Quality of life and psycho-emotional wellbeing in bladder cancer patients and their caregivers: a comparative analysis between urostomy versus ileal orthotopic neobladder

Masiero, Marianna; Busacchio, Derna; Guiddi, Paolo; Arnaboldi, Paola; Musi, Gennaro; Cobelli, Ottavio De; Didier, F.; Pravettoni, Gabriella

doi:10.3332/ecancer.2021.1163

Cited by 15 publications

(19 citation statements)

References 42 publications

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“…Postoperative abdominal stoma is required, and a urine collection bag is worn for life [ 20 ]. Although elderly BC patients undergoing ileal bladder replacement surgery can achieve certain therapeutic effects, if new targeted nursing interventions can be given, they can effectively enhance the negative emotions of patients and have a positive impact on patients' lives [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Narrative Nursing Intervention on Shame in Elderly Patients with Bladder Cancer after Ileal Bladder Replacement: A Cohort Study

Wang

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. The standard treatment for bladder cancer (BC) is transurethral resection (TURBt), intravesical chemotherapy, and regular follow-up cystoscopy after surgery. However, some patients experience relapse or progression. Narrative care refers to a nursing model in which nurses put themselves into the patient’s position through communication and listening, thereby alleviating the patient’s negative emotions. This study analyzed narrative nursing interventions in elderly patients with BC after vesicoileal replacement. Objective. To explore the positive stimulating effect of narrative nursing intervention on the sense of shame in elderly patients with bladder cancer (BC) after ileal bladder replacement. Methods. A total of 60 elderly patients with BC who went through ileal replacement of the bladder from February 2019 to April 2021 in our hospital were enrolled. The patients were divided into the control group and the study group by the arbitrary number table method. The former group received routine care, and the latter group received a narrative nursing intervention model. The nursing satisfaction, stigma score, self-care ability score, SAS score, SDS score, and quality of life score were compared. Results. First, we compared the nursing satisfaction. In the research group, 23 cases were very satisfied, 6 cases were satisfied, and 1 case was normal, and the satisfaction rate was 100.00%. In the control group, 13 cases were very satisfied, 8 cases were satisfied, 4 cases were general, and 5 cases were dissatisfied, with a satisfaction rate of 83.33%. The nursing satisfaction of the research group was significantly higher compared to that of the control group ( P < 0.05 ). Secondly, we compared the stigma scores. The stigma scores of the study group at the time of discharge, 1 month, 3 months, and 6 months after discharge were lower compared to those of the control group ( P < 0.05 ). In terms of the scores of self-care ability, the total scores of self-concept, self-care responsibility, self-care knowledge, self-care skills, and self-care ability of the research group were higher compared to those of the control group ( P < 0.05 ). With regard to SAS scores, before nursing, there was no significant difference exhibited ( P > 0.05 ). After nursing, the patient’s SAS score decreased. Compared with the two groups, the SAS scores of the study group at discharge, 1 month, 3 months, and 6 months after discharge were all lower ( P < 0.05 ). In terms of SDS score, there was no significant difference before nursing ( P > 0.05 ). After nursing, the SDS scores of patients decreased. Compared between the two groups, the SDS scores of the study group at the time of discharge, 1 month, 3 months, and 6 months after discharge were lower ( P < 0.05 ). Finally, we compared the life quality scores. Before nursing, there was no significant difference exhibited ( P > 0.05 ). After nursing, the scores of life quality of patients improved. Compared with the two groups, the physical function, psychological function, social function, and healthy self-cognition scores of the research group were all lower compared to those of the control group ( P < 0.05 ). Conclusion. Narrative nursing can reduce anxiety and depression in elderly patients with BC after ileal replacement of the bladder, enhance the quality of life, reduce the patient’s stigma, and play a positive motivating role. This nursing model is worthy of promotion in clinic.

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Section: Discussionmentioning

confidence: 99%

The Effect of Narrative Nursing Intervention on Shame in Elderly Patients with Bladder Cancer after Ileal Bladder Replacement: A Cohort Study

Wang

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Unfortunately, several studies confirm that isolation affects patients' adherence to self-care and rehabilitation schedules, decreasing their motivation ( 21 – 25 ). This clinical and social scenario exposes patients to a higher risk of psychological burden, as recently published ( 23 , 26 ).…”

Section: Article Typesmentioning

confidence: 88%

Coping With Oral Tongue Cancer and COVID-19 Infection

et al. 2021

Self Cite

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To date, April 19, 2021, the coronavirus disease 2019 (COVID-19) caused about 140,886,773 confirmed cases and more than 3,000,000 deaths worldwide since the beginning of the pandemic. Oncology patients are usually frail due to the fear of prognosis, recurrence, and outcomes of treatments. Thus, coping with cancer is a complicated process that is necessary to overcome oncological challenge, even more in case of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) disease. This is a brief case report on a middle-aged man affected by advanced oral tongue cancer and COVID-19, describing his experience of cancer diagnosis, surgical treatment, and rehabilitation during the hospital quarantine for COVID-19. Besides the traumatic experience due to the functional alteration in breathing, eating, and speaking caused by major surgery and the concurrent facial disfigurement, our patient had to face a COVID-19 diagnosis, which implied hospital and social isolation. The aim of this perspective work is to focus on the role of the psychological support in the management of hospital distress related to COVID-19 psychophysical loneliness or alienation. In our experience, such support should anticipate patients' oncological surgery or treatment and should be implemented through telemedicine in case of isolation or after hospital discharge.

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“…Therefore, it is of great significance to actively implement effective nursing intervention while providing necessary surgical treatment to patients with bladder cancer. These measures are conducive to disease recovery and can help improve patients' negative emotions, sleep, and quality of life (7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

Effect of individualized psychological intervention on negative emotion and sleep quality of patients after bladder cancer surgery: a randomized controlled trial

Zhang¹,

Han²,

Zhang³

et al. 2021

Transl Androl Urol

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Quality of life and psycho-emotional wellbeing in bladder cancer patients and their caregivers: a comparative analysis between urostomy versus ileal orthotopic neobladder

Cited by 15 publications

References 42 publications

The Effect of Narrative Nursing Intervention on Shame in Elderly Patients with Bladder Cancer after Ileal Bladder Replacement: A Cohort Study

The Effect of Narrative Nursing Intervention on Shame in Elderly Patients with Bladder Cancer after Ileal Bladder Replacement: A Cohort Study

Coping With Oral Tongue Cancer and COVID-19 Infection

Effect of individualized psychological intervention on negative emotion and sleep quality of patients after bladder cancer surgery: a randomized controlled trial

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