(O-33) PSYCHOLOGICAL ASPECTS OF PATIENTS WITH PENIS CANCER: REPORTS OF PATIENTS ACCOMPANIED AT THE UROLOGY ONCOLOGY OUTPATIENT CLINIC OF THE HOSPITAL DE CLINICAS DA UNICAMP

I. Silva, A. Naccarato, W. E. Matheus
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Abstract

Penile cancer (PC) mainly affects lower socioeconomic groups and those with less education. Patients who develop PC often experience symptoms for months before consult a urologist. The delay of the treatment affects the severity of the prognosis. Penectomy is still the best treatment available. This study aims to understand the meaning of the experience of patients who had PC and underwent partial or total penectomy treatment. Patients were approached and invited to participate. Upon acceptance, the nature of the research, objectives and all ethical precautions were explained. All patients were seen by the same psychologist. The technique used was the open interview. We interviewed 7 patients who had and treated penile cancer with partial or total penectomy. Data were collected through recording. Data processing followed the following steps: literal transcription of the interviews; description of interviews in formal language; first reduction seeking the meaning of the reported experiences; listing of the units of meaning of each of the interviews collected. The next step was to specify what is common in the interviewees stories in relation to their lived experience. It is possible to see that CP is a debilitating experience for those who live it. QoL is affected, as is the experience of masculinity itself. It is a very uncomfortable experience, both before and after the treatment. The patient with CP lives with the symptoms for a long time before seeking a solution. It is concluded that the PC has multiple variables, and the number of reports that talk about how difficult it was to reach at the diagnosis, not only due to the patient's own denial of symptoms, but also due to the inefficient care received in countless consultations, brings the reflection on the quality of knowledge of the professionals who provide assistance to this population in relation to PC. CAPES.
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(O-33) 阴茎癌患者的心理问题:联坎普诊所医院泌尿肿瘤门诊陪同患者的报告
阴茎癌(PC)主要影响社会经济地位较低的群体和受教育程度较低的人群。阴茎癌患者往往在出现症状数月后才去看泌尿科医生。延误治疗会影响预后的严重程度。阴茎切除术仍是目前最好的治疗方法。本研究旨在了解接受阴茎部分或全部切除术治疗的 PC 患者的经验意义。研究人员与患者进行了接触,并邀请他们参与研究。患者接受邀请后,研究人员会向其解释研究的性质、目的和所有伦理方面的注意事项。所有患者均由同一位心理学家进行诊治。采用的技术是开放式访谈。我们采访了 7 名阴茎癌患者,他们都接受了阴茎部分或全部切除术。数据通过录音收集。数据处理遵循以下步骤:对访谈进行文字转录;用正式语言对访谈进行描述;首先还原所报告经历的意义;列出收集到的每个访谈的意义单位。下一步是明确受访者故事中与其生活经历有关的共同点。可以看出,CP 对患者来说是一种使人衰弱的经历。生活质量受到影响,男性体验本身也是如此。无论是在治疗前还是治疗后,这种体验都会让人感到非常不舒服。在寻求解决方案之前,CP 患者会长期忍受这些症状。可以得出的结论是,PC 存在多种变数,许多报告都谈到了诊断的困难程度,这不仅是由于病人自己否认症状,还由于在无数次咨询中得到的护理效率低下,这让人反思为这一人群提供 PC 相关帮助的专业人员的知识质量。 CAPES.
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