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A longitudinal study of coping strategies in men receiving radiotherapy and neo-adjuvant androgen deprivation for prostate cancer: a quantitative and qualitative study.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Mar2014, Vol. 70 Issue 3, p625-638, 14p
- Publication Year :
- 2014
-
Abstract
- Aim This paper reports a study on how men cope with the side-effects of radiotherapy and neo-adjuvant androgen deprivation for prostate cancer up to 1 year after treatment. Background With early detection and improved treatments, prostate cancer survivors are living longer with the disease and the side-effects of treatment. How they cope affects their long-term physical and mental health. Design A prospective, longitudinal, exploratory design using both qualitative and quantitative methods was used in this study. Method Between September 2006-September 2007 149 men who were about to undergo radical radiotherapy ± androgen deprivation for localized prostate cancer in Northern Ireland were recruited to the study. They completed the Brief Cope scale at four time-points. Results Acceptance, positive reframing, emotional support, planning and, just getting on with it, were the most common ways of coping. Fewer men used coping strategies less at 6 months and 1 year after radiotherapy in comparison to pre-treatment and 4-6 weeks after radiotherapy. Interviews with these men demonstrated that men adapted to a new norm, with the support of their wives/partners and did not readily seek professional help. A minority of men used alcohol, behavioural disengagement and self blame as ways of coping. Conclusion Men used a variety of ways of coping to help them deal with radiotherapy and neo-adjuvant androgen deprivation for up to 12 months after radiotherapy. Interventions need to be developed to take account of the specific needs of partners of men with prostate cancer and single men who have prostate cancer. [ABSTRACT FROM AUTHOR]
- Subjects :
- ADAPTABILITY (Personality)
PSYCHOLOGICAL adaptation
ANALYSIS of variance
ANTIANDROGENS
CANCER patients
COMBINED modality therapy
PSYCHOLOGICAL distress
EMPLOYMENT
INTERPERSONAL relations
INTERVIEWING
LONGITUDINAL method
MARITAL status
PROSTATE tumors
QUESTIONNAIRES
RADIOTHERAPY
RESEARCH
RESEARCH funding
HEALTH self-care
SPOUSES
STATISTICS
THERAPEUTIC complications
URINARY incontinence
QUALITATIVE research
DATA analysis
QUANTITATIVE research
SIGNIFICANT others
SOCIAL support
SYMPTOMS
EDUCATIONAL attainment
REPEATED measures design
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 70
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 93894430
- Full Text :
- https://doi.org/10.1111/jan.12224