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An interview study of men discovering testicular cancer
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
National Institute of Public Health, Stockholm, Sweden.
2000 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 23, no 4, 304-309 p.Article in journal (Refereed) Published
Abstract [en]

Testicular cancer affects men between 15 and 45 years old. The aim of this study was to show how men with testicular cancer discover their cancer, react to physical changes, and take action. In the follow-vp phase, 21 who had undergone surgery for testicular cancer were interviewed. The results show clearly that the men focus on their physical pain. The progress from the discovery of changes in the testicular glands to medical care can be divided into three phases. In the first phase, "something has happened," the men consider the changes and try to define the reasons. In the second phase, "facing the situation," they consider the situation and decide whether to talk to someone. In the third phase, "seeking medical help," it is a question of seeking help and being confronted by the medical diagnosis. In terms of time, the progression in the current study took from 1 day to 1 year. The men sought help when complications arose that made normal daily functions difficult. Six of the men suspected that the cause of their problems was cancer. Almost half of the participants in this study, including the six who suspected cancer, did not talk to anyone before they decided to seek medical help. The men who did talk to Other people did not seek medical help any more quickly than the other men. None of the men routinely inspected their bodies.

Place, publisher, year, edition, pages
2000. Vol. 23, no 4, 304-309 p.
Keyword [en]
communication, seeking medical help, self-detection, testicular cancer
National Category
Natural Sciences
URN: urn:nbn:se:liu:diva-49475PubMedID: 10939178OAI: diva2:270371
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2012-07-09Bibliographically approved
In thesis
1. Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
Open this publication in new window or tab >>Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
2000 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Contracting Testicular Cancer : A Study of Men with Medically Treated Testicular Cancer and Their Close Relatives
Abstract [en]

The aim of the thesis is to describe and analyse men's experience of testicular cancer, the interaction with caregivers during the course of the disease and in the subsequent medical care process and the attitude of close relatives during this period and how they describe their life during the medical care process.

The results reported in article I describe, on the basis of audio-taped dialogues between patients and physicians and interviews between patients and physicians, the impact the medical care program SWENOTECA has on the interaction between patient and physician and on how the patients experience their disease and the follow-up of care and treatment. As a result of the medical care program SWENOTECA, oncological care and treatment is framed in a structured care context which gives the patients a perspective of the future and very much influences their sense of safety and security. Article II describes how, in interviews, men reconstructed their discovery of a testicular tumour, how they express their thoughts about and attitudes towards cancer. The men have a functionally oriented approach to their body, which means that the ability to work and carry out their day-to-day duties is a more important sign that they are not ill than are individual physical changes in an organ. In article III, the audio-taped dialogues between patients and physicians have been analysed in order to determine how routinization in the dialogue affects the patient's ability to talk about sensitive subjects and bring up questions and problems on his own initiative. A consequence of the routinised medical care context is that follow-up consultations between patients and physicians focus on restoring trust in the value of the check-ups and the prospects of the disease being cured. In article IV, interviews with close relatives of men treated for testicular cancer are analysed. In these interviews, the parties discussed how cancer affected family life and daily routines as well as how relationships and closeness developed and what the future held. Testicular cancer is something that very much affects the men's close relatives. They do not regard themselves, or are regarded by others, as people with needs of their own and the sorrow and fear they feel results in social isolation during the period of the disease.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2000. 128 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 217
men, close relatives, testicular cancer, medical care program, oncological follow-up consultations, routinization, sensitivity, everyday life, Testikelcancer, Andrologi, Tumörer, Onkologi, Cancer
National Category
Social Sciences Interdisciplinary
urn:nbn:se:liu:diva-35329 (URN)26313 (Local ID)91-7219-835-4 (ISBN)26313 (Archive number)26313 (OAI)
Public defence
2000-10-06, Sal Elysion, Hus-T, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-27Bibliographically approved

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Sandén, Inger
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