Psychosocial adjustment to cystectomy for bladder carcinoma and effects on interpersonal relationships.

Abstract:

: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.

journal_name

Scand J Caring Sci

authors

Månsson A,Johnson G,Månsson W

doi

10.1111/j.1471-6712.1991.tb00097.x

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

129-34

issue

3

eissn

0283-9318

issn

1471-6712

journal_volume

5

pub_type

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