Quality of Life in Men Undergoing Prostatectomy: Integrative Review

Abstract

RESUMO:Este estudo consiste em uma revisão integrativa da literatura com o objetivo de sumarizar as pesquisas produzidas sobre Qualidade de Vida (QV) em homens submetidos à prostatectomia em publicações nacionais e internacionais publicadas de janeiro de 2009 a fevereiro de 2014, nas bases de dados PubMed, SciELO, LILACS e CINAHL. Foram identificados 40 artigos que atendiam aos critérios de inclusão. A análise dos trabalhos permitiu identificar foco principal no caráter físico e sintomatológico em detrimento aos aspectos psicológicos referidos após a cirurgia. Observou-se lacunas no conhecimento produzido, com escassos estudos brasileiros, predomínio de estudos com baixo nível de evidência e reduzido número de estudos com delineamento experimental, raros estudos com enfoque nos aspectos emocionais e ausência de definição do construto utilizado e de dados psicométricos dos instrumentos e escalas utilizadas. Entretanto, foi possível elaborar uma síntese do conhecimento científico acerca da QV em homens prostatectomizados na perspectiva da literatura internacional e nacional, incluindo diversos aspectos que permeiam esta investigação. Palavras-Chave: Qualidade de vida, câncer de próstata, prostatectomia, neoplasias da próstata ______________________________________________________________________ QUALITY OF LIFE IN MEN UNDERGOING PROSTATECTOMY: INTEGRATIVE REVIEWABSTRACT: This study consists of an integrative review of the literature with the aim of summarizing the researches produced on Quality of Life (QoL) in men submitted to prostatectomy in published national and international publications from January 2009 to February 2014 in the PubMed, SciELO, LILACS and CINAHL. We identified 40 articles, which met the pre-established criteria. The analysis of the work allowed to identify main focus on the physical and symptomatological character in detriment to the psychological aspects referenced after the surgery. We observed gaps in the knowledge produced, such as, few Brazilian studies, studies of experimental designs or that demonstrate a greater level of evidence, lack studies with a focus on emotional aspects, absence of the definition of the construct used, lack of psychometric data of the instruments and Scales used and the prevalence of low evidence studies. However, it was possible to elaborate a summary of the scientific knowledge about QoL in  R. 227, s/n -Setor Leste Universitário, Goiânia -GO, 74605-080, Brasil.

Anxiety in candidates for radical prostatectomy in a university hospital

“…Prostate cancer is the most prevalent neoplasm in men and is considered the second most common type of cancer in the male population throughout the world 1 . The most recommended treatment option is radical prostatectomy, which consists of the complete resection of the prostate gland, including the prostatic urethra, seminal vesicles, and ductus deferens, and may also include bilateral lymphadenectomy 2 , which is the gold standard for the treatment of localized prostate cancer 3 .…”

“…This surgery can have undesirable effects in the postoperative period that exert a negative impact on quality of life 4 . Such consequences include erectile dysfunction, infertility, and urinary incontinence; moreover, the condition can be fatal or may recur 1 . Facing this danger, patients elected for this surgical procedure often anticipate a vague, unknown threat of the possible negative consequences due to a lack of information 5 , which can generate potentially negative feelings 6 , such as an objectless fear that is manifested in the form of anxiety.…”