‘Is it painful’? A qualitative study on experiences of patients before prostate needle biopsy

• Published in: BMJ open Vol. 12; no. 9; p. e056619
• Main Authors: Mao, Jinjiao, Dai, Yun, Wang, Lijuan, Pan, Shucheng, Wang, Wei, Yu, Hongwei
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 08.09.2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Activities of daily living; Anxiety; Anxiety disorders; Biopsy; Data analysis; Gene expression; Interviews; Kidney & urinary tract disorders; Medical diagnosis; Patients; Prostate cancer; Prostate disease; Qualitative Research; Quality in health care; UROLOGY; China
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2021-056619

ObjectiveTo assess the experiences and emotional reactions of men prior to receiving a prostate needle biopsy (PNB).DesignThis was a qualitative study involving (1) material research and filter, (2) interviewer training, (3) cognitive semistructured interviews with open-ended questions, (4) data analysis, including translation and back translation and (5) group discussions to determine common themes in the data. All interviews were digitally audio-recorded. The thematic analysis was conducted by repeatedly reading the data manuscript and engaging in group discussion.Setting and participantsA total of 30 participants with suspected prostate cancer (PC) who were scheduled to receive a PNB were interviewed. Eligible participants were Chinese native men aged 51–77 years, and the study was conducted in China between September and December 2020. All participants were informed about the purpose of the study and provided written informed consent.ResultsFour main themes were identified based on the interview content: (1) fear (of pain, adverse effects and bad results), (2) impact of lower urinary tract symptoms (on emotional impact, work and sleeping), (3) inner struggles (relating to hesitation, regret and embarrassment) and (4) lifestyle change (including diet, exercise and receipt of traditional Chinese medicine).ConclusionsThis patient cohort had a low level of knowledge about PC and PNB. Providing additional education about these topics would help to reduce patient fear and anxiety and improve experiences of the procedure.