Navon Liora, Morag Amira
Department of Nursing, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel.
Eur J Oncol Nurs. 2003 Jun;7(2):73-80; discussion 81-2. doi: 10.1016/s1462-3889(03)00022-x.
The paper analyses the adverse impact of the hormonal therapy's side-effects on advanced prostate cancer patients' capacity for maintaining their pre-treatment spousal relationships, the pros and cons of their ways of coping with the difficulties involved, and the implications of these issues for oncology nursing interventions. In-depth interviews were conducted with 15 Israeli prostate cancer patients, and the data were processed according to the constant comparative analysis method. The findings show that partners' supportive attitude and patients' attempts to stage resilience led to pre-treatment relationships' maintenance, and that, accordingly, patients' rejection by their partners and resignation to this difficulty resulted in spousal ties' disruption. However, whereas the relationships' maintenance came at the cost of burdensome constant pretence, their disruption was eventually reconstructed by the patients in positive terms. These findings are analysed against the backdrop of the constraints imposed by the hormonal therapy on patients' general coping competence and ability to enjoy non-sexual activities, which impair their capability to solve their marital problems more effectively. They would thus benefit from training oncology nurses who specialize in the unique difficulties facing them and their partners, and from oncology nursing interventions that focus on relevant information provision and counselling.
本文分析了激素疗法的副作用对晚期前列腺癌患者维持治疗前配偶关系能力的不利影响，他们应对相关困难的方式的利弊，以及这些问题对肿瘤护理干预的启示。对15名以色列前列腺癌患者进行了深入访谈，并根据持续比较分析法对数据进行了处理。研究结果表明，伴侣的支持态度和患者表现出恢复力的尝试有助于维持治疗前的关系，相应地，患者被伴侣拒绝并屈从于这种困难会导致配偶关系破裂。然而，维持关系是以持续的繁重伪装为代价的，而关系的破裂最终被患者以积极的方式重新构建。这些研究结果是在激素疗法对患者的一般应对能力和享受非性活动能力施加限制的背景下进行分析的，这些限制削弱了他们更有效地解决婚姻问题的能力。因此，他们将受益于针对他们及其伴侣所面临的独特困难进行专门培训的肿瘤护士，以及专注于提供相关信息和咨询的肿瘤护理干预措施。
