Searching for a harmonious survival: the experience of quality of life of urological cancer survivors

Neris, Rhyquelle Rhibna; Nascimento, Lucila Castanheira; Zago, Márcia María Fontão

doi:10.1007/s00520-021-06786-6

Cited by 1 publication

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the survival of urological cancer patients is shorter than normal people ( 2 ); hence, urological cancer patients might consider that life is unfair to them, leading to lower neutral acceptance of death. Moreover, urological cancer patients face the fact that death is inevitable, and the life they experience is tough and miserable; thus, seeking hope and thinking about death positively is important for them ( 10 , 28 ). This might lead to a higher death acceptance.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, urological cancers and the corresponding treatments unavoidably affect patients' physical and psychological status ( 6 - 8 ). Urological cancer patients usually suffer from negative emotions, such as loneliness, unstable spirituality, and fear of death, which might ultimately influence their quality of life, treatment outcome, and even survival ( 9 - 11 ). Therefore, a better understanding of loneliness, spiritual status, and death perception, as well as their risk factors in urological cancer patients is crucial to improve the management of these patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Loneliness, spiritual well-being, and death perception, as well as their risk factors in urological cancer patients

et al. 2023

Braz J Med Biol Res

View full text Add to dashboard Cite

Cancer patients commonly suffer from loneliness, poor spiritual status, and fear of death; however, these evaluations are rarely revealed in urological cancer patients. Thus, this study aimed to assess the loneliness, spiritual well-being, and death perception, as well as their risk factors in urological cancer patients. A total of 324 urological (including renal, bladder, and prostate) cancer patients and 100 healthy controls were included. The University of California and Los Angeles loneliness scale (UCLA-LS), functional assessment of chronic illness therapy-spiritual well-being (FACIT-Sp), and death attitude profile-revised (DAP-R) scores were evaluated. The results showed that the UCLA-LS score was higher, but the FACIT-Sp score was lower in urological cancer patients than in healthy controls. According to the DAP-R score, fear of death, death avoidance, and approaching death acceptance were elevated, but neutral acceptance was lower in urological cancer patients than in healthy controls. Among urological cancer patients, the UCLA-LS score was highest but the FACIT-Sp score was lowest in bladder cancer patients; regarding the DAP-R score, fear of death and death avoidance were highest, but approaching death acceptance was lowest in bladder cancer patients. Interestingly, single/divorced/widowed status, bladder cancer diagnosis, higher pathological grade, surgery, systemic treatment, and local treatment were independent factors for higher UCLA-LS score or lower FACIT-Sp score. In conclusion, urological cancer (especially bladder cancer) patients bear increased loneliness and reduced spiritual well-being; they also carry higher fear of death, death avoidance, and approaching death acceptance but lower neutral acceptance of death.

show abstract

Section: Discussionmentioning

confidence: 99%