4.1 Article

Men's perception of information and descriptions of emotional strain in the diagnostic phase of prostate cancer-a qualitative individual interview study

Journal

SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
Volume 39, Issue 4, Pages 476-485

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/02813432.2021.2004734

Keywords

Diagnostic phase; emotions; information; patient experience; prostate cancer; qualitative research

Funding

  1. Regional Health Authority (Helse Vest) [912203]

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Men's perception of information and emotional strain during the diagnostic phase of prostate cancer are influenced by personalized needs, experiences shared with others, and worries about cancer and mortality. Individualized information and support from peers are crucial for men facing the emotional challenges of prostate cancer diagnosis. Early identification of patients' information needs is essential in the diagnostic process.
Objective To explore men`s perception of information and their possible emotional strain in the diagnostic phase of prostate cancer. Design, setting, patients A qualitative explorative research design was employed. Data were collected from June to November 2017. The study was set at a urological outpatient clinic at a university hospital in Norway. Semi-structured interviews were conducted with ten men who had been examined for prostate cancer. Interviews were analyzed using Systematic Text Condensation (STC). Results The analysis revealed three themes. The theme 'Different needs and perceptions of information' illustrated that information should be personalized. Despite different information needs, insufficient information about prostate cancer may prevent some men from being involved in decisions. The theme, 'A discovery of not being alone', indicated that a sense of affinity occurs when men realize the commonality of prostate cancer. Some men benefited from other men's experiences and knowledge about prostate cancer. The last theme 'Worries about cancer and mortality' showed that the emotional strain was affected by men's knowledge of cancer and the received information. Men expressed conflicting feelings toward prostate cancer that could be difficult to express. Conclusions The findings indicate that men in the diagnostic phase of prostate cancer are not a homogeneous group, but need personalized information. Some men may benefit from other men's experiences and support. Men's emotional strain can affect their communication about prostate cancer, which should be acknowledged. Procedures that identify patients' information needs early on should be an integrated part of the diagnostic phase of prostate cancer.

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