Factors Related to Adaptation to Cystectomy With Urinary Diversion

Abstract

Patients with bladder (urothelial) cancer undergoing urinary diversion (UD) experience physical changes that require important adjustments in their daily lives. This integrative review aims to identify factors that influence adult adaptation to life after cystectomy with the creation of a UD. A review of primary research articles published between 1990 and 2014 was conducted using the PubMed and CINAHL Plus electronic databases. Results of the studies were summarized into 5 categories: (1) individual and family factors, (2) technical aspects related to the individual's ability to care for his or her UD, (3) perioperative nursing care, (4) educational needs, and (5) symptom experience. Bladder cancer patients treated with a cystectomy with a UD have a complex set of needs during postoperative adaptation to their reconstructed urinary system. This integrative review summarizes existing knowledge of factors that affect adaptation to a UD in patients with bladder cancer and may guide future studies. Research on this is limited and more studies are needed.

Investigating Trends of Incidence Rates of Esophageal Cancer Divided by Squamous Cell Carcinoma and Adenocarcinoma in Southern Iran: a 10-Year Experience

“…Based on the most recent census, the population of the SPBCR catchment area, i.e., Fars province, is more than 4,851,000 with a female:male ratio of 1:1.03. The majority of inhabitants is living in urban/suburban areas [7].…”

Supportive care needs and utilization of bladder cancer patients undergoing radical cystectomy: A longitudinal study

“…In the early postoperative period, patients are faced with a new urinary diversion, while they also have to recover from major cancer surgery and neoadjuvant chemotherapy. 4,22 This causes physical challenges with trial and error. 22 Effective coping strategies will be needed in this period as the side-effects experienced by the patients (e.g.…”

“…4,22 This causes physical challenges with trial and error. 22 Effective coping strategies will be needed in this period as the side-effects experienced by the patients (e.g. pain, fatigue and anxiety) could potentially lower the ability of patients to learn about self-care.…”

A new model of patient-reported outcome monitoring with a clinical feedback system in ostomy care: rationale, description and evaluation protocol

“…The HRQoL of ostomy patients is often negatively affected [11,12], and may be lower than that in the general populations [13][14][15][16][17]; in fact, the HRQoL may remain low over several years after surgery [18]. The negative predictors for the adaptation process and HRQoL include a dependence on others for the management of the ostomy, leakage or fear of leakage, odour, noise and equipment failure, complications, and lack of social support and education [5,[18][19][20].…”

“…Lopez and Descerado et al identified that dialog between the patient and the healthcare team was a major tool for a better adaptation to life with an ostomy [21]. Several studies specify that education programs, social support, and follow-up before and after surgery are imperative factors [7,20,[22][23][24][25][26]. However, studies describing novel methods for consultations between the SCN and patients, and the manner in which patients provide feedback are lacking.…”