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Rehabilitering av urininkontinens och sexuell dysfunktion för en förbättrad livskvalitet: En litteraturstudie om män med prostatacancer
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Rehabilitation of urinary incontinence and sexual dysfunction to improve quality of life : A literature review about men with prostate cancer (English)
Abstract [sv]

Bakgrund: Prostatacancer är den vanligaste cancerformen i Sverige. Urininkontinens och sexuell dysfunktion är vanligt förekommande efter prostatacancerbehandling. Tidigare forskning har visat att urininkontinens och sexuell dysfunktion försämrar livskvaliteten.

Syfte: Att kartlägga vilka typer av rehabilitering som finns för män med prostatacancer gällande sexuell dysfunktion och urininkontinens samt att belysa rehabiliteringsbehov som inte tillgodoses.

Metod: Litteraturstudie. Tio vetenskapliga originalartiklar inkluderades; åtta med kvantitativ metod och två med kvalitativ metod.

Resultat: Det fanns flera olika typer av bäckenbottenträning för att fysiskt rehabilitera urininkontinens. Bäckenbottenträningen minskade urininkontinensen i samtliga studier. Ett samband mellan minskad urininkontinens efter bäckenbottenträning och en förbättrad livskvalitet hittades. Männen hittade strategier för att psykosocialt anpassa sig till sin urininkontinens. Bäckenbottenträningen gav ingen betydande förbättring av sexuell dysfunktion.  Den psykosociala rehabiliteringen som finns vid sexuell dysfunktion är patientinformation, samtal i vården, gruppterapi, stödgrupper och par-kommunikation.

Slutsats: Alla typer av bäckenbottenträning minskade urininkontinensen. På grund av den emotionella och sociala påverkan som urininkontinensen har kvarstår ett behov av psykosocial rehabilitering. Ingen evidens hittades för att bäckenbottenträning förbättrar sexuell dysfunktion. Mer forskning efterfrågas för att hitta fysiska rehabiliteringsmetoder vid sexuell dysfunktion. Psykosocial rehabilitering hjälpte männen att anpassa sig till den sexuella dysfunktionen. Dock finns ett behov av ett sammanställt program med olika typer av psykosocial rehabilitering som alla prostatacancerpatienter kan erbjudas. 

Abstract [en]

Background: Prostate cancer is the most common form of cancer in Sweden. Urinary incontinence and sexual dysfunction are the general problems caused by prostate cancer treatment. Previous research has shown that quality of life is affected by urinary incontinence and sexual dysfunction.

The aim: To review available rehabilitation in urinary incontinence and sexual dysfunction for men with prostate cancer, and to find rehabilitation needs that were not met in these men.

Method: Literature review. Ten articles were included; eight quantitative and two with qualitative method.

Results: Several types of pelvic floor muscle training were found to physically rehabilitate urinary incontinence. Pelvic floor muscle training improved urinary incontinence in all studies. A correlation between improved urinary incontinence after pelvic floor muscle training and higher quality of life was found. The men found strategies to psychosocially adjust to urinary incontinence. Pelvic floor muscle training was not effective in rehabilitating sexual dysfunction.  Patient information, consultations, group therapy, support groups and spousal communication was found to be psychosocial rehabilitation methods of sexual dysfunction.

Conclusion: All pelvic floor muscle training decreased urinary incontinence. Because of the emotional and social impact of urinary incontinence a need for psychosocial rehabilitation remains. No evidence supports that pelvic floor muscle training improves sexual dysfunction. More research is required in finding physical rehabilitation methods for sexual dysfunction. Psychosocial rehabilitation helped the men to adjust to sexual dysfunction. But there is a need to assemble a program consisting of several types of psychosocial rehabilitation that can be given to all prostate cancer patients.

Place, publisher, year, edition, pages
2016. , 23 p.
Keyword [en]
Prostatic neoplasms, Urinary incontinence, Sexual dysfunction, Rehabilitation, Quality of life.
Keyword [sv]
Prostatacancer, Urininkontinens, Sexuell dysfunktion, Rehabilitering, Livskvalitet
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-292586OAI: oai:DiVA.org:uu-292586DiVA: diva2:926137
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2016-05-19 Created: 2016-05-04 Last updated: 2016-05-19Bibliographically approved

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