Symptom self-management strategies in patients with non-metastatic prostate cancer

Aims and objectives To explore the association between symptoms, symptom distress and symptom self‐management and to identify effective strategies of symptom self‐management in men with non‐metastatic prostate cancer following radical prostatectomy or radiation therapy. Background Men receiving trea...

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Veröffentlicht in:Journal of clinical nursing 2014-02, Vol.23 (3-4), p.440-449
Hauptverfasser: Hsiao, Chao-Pin, Moore, Ida M (Ki), Insel, Kathleen C, Merkle, Carrie J
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container_end_page 449
container_issue 3-4
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container_title Journal of clinical nursing
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creator Hsiao, Chao-Pin
Moore, Ida M (Ki)
Insel, Kathleen C
Merkle, Carrie J
description Aims and objectives To explore the association between symptoms, symptom distress and symptom self‐management and to identify effective strategies of symptom self‐management in men with non‐metastatic prostate cancer following radical prostatectomy or radiation therapy. Background Men receiving treatments for localised prostate cancer experience symptoms of urinary incontinence, urinary obstruction/irritation, bowel difficulties and sexual dysfunction. Understanding patients' symptom experiences and identifying strategies that they use to manage these symptoms are imperative for symptom management planning. Design A descriptive, cross‐sectional study was conducted with a sample of 53 men, who were within three months of the initiation of their treatment. Methods The Symptom Indexes and the Strategy and Effectiveness of Symptom Self‐Management questionnaires were used to measure symptoms, symptom distress and symptom self‐management. Descriptive statistics, t‐tests, correlations and multiple regressions were used to analyse the data. Results Symptoms were significantly correlated with symptom‐related distress (r = 0·67, p 
doi_str_mv 10.1111/jocn.12178
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Background Men receiving treatments for localised prostate cancer experience symptoms of urinary incontinence, urinary obstruction/irritation, bowel difficulties and sexual dysfunction. Understanding patients' symptom experiences and identifying strategies that they use to manage these symptoms are imperative for symptom management planning. Design A descriptive, cross‐sectional study was conducted with a sample of 53 men, who were within three months of the initiation of their treatment. Methods The Symptom Indexes and the Strategy and Effectiveness of Symptom Self‐Management questionnaires were used to measure symptoms, symptom distress and symptom self‐management. Descriptive statistics, t‐tests, correlations and multiple regressions were used to analyse the data. Results Symptoms were significantly correlated with symptom‐related distress (r = 0·67, p &lt; 0·01). Frequency of symptoms was significantly associated with symptom self‐management strategies for urinary (β = 0·50, p &lt; 0·01), bowel (β = 0·71, p &lt; 0·01) and sexual problems (β = 0·28, p = 0·05). The most effective strategies were as follows: pads and doing Kegel exercise for managing urinary problems, rest and endurance for bowel symptoms, and expressing feelings and finding alternative ways to express affection for management of sexual dysfunction. Conclusions Assessing symptom self‐management among men with newly diagnosed prostate cancer can help healthcare providers develop strategies that will enhance health‐related quality of life. Relevance to clinical practice Results provide information on effective strategies that patients with prostate cancer found to reduce their symptoms. The strategies used provide a foundation for developing and testing interventions for personalised symptom management.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.12178</identifier><identifier>PMID: 23551614</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Disease management ; Humans ; Male ; Medical treatment ; Middle Aged ; Nursing ; Patients ; Prostate cancer ; Prostatic Neoplasms - physiopathology ; Prostatic Neoplasms - therapy ; Self Care ; self-management ; strategy ; symptom distress ; symptom management ; symptoms</subject><ispartof>Journal of clinical nursing, 2014-02, Vol.23 (3-4), p.440-449</ispartof><rights>2013 Blackwell Publishing Ltd</rights><rights>2013 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. 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Background Men receiving treatments for localised prostate cancer experience symptoms of urinary incontinence, urinary obstruction/irritation, bowel difficulties and sexual dysfunction. Understanding patients' symptom experiences and identifying strategies that they use to manage these symptoms are imperative for symptom management planning. Design A descriptive, cross‐sectional study was conducted with a sample of 53 men, who were within three months of the initiation of their treatment. Methods The Symptom Indexes and the Strategy and Effectiveness of Symptom Self‐Management questionnaires were used to measure symptoms, symptom distress and symptom self‐management. Descriptive statistics, t‐tests, correlations and multiple regressions were used to analyse the data. Results Symptoms were significantly correlated with symptom‐related distress (r = 0·67, p &lt; 0·01). Frequency of symptoms was significantly associated with symptom self‐management strategies for urinary (β = 0·50, p &lt; 0·01), bowel (β = 0·71, p &lt; 0·01) and sexual problems (β = 0·28, p = 0·05). The most effective strategies were as follows: pads and doing Kegel exercise for managing urinary problems, rest and endurance for bowel symptoms, and expressing feelings and finding alternative ways to express affection for management of sexual dysfunction. Conclusions Assessing symptom self‐management among men with newly diagnosed prostate cancer can help healthcare providers develop strategies that will enhance health‐related quality of life. Relevance to clinical practice Results provide information on effective strategies that patients with prostate cancer found to reduce their symptoms. The strategies used provide a foundation for developing and testing interventions for personalised symptom management.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cross-Sectional Studies</subject><subject>Disease management</subject><subject>Humans</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - physiopathology</subject><subject>Prostatic Neoplasms - therapy</subject><subject>Self Care</subject><subject>self-management</subject><subject>strategy</subject><subject>symptom distress</subject><subject>symptom management</subject><subject>symptoms</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1P3DAQhq2qVVmgF34AitQLQgp4_BHbx2rLR-kKJNqKo-U1E5pt4mxjr2D_PQ4LHHoonoOt0fO-1sxLyB7QI8jneNH7cAQMlH5HJsArWTJF2XsyoaZiJdBKbZHtGBeUAmeMfyRbjEsJFYgJuf6x7pap74qIbV12Lrg77DCkIqbBJbxrMBZNKJYuNbkbi_sm_S5CH8oOk4spt32xHPrxhYV3weOwSz7Uro346fneIb9OT35Oz8vZ1dm36ZdZ6QXTupRAlfYAThrF54YqZZwyaIT2SgsqhZorJbxj3tRZUftbX0uNjnHHajFnfIccbHzz_39XGJPtmuixbV3AfhUtSCpZLi3eRoXJK6MVH10__4Mu-tUQ8iAjJbSWRkKmDjeUz7PHAWu7HJrODWsL1I6h2DEU-xRKhvefLVfzDm9f0ZcUMgAb4L5pcf0fK3txNb18MS03miYmfHjVuOGPrRRX0t5cnll2Q79fnM_AfuWPGQylIw</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Hsiao, Chao-Pin</creator><creator>Moore, Ida M (Ki)</creator><creator>Insel, Kathleen C</creator><creator>Merkle, Carrie J</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201402</creationdate><title>Symptom self-management strategies in patients with non-metastatic prostate cancer</title><author>Hsiao, Chao-Pin ; Moore, Ida M (Ki) ; Insel, Kathleen C ; Merkle, Carrie J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4288-51078c11a5973b90779a79e948c7840547b774ca2c9fc42fcdcf58ea23a2f4b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cross-Sectional Studies</topic><topic>Disease management</topic><topic>Humans</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Patients</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - physiopathology</topic><topic>Prostatic Neoplasms - therapy</topic><topic>Self Care</topic><topic>self-management</topic><topic>strategy</topic><topic>symptom distress</topic><topic>symptom management</topic><topic>symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hsiao, Chao-Pin</creatorcontrib><creatorcontrib>Moore, Ida M (Ki)</creatorcontrib><creatorcontrib>Insel, Kathleen C</creatorcontrib><creatorcontrib>Merkle, Carrie J</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hsiao, Chao-Pin</au><au>Moore, Ida M (Ki)</au><au>Insel, Kathleen C</au><au>Merkle, Carrie J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptom self-management strategies in patients with non-metastatic prostate cancer</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2014-02</date><risdate>2014</risdate><volume>23</volume><issue>3-4</issue><spage>440</spage><epage>449</epage><pages>440-449</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives To explore the association between symptoms, symptom distress and symptom self‐management and to identify effective strategies of symptom self‐management in men with non‐metastatic prostate cancer following radical prostatectomy or radiation therapy. 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Frequency of symptoms was significantly associated with symptom self‐management strategies for urinary (β = 0·50, p &lt; 0·01), bowel (β = 0·71, p &lt; 0·01) and sexual problems (β = 0·28, p = 0·05). The most effective strategies were as follows: pads and doing Kegel exercise for managing urinary problems, rest and endurance for bowel symptoms, and expressing feelings and finding alternative ways to express affection for management of sexual dysfunction. Conclusions Assessing symptom self‐management among men with newly diagnosed prostate cancer can help healthcare providers develop strategies that will enhance health‐related quality of life. Relevance to clinical practice Results provide information on effective strategies that patients with prostate cancer found to reduce their symptoms. 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subjects Aged
Aged, 80 and over
Cross-Sectional Studies
Disease management
Humans
Male
Medical treatment
Middle Aged
Nursing
Patients
Prostate cancer
Prostatic Neoplasms - physiopathology
Prostatic Neoplasms - therapy
Self Care
self-management
strategy
symptom distress
symptom management
symptoms
title Symptom self-management strategies in patients with non-metastatic prostate cancer
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