Management of the patient with urostomy: Caregiver needs during the three months after discharge. A qualitative study

Published: February 22, 2023
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Objective: To examine caregivers' experiences and training needs after radical cystectomy with urinary diversion for the first three months following the patient's discharge.

Methods: This study applied a phenomenological design approach through open-ended interviews and descriptive analysis. Phenomenology applied to empirical research requires researchers to explore the empirical facts narrated by partici-pants. This study followed the Consolidated Criteria for Reporting Qualitative Research guidelines, a 32 – item checklist for inter-views and focus groups. The study population included caregivers of bladder cancer patients, admitted to three Italian hospitals. Data were collected between March 2020 and March 2022.

Results: Fifty-two caregivers of patients who underwent cystecto-my with urinary diversion from three Italian hospitals (41 males and 11 females) participated to the study. The data analysis con-verged in the identification of three themes – with sub-themes –that included various aspects of the caregiver’s lived experiences: 1) living with the burden of being indispensable, for the family member, 2) feeling abandoned by institutions, 3) tiredness and less willingness to look after the relative due to work burden.

Conclusions: Our study demonstrates that the caregiver of a patient with bladder cancer and urostomy in the first three months of hospital discharge is very worried and stressed. Despite the training program received in hospital, the caregiver does not recognize the newly acquired skills and has difficulty applying them. Further study would be required.

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Citations

Fitch MI, Miller D, Sharir S, McAndrew A. Radical cystectomy for bladder cancer: a qualitative study of patient experiences and impli-cations for practice. Can Oncol Nurs J Rev Can Nurs Oncol. 2010; 20:177-187. DOI: https://doi.org/10.5737/1181912x204177181
Linee guida carcinoma della vescica. Published online 2015.
Jackson SS, Marks MA, Katki HA, et al. Sex disparities in the inci-dence of 21 cancer types: Quantification of the contribution of risk factors. Cancer. 2022; 128:3531-3540. DOI: https://doi.org/10.1002/cncr.34390
Murray KS, Prunty M, Henderson A, et al. Functional Status in Patients Requiring Nursing Home Stay After Radical Cystectomy. Urology. 2018; 121:39-43. DOI: https://doi.org/10.1016/j.urology.2018.07.030
Gulliford MC, Petruckevitch A, Burney PG. Survival with bladder cancer, evaluation of delay in treatment, type of surgeon, and modal-ity of treatment. BMJ. 1991; 303:437-440. DOI: https://doi.org/10.1136/bmj.303.6800.437
Masiero M, Busacchio D, Guiddi P, et al. Quality of life and psy-cho-emotional wellbeing in bladder cancer patients and their care-givers: a comparative analysis between urostomy versus ileal ortho-topic neobladder. Ecancermedicalscience. 2021; 15:1163. DOI: https://doi.org/10.3332/ecancer.2021.1163
Hockman L, Bailey J, Sanders J, et al. A Qualitative Assessment of Patient Satisfaction with Radical Cystectomy for Bladder Cancer at a Single Institution: How Can We Improve? Res Rep Urol. 2020; 12:447-453. DOI: https://doi.org/10.2147/RRU.S269405
Northouse LL, Katapodi MC, Schafenacker AM, Weiss D. The impact of caregiving on the psychological well-being of family care-givers and cancer patients. Semin Oncol Nurs. 2012; 28:236-245. DOI: https://doi.org/10.1016/j.soncn.2012.09.006
Colaizzi. Existential phenomenological alternatives. Accessed August 18, 2022. https://scholar.google.com/scholar_lookup?title=Existential-Phenomenological+Alternatives+for+Psychology&author=P.F.+Colaizzi &publication_year=1978&
Mortari L. La fenomenologia empirica In: L.Mortari, L. Ghirotto. Metodi per La Ricerca Educativa. Carocci Editore, 2019, pp.41-77
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care J Int Soc Qual Health Care. 2007; 19:349-357. DOI: https://doi.org/10.1093/intqhc/mzm042
Bagnasco A, Rosa F, Dasso N, et al. Caring for patients at home after acute exacerbation of chronic obstructive pulmonary disease: A phenomenological study of family caregivers’ experiences. J Clin Nurs. 2021; 30:2246-2257. DOI: https://doi.org/10.1111/jocn.15613
Wulff-Burchfield EM, Potts M, Glavin K, Mirza M. A qualitative evaluation of a nurse-led pre-operative stoma education program for bladder cancer patients. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2021; 29:5711-5719. DOI: https://doi.org/10.1007/s00520-021-06093-0
Cianfrocca C, Caponnetto V, Donati D, et al. The opinions and feelings about their educational needs and role of familial caregivers of Parkinson’s Disease patients: a qualitative study. Acta Bio-Medica Atenei Parm. 2020; 91:e2020002.

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How to Cite

Bolgeo, T., Ruta, F., Gatti, D., Gambalunga, F., Iacorossi, L., Di Matteo, R., Cotroneo, S., Boccafoschi , C., & Maconi, A. (2023). Management of the patient with urostomy: Caregiver needs during the three months after discharge. A qualitative study. Archivio Italiano Di Urologia E Andrologia, 95(1). https://doi.org/10.4081/aiua.2023.11024