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1.
Artigo em Inglês | MEDLINE | ID: mdl-26892880

RESUMO

Despite advances in surgical treatments and the availability of more conservative treatment options, women treated for vulval cancer still experience significant complications such as urinary incontinence, lymphoedema, pruritus, sexual and intimacy issues. These issues can profoundly impact a woman's quality of life. The subjective experience of women diagnosed and treated for vulval cancer in the literature is limited, possibly due to its comparable rarity to other gynaecological and female cancers and because it was traditionally seen mainly in the elderly female population. Nonetheless, younger women are also being diagnosed with vulval cancer. This paper reports the findings from a qualitative study about twelve women's experiences with vulval cancer from diagnosis, through treatment and recovery. Women's feelings of isolation, their unmet information and support needs, physical concerns arising from vulval cancer, particularly after surgery, and the consequences for their body image and intimate relationships with partners, were highlighted within the data. The central findings from this study emphasise the need for further research to develop appropriate interventions for women with vulval cancer. It also highlights opportunities to improve clinical practice into the supportive care of women with this isolating disease.


Assuntos
Adenocarcinoma/psicologia , Carcinoma de Células Escamosas/psicologia , Neoplasias Vulvares/psicologia , Adenocarcinoma/diagnóstico , Adenocarcinoma/cirurgia , Imagem Corporal , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/cirurgia , Emoções , Medo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interpessoais , Pessoa de Meia-Idade , Qualidade de Vida , Comportamento Sexual , Disfunções Sexuais Fisiológicas/psicologia , Parceiros Sexuais , Apoio Social , Transtornos Urinários/psicologia , Neoplasias Vulvares/diagnóstico , Neoplasias Vulvares/cirurgia
2.
Eur J Cancer Care (Engl) ; 24(4): 567-73, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25335828

RESUMO

This study investigates the experience and satisfaction with care of fast-tracked gynaecological patients. The Sydney Gynaecological Oncology Group, New South Wales, Australia, has previously shown the benefits of a fast-track surgery programme for gynaecology patients with both complex benign gynaecological pathology and gynaecological malignancy. The question of whether these benefits translate into a positive experience for fast-tracked patients, in the context of their hospital stay and healthcare team care, has not been previously explored in detail. A self-administered satisfaction questionnaire incorporating the European Organisation for Research and Treatment of Cancer (EORTC) cancer in-patient satisfaction with care measure (INPATSAT-32) questionnaire with additional questions was administered to 106 gynaecology participants at Royal Prince Alfred Hospital. Participants reported high levels of satisfaction with patient care and support received from doctors, ward nurses and the hospital as a service and care organisation, within the context of a fast-track surgical programme. Early hospital discharge after gynaecological surgery results in both enhanced recovery after surgery (ERAS) and high levels of patient satisfaction.


Assuntos
Neoplasias dos Genitais Femininos/cirurgia , Procedimentos Cirúrgicos em Ginecologia/métodos , Satisfação do Paciente , Competência Clínica/normas , Feminino , Procedimentos Cirúrgicos em Ginecologia/psicologia , Ginecologia/normas , Humanos , Tempo de Internação , Pessoa de Meia-Idade , New South Wales , Cuidados Pós-Operatórios/métodos , Cuidados Pós-Operatórios/normas , Estudos Prospectivos , Qualidade da Assistência à Saúde , Estudos Retrospectivos , Tempo para o Tratamento
3.
Anaesthesia ; 60(11): 1073-8, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16229691

RESUMO

We examined the effect of no music, classical music or rock music on simulated patient monitoring. Twenty-four non-anaesthetist participants with high or low levels of musical training were trained to monitor visual and auditory displays of patients' vital signs. In nine anaesthesia test scenarios, participants were asked every 50-70 s whether one of five vital signs was abnormal and the trend of its direction. Abnormality judgements were unaffected by music or musical training. Trend judgements were more accurate when music was playing (p = 0.0004). Musical participants reported trends more accurately (p = 0.004), and non-musical participants tended to benefit more from music than did the musical participants (p = 0.063). Music may provide a pitch and rhythm standard from which participants can judge changes in vital signs from auditory displays. Nonetheless, both groups reported that it was easier to monitor the patient with no music (p = 0.0001), and easier to rely upon the auditory displays with no music (p = 0.014).


Assuntos
Anestesia Geral/normas , Percepção Auditiva , Monitorização Intraoperatória/normas , Música , Adulto , Atenção , Competência Clínica , Humanos , Julgamento , Simulação de Paciente
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