistance. Multidisciplinary professionals should be involved in developing policy and interventions which facilitate the social-economic protection of survivors and their husbands, as well as comprehensive care needs to enhance the women's survival rate.
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Affiliation(s)
- Yati Afiyanti
- Department of Maternity and Women Health, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Dewi Gayatri
- Department of Nursing Foundation and Basic Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Besral Besral
- Department of Biostatistics and Population, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Haryani Haryani
- Department of Medical Surgical Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Dyah Juliastuti
- Department of Maternity Nursing, School of Health Science Ichsan Medical Centre Bintaro, South Tangerang, Indonesia
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12
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Sexual and social adjustments of Indonesian male partners of gynecological cancer survivor. ENFERMERIA CLINICA 2021. [DOI: 10.1016/j.enfcli.2021.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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13
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Liu X, Yuan K, Ye X, Liu R. Proposing a novel care program: reminiscence therapy involved care for anxiety, depression, and quality of life in postoperative cervical cancer patients. Ir J Med Sci 2021; 191:2019-2027. [PMID: 34716885 DOI: 10.1007/s11845-021-02728-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 07/28/2021] [Indexed: 11/12/2022]
Abstract
BACKGROUND Reminiscence therapy (RT) relieves mental disorders and improves quality of life (QoL) in some cancer survivors, but in postoperative cervical cancer patients, its effect is unclear. This study aimed to assess the impact of reminiscence therapy involved care (RTIC) and usual care (UC) on anxiety, depression, QoL, and survival in postoperative cervical cancer patients. METHODS In this randomized control study, 152 eligible postoperative cervical cancer patients were randomized as 1:1 ratio into RTIC (N = 76) and UC (N = 76) groups: the former received routine care and RT, while the latter only received routine care for 12 months. Anxiety, depression, and QoL were evaluated from baseline (month (M) 0) to M12, respectively. Patients were continuously followed up to M36 for overall survival (OS) calculation. RESULTS HADS-Anxiety score from M6 to M12 was decreased; both HADS-Depression score from M9 to M12 and depression rate at M12 were reduced in RTIC group compared with UC group (all P < 0.05). QLQ-C30 global health status score at M6 and M12, as well as QLQ-C30 function score at M12, was increased in RTIC group compared with UC group (all P < 0.05). However, QLQ-C30 symptom score at each visit and OS exhibited no difference between the two groups. From sub-group analysis, RTIC disclosed a distinct effect on patients whose age ≥ 50 years but not on those < 50 years. CONCLUSION RTIC reduces anxiety (partly) and depression and improves QoL in postoperative cervical cancer patients, especially in old patients.
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Affiliation(s)
- Xiaojing Liu
- Department of Gynecology, The Fourth Hospital of Shijiazhuang, Shijiazhuang, China
| | - Kun Yuan
- Department of Nursing, The Fourth Hospital of Shijiazhuang, Changan District, No.16, Tangu Street North, Shijiazhuang, 050011, China.
| | - Xuekui Ye
- Department of Gynecology, The Fourth Hospital of Shijiazhuang, Shijiazhuang, China
| | - Rui Liu
- Department of Nursing, The Fourth Hospital of Shijiazhuang, Changan District, No.16, Tangu Street North, Shijiazhuang, 050011, China
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14
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Albers LF, van Belzen MA, van Batenburg C, Engelen V, Putter H, den Ouden MEM, Pelger RCM, Elzevier HW. Sexuality in Intimate Partners of People with Cancer: Information and Communication Needs: A Brief Communication. JOURNAL OF SEX & MARITAL THERAPY 2020; 47:197-203. [PMID: 33150859 DOI: 10.1080/0092623x.2020.1828206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Partners of patients with cancer report a negative impact on their sexuality and intimacy and experience a lack of information. Little is known about partners' information needs regarding sexuality and intimacy. The study was conducted with 230 partners of patients with cancer using a questionnaire. 56% stated that cancer had negatively affected their sexuality and intimacy. 60% percent reported a need for information. Except a self-reported negative impact of cancer, no characteristics were associated with a higher need for sexuality related information. Partners prefer information that includes practical advice and experiences from others. It is recommended to provide patients and their partner's information on sexuality and intimacy within routine treatment.
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Affiliation(s)
- Leonore F Albers
- Department of Urology, Leiden University Medical Centre, Leiden, The Netherlands
- Department of Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
| | | | | | - Vivian Engelen
- Dutch Federation of Cancer Patient Organizations, Utrecht, The Netherlands
| | - Hein Putter
- Department of Medical Statistics, Leiden University Medical Centre, Leiden, The Netherlands
| | - Marjolein E M den Ouden
- Research Center Technology, Health & Care, Saxion University of Applied Sciences, Enschede, The Netherlands
| | - Rob C M Pelger
- Department of Urology, Leiden University Medical Centre, Leiden, The Netherlands
- Department of Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
| | - Henk W Elzevier
- Department of Urology, Leiden University Medical Centre, Leiden, The Netherlands
- Department of Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
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Ge X, Tong H, Song Y, He H, Li S, Hong J, Wang W. The caring experience and supportive care needs of male partners for women with gynaecologic cancer: A qualitative literature review. J Clin Nurs 2020; 29:4469-4481. [PMID: 32949056 DOI: 10.1111/jocn.15501] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 08/25/2020] [Accepted: 09/06/2020] [Indexed: 12/15/2022]
Abstract
OBJECTIVE To systematically review male partners' caring experience and supportive care needs when caring for women with gynaecologic cancer. METHODS The PRISMA guidelines were used to conduct this systematic review. We performed a comprehensive literature search in nine databases and qualitative studies published in English or Chinese from inception to January 2020. The included papers were appraised, using the Critical Appraisal Skills Program tool for qualitative research. An inductive thematic analysis method was adopted to synthesise major findings to construct core concepts and themes. RESULTS Eight studies were included in this review, and four overarching themes emerged the following: the negative experience of disease, the need for supportive care to cope, adapting to a new life and post-traumatic growth. CONCLUSIONS This study shows that male partners had both negative and positive experiences in the caring process, and they could adjust themselves to some extent. Their perceived supportive care needs were often neglected. RELEVANCE TO CLINICAL PRACTICE Male partners of women with gynaecologic cancer are an under-recognised group. The couple-oriented or family-oriented supportive care programmes should be implemented to meet the supportive care needs of male partners to enhance their health and well-being.
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Affiliation(s)
- Xiaoling Ge
- School of Nursing, Anhui Medical University, Hefei City, China.,The First Affiliated Hospital of Anhui Medical University, Hefei City, China
| | - Huanhuan Tong
- School of Nursing, Anhui Medical University, Hefei City, China
| | - Yongxia Song
- School of Nursing, Anhui Medical University, Hefei City, China
| | - Hongye He
- School of Nursing, Anhui Medical University, Hefei City, China.,The First Affiliated Hospital of Anhui Medical University, Hefei City, China
| | - Shuwen Li
- School of Nursing, Anhui Medical University, Hefei City, China
| | - Jingfang Hong
- School of Nursing, Anhui Medical University, Hefei City, China.,Nursing International Collaboration Research Center of Anhui Province, Hefei, China
| | - Wenru Wang
- Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Shi Y, Cai J, Wu Z, Jiang L, Xiong G, Gan X, Wang X. Effects of a nurse-led positive psychology intervention on sexual function, depression and subjective well-being in postoperative patients with early-stage cervical cancer: A randomized controlled trial. Int J Nurs Stud 2020; 111:103768. [PMID: 32971449 DOI: 10.1016/j.ijnurstu.2020.103768] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 08/23/2020] [Accepted: 08/26/2020] [Indexed: 12/29/2022]
Abstract
BACKGROUND Sexual dysfunction is a common long-term complication of cervical cancer and its treatment. However, due to traditional Chinese culture, there are few studies on interventions to improve sexual function in China. OBJECTIVES To evaluate the effectiveness of a nurse-led positive psychology intervention on sexual function, depression and subjective well-being amongst postoperative patients with early-stage cervical cancer. DESIGN A randomized controlled trial. SETTINGS AND METHODS Patients who had undergone radical hysterectomy for early-stage cervical cancer and were followed up in gynaecological clinics were recruited via convenience sampling from three tertiary hospitals in Chongqing, China. Patients who met the inclusion criteria and agreed to participate (N = 91) were randomly assigned to a nurse-led positive psychology intervention (intervention group, n = 46) or usual care (control group, n = 45). The Female Sexual Function Index, Self-rating Depression Scale and Index of Well-being were used to assess sexual function, depression and subjective well-being, respectively, at baseline and 3 and 6 months after the intervention. Data were analysed by the chi-square test, Mann-Whitney U test, t-test and Pearson correlation analysis. RESULTS Compared with participants in the control group, participants in the intervention group showed significant improvements in sexual function (mean difference [MD]: -3.95, P = 0.005 at 3 months post-intervention; MD: -4.36, P = 0.001 at 6 months post-intervention). In addition, at 3 and 6 months after the intervention, the number of patients with improvements in their levels of depression and well-being in the intervention group was higher than that in the control group (P<0.05). The Pearson correlation analysis results showed that there was a negative correlation between sexual function and level of depression in patients (r =-0.612, P<0.001) and that sexual function was positively correlated with subjective well-being (r = 0.638, P<0.001). CONCLUSION The intervention group experienced significant improvements in sexual function, depression and subjective well-being. These findings suggest that a nurse-led positive psychology intervention should be implemented for postoperative patients with early-stage cervical cancer.
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Affiliation(s)
- Yan Shi
- Department of Gynecology, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China
| | - Jun Cai
- Department of Gynecology, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China
| | - Zhimin Wu
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Army Military Medical University, No.30 Gaotanyan Main Street, Shapingba District, Chongqing, 400038, China
| | - Lian Jiang
- Nursing Department, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China
| | - Guiqing Xiong
- Nursing Department, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China
| | - Xiuni Gan
- Nursing Department, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China.
| | - Xiuying Wang
- Radiology Department, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, 400010, China.
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