Document Detail


Advanced prostate cancer patients' relationships with their spouses following hormonal therapy.
MedLine Citation:
PMID:  12849558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The paper analyses the adverse impact of the hormonal therapy's side-effects on advanced prostate cancer patients' capacity for maintaining their pre-treatment spousal relationships, the pros and cons of their ways of coping with the difficulties involved, and the implications of these issues for oncology nursing interventions. In-depth interviews were conducted with 15 Israeli prostate cancer patients, and the data were processed according to the constant comparative analysis method. The findings show that partners' supportive attitude and patients' attempts to stage resilience led to pre-treatment relationships' maintenance, and that, accordingly, patients' rejection by their partners and resignation to this difficulty resulted in spousal ties' disruption. However, whereas the relationships' maintenance came at the cost of burdensome constant pretence, their disruption was eventually reconstructed by the patients in positive terms. These findings are analysed against the backdrop of the constraints imposed by the hormonal therapy on patients' general coping competence and ability to enjoy non-sexual activities, which impair their capability to solve their marital problems more effectively. They would thus benefit from training oncology nurses who specialize in the unique difficulties facing them and their partners, and from oncology nursing interventions that focus on relevant information provision and counselling.
Authors:
Liora Navon; Amira Morag
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of oncology nursing : the official journal of European Oncology Nursing Society     Volume:  7     ISSN:  1462-3889     ISO Abbreviation:  Eur J Oncol Nurs     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-09     Completed Date:  2003-08-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100885136     Medline TA:  Eur J Oncol Nurs     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  73-80; discussion 81-2     Citation Subset:  IM; N    
Affiliation:
Department of Nursing, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. navonl@post.tau.ac.il
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Aged
Aged, 80 and over
Antineoplastic Agents, Hormonal / administration & dosage*,  adverse effects
Cohort Studies
Female
Humans
Interpersonal Relations*
Israel
Male
Middle Aged
Neoplasm Staging
Nursing Research
Prognosis
Prostatic Neoplasms / drug therapy*,  pathology,  psychology*
Quality of Life*
Risk Assessment
Sexual Behavior
Spouses / psychology*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents, Hormonal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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