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Psychosocial Adjustment to Cystectomy for Bladder Carcinoma and Effects on Interpersonal Relationships
Author(s) -
Månsson Åsa,
Johnson Gunnar,
Månsson Wiking
Publication year - 1991
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/j.1471-6712.1991.tb00097.x
Subject(s) - spouse , cystectomy , psychosocial , urinary diversion , medicine , interpersonal communication , interpersonal relationship , psychology , clinical psychology , urology , bladder cancer , psychiatry , cancer , social psychology , sociology , anthropology
. Postoperative adjustment and the psychosocial consequences of cystectomy were studied in 34 patients with bladder carcinoma. Urinary diversion was accomplished via a conduit in 20 patients and a continent caecal reservoir in 14. Interviews with the patients were conducted according to a semistructured outline. The great majority adjusted fairly well, mainly due to support from family members. Help was provided by medical staff in only a few cases. While relationships with friends were unchanged, those with spouse/partner were commonly disturbed by sexual problems and presence of a urostoma. The mode of urinary diversion had no influence on the studied variables. Despite a high acceptance level of their malignant affliction, several patients did not accept their present situation. Lack of psychologic support from the health services was a common experience.