Social representations attributed to prostate cancer by men undergoing follow-up at an in-hospital Oncology service

Authors

DOI:

https://doi.org/10.15253/2175-6783.20232491861

Keywords:

Prostatic Neoplasms; Nursing; Oncology Nursing; Qualitative Research; Social Representation.

Abstract

Objective: to understand the social representations of prostate cancer by men undergoing follow-up at an in-hospital oncology service. Methods: a qualitative study, developed using the Collective Subject Discourse method, with 30 men over the age of 18 undergoing treatment for prostate cancer. The data were collected through semi-structured interviews and analyzed using the Theory of Social Representations. Results: the most shared central ideas in the studied community were as follows: A curable disease; Worry, fear, annoyance and sadness; Loss/Impairment of sex; Nothing, something normal/common; A minor ailment that doesn't shake/shook me, it was faced head on, without fear; Something/Disease that is bad, difficult, serious, intense, dangerous, that ends life and kills. Conclusion: the social representations found in this study denoted intense and difficult experiences in dealing with the disease and treatment, but also showed coping, with potential for overcoming/resilience. Contributions to practice: understanding these representations enables the implementation of integrated and interprofessional education, assistance and management actions.

References

Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2023: Incidência de Câncer no Brasil [Internet]. 2022 [cited Mar 27, 2023]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2023.pdf

Sanda MG, Cadeddu JA, Kirkby E, Chen RC, Crispino T, Fontanarosa J, et al. Clinically localized prostate cancer: AUA/ASTRO/SUO Guideline. Part I: risk stratification, shared decision making, and care options. J Urol. 2018;199(3):683-90. doi: https://doi.org/10.1016/j.juro.2017.11.095

Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). ABC do câncer: abordagens básicas para o controle do câncer [Internet]. 2020 [cited May 20, 2023]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document/livro_abc_6ed_0.pdf

Araújo JS, Nascimento LC, Zago MMF. Embodied hegemonies: moral dilemmas in the onset of prostate cancer. Rev Esc Enferm USP. 2019;53:e03494. doi: https://doi.org/10.1590/S1980-220X2018027403494

Izidoro LCR, Soares GB, Vieira TC, Orlandi FS, Polido Júnior A, Oliveira LMAC, et al. Health-related quality of life and psychosocial factors after radical prostatectomy. Acta Paul Enferm. 2019;32(2):169-77. doi: https://dx.doi.org/10.1590/1982-0194201900024

Menezes RR, Kameo SY, Valença TS, Mocó GAA, Santos JMJ. Qualidade de Vida Relacionada à Saúde e Espiritualidade em Pessoas com Câncer. Rev Bras Cancerol. 2018;64(1):9-17. doi: https://doi.org/10.32635/2176-9745.RBC.2018v64n1.106

Matheson L, Nayoan J, Rivas C, Brett J, Wright P, Butcher H, et al. A qualitative exploration of prostate cancer survivors experiencing psychological distress: loss of self, function, connection, and control. Oncol Nurs Forum. 2020;47(3):318-30. doi: https://doi.org/10.1188/20.onf.318-330

Martins AM, Nascimento ARA. “Eu não Sou Homem Mais!”: masculinidades e experiências de adoecimento por câncer da próstata. Gerais, Rev Interinst Psicol. 2020;13(2):e14662. doi: http://dx.doi.org/10.36298/gerais202013e14662

Moscovici S. Representações sociais: investigações em psicologia social. Petrópolis: Vozes; 2015.

Lefèvre F. Discurso do Sujeito Coletivo: nossos modos de pensar, nosso eu coletivo. São Paulo: Andreoli; 2017.

Silva CF, Silva JV, Ribeiro MP. Formal caregivers and palliative care from the perspective of bioethics. Rev Bioét. 2019;27(3):535-41. doi: http://dx.doi.org/10.1590/1983-80422019273338

Fernandes MJM, Carvalho GB, Ferreira CB. Repercussões do diagnóstico de câncer para homens e mulheres: um estudo comparativo. Rev SPAGESP [Internet]. 2019 [cited Apr 17, 2023];20(2):68-83. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-29702019000200006&lng=pt

Nkoana S, Sodi T, Makgahlela M, Mokwena J. Cancer survivorship: religion in meaning making and coping among a group of black prostate cancer patients in South Africa. J Relig Health. 2022;61(2):1390-400. doi: https://doi.org/10.1007%2Fs10943-021-01406-3

Oliveira PSD, Miranda SVC, Barbosa HA, Rocha RMB, Rodrigues AB, Silva VM. Prostate cancer: knowledge and inerference in the promotion and prevention of the disease. Enferm Glob. 2019;18(2):250-84. doi: http://doi.org/10.6018/eglobal.18.2.336781

Almeida ES, Souzas R, Dos-Santos EM. “Afectados por el tacto”: sentidos atribuidos por hombres a las prácticas de prevención del cáncer de próstata. Salud Colect. 2020;16:e2176. doi: https://doi.org/10.18294/sc.2020.2176

Chambers SK, Hyde MK, Laurie K, Legg M, Frydenberg M, Davis ID, et al. Experiences of Australian men diagnosed with advanced prostate cancer: a qualitative study. BMJ Open. 2018;8(2):e019917. doi: http://doi.org/10.1136/bmjopen-2017-019917

Connell RW, Messerschmidt JW. Masculinidade hegemônica: repensando o conceito. Rev Estud Fem. 2013;21(1):241-82. doi: https://doi.org/10.1590/S0104-026X2013000100014

Paiva Neto FT, Sandreschi PF, Dias MAS, Loch MR. Dificultades del autocuidado masculino: discursos de hombres participantes en un grupo de educación para la salud. Salud Colect. 2020;16:e2250. doi: https://doi.org/10.18294/sc.2020.2250

Simoneti RAAO, Zago MMF. The meanings of cancer survival: from loss of self-control to optimism and hope. Rev Min Enferm. 2019;23:e-1255. doi: https://doi.org/10.5935/1415-2762.20190103

Gellerstedt L, Langius-Eklöf A, Kelmendi N, Sundberg K, Craftman ÅG. Men’s experiences of receiving a prostate cancer diagnosis after opportunistic screening-A qualitative descriptive secondary analysis. Health Expect. 2022;25(5):2485-491. doi: https://doi.org/10.1111%2Fhex.13567

Noronha IDR, Pires ADS, Noronha IDR, Costa CMA, Ribeiro LV, Fassarella LG. Sexualidad y subjetividad: el impacto del cáncer de próstata en la vida sexual e identidad masculina. Psicooncología. 2019; 16(2):375-85. doi: https://dx.doi.org/10.5209/psic.65597

Richardson EM, Schüz N, Sanderson K, Scott JL, Schüz B. Illness representations, coping, and illness outcomes in people with cancer: A systematic review and meta-analysis. Psycho-Oncology. 2017;26(6):724-37. doi: http://doi.org/10.1002/pon.4213

Mendes EV. Interview: The chronic conditions approach by the Unified Health System. Ciênc Saúde Colet. 2018;23(2):431-36. doi: https://doi.org/10.1590/1413-81232018232.16152017

Martínez-Bordajandi A, Fernández-Sola C, Puga-Mendoza AP, López-Entrambasaguas OM, Lucas-Matheu M, Granero-Molina J, et al. Sexual experiences after non-nerve sparing radical prostatectomy. Acta Paul Enferm. 2020;33:eAPE20190237. doi: https://doi.org/10.37689/acta-ape/2020AO02375

Li R, Wittmann D, Nelson CJ, Salter CA, Mulhall JP, Byrne N, et al. Unmet Sexual Health Needs of Patients and Female Partners Following Diagnosis and Treatment for Prostate Cancer. J Sex Med. 2022;19(12):1797-803. doi: https://dx.doi.org/10.1016/j.jsxm.2022.08.195

Brunckhorst O, Hashemi S, Martin A, Gincy G, Mieke VH, Prokar D, et al. Depression, anxiety, and suicidality in patients with prostate cancer: a systematic review and meta-analysis of observational studies. Prostate Cancer Prostatic Dis. 2021;24(2):281-9. doi: https://doi.org/10.1038/s41391-020-00286-0

Kolva E, Hoffecker L, Cox-Martin E. Suicidal ideation in patients with cancer: A systematic review of prevalence, risk factors, intervention and assessment. Palliat Support Care. 2020;18(2):206-19. doi: https://doi.org/10.1080/13811118.2019.1596182

Salimena A, Carvalho NA, Melo MCSC, Amorim TV. O vivido do homem após o diagnóstico de câncer de próstata. Nursing. 2019;22(251):2904-9. doi: https://dx.doi.org/10.36489/nursing.2019v22i251p2904-2909

Torishima M, Urao M, Nakayama T, Kosugi S. Negative recollections regarding doctor-patient interactions among men receiving a prostate cancer diagnosis: a qualitative study of patient experiences in Japan. BMJ Open. 2020;10(1):e032251. doi: https://doi.org/10.1136/bmjopen-2019-032251

Chen H, Twiddy M, Jones L, Johnson M J. The unique information and communication needs of men affected by prostate cancer: a qualitative study of men’s experience. Eur J Cancer Care. 2021;30(6):e13503. doi: https://doi.org/10.1111/ecc.13503

Published

2023-11-08

How to Cite

Peloso-Carvalho, B. de M., Lima, R. S., Silva, J. V. da, Sawada, N. O., Dázio, E. M. R., Nascimento, M. C. do, & Fava, S. M. C. L. (2023). Social representations attributed to prostate cancer by men undergoing follow-up at an in-hospital Oncology service. Rev Rene, 24, e91861. https://doi.org/10.15253/2175-6783.20232491861

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Section

Research Article

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