Postoperative self-efficacy and psychological morbidity in radical prostatectomy

Abstract

Objective: evaluate the general and perceived self-efficacy, psychological morbidity, and knowledge about postoperative care of patients submitted to radical prostatectomy. Identify the relationships between the variables and know the predictors of self-efficacy. Method: descriptive, cross-sectional study, conducted with 76 hospitalized men. The scales used were the General and Perceived Self-efficacy Scale and the Hospital Anxiety and Depression Scale, in addition to sociodemographic, clinical and knowledge questionnaires. Results: a negative relationship was found for self-efficacy in relation to anxiety and depression. Psychological morbidity was a significant predictor variable for self-efficacy. An active professional situation and the waiting time for surgery also proved to be relevant variables for anxiety and knowledge, respectively. Conclusion: participants had a good level of general and perceived self-efficacy and small percentage of depression. With these findings, it is possible to produce the profile of patients about their psychological needs after radical prostatectomy and, thus, allow the nursing professionals to act holistically, considering not only the need for care of physical nature, but also of psychosocial nature.

Qualidade de vida relacionada à saúde e fatores psicossociais após prostatectomia radical

“…However, as evidenced in this study, the physical complications resulting from surgery, such as urinary symptoms and erectile dysfunction, can cause problems that had not yet been experienced, directly affecting the QoL of these men after treatment. These problems can co-occur with fear, anguish, low self-esteem, anxiety and depression, a result that was also found in another recently published study, (22) whose objective was to evaluate the presence of psychological morbidity in this population. Despite the smaller values, it was still possible to identify statistically significant correlations between self-esteem and HRQoL scales, such as the inverse correlation of moderate magnitude with the urinary symptoms scale (r =-0.314), suggesting A recent follow-up study with approximately one year performed with men who underwent prostatectomy evidenced the relationship of prediction between anxiety/depression and quality of life and well-being.…”

Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial

“…Radical prostatectomy (RP) is considered the first choice option for patients with potentially curable prostate cancer and consists of removing the prostate and seminal vesicles by open surgery, laparoscopic or laparoscopic surgery assisted by robots (1)(2) . After performing RP, patients may experience physical and psychological changes, including painful bladder spasms, fatigue, decreased physical capacity, urinary tract infection and surgical incision, constipation, sexual impotence, urinary incontinence, anxiety and depression (1,(3)(4) . In this context, individuals submitted to RP are not always prepared for the challenges to be faced, which reinforces the need for the health team to be sensitive to the peculiarities of this care in order to offer support for male adaptation (3) .…”

“…Nursing is responsible for planning and implementing training on post-discharge care, and the guiding question of such training refers to the stimulation of self-care capacity and the specificity of the challenges and psychological needs of these individuals (1,5) .…”

“…The current tendency to shorten the hospitalization period has an effect on the time spent on developing educational activities among patients and their families, which may negatively interfere with their preparation for discharge (1,6) . Guidelines in the context of the postoperative needs of RP are important and should refer to surgical wound care, handling of the indwelling urinary catheter (IUC) procedure at home, exercises to reestablish urinary continence, as well as to allow the dialogue regarding complications such as erectile dysfunction and urinary incontinence, which cause suffering for both men and their partners (1,7) .…”

Impacto de uma intervenção educativa e motivacional para o controle da ingestão hídrica de pacientes em tratamento hemodialítico

“…A intensidade dos sinais e sintomas depende do grau de comprometimento renal e de outras condições subjacentes, como a idade. Com o início do tratamento dialítico, os sintomas tendem a diminuir ou a desaparecer (THOMÉ et al, 2006;RIELLA, 2010 LOURENÇO et al, PELEGRINO et al, 2014;FURUYA et al, 2015;MATA et al, 2015;GONÇALVES et al, 2016 (BARRETO, 1986).…”