Wallace Meredith, Bailey Donald, O'Rourke Maureen, Galbraith Michael
School of Nursing at Fairfield University in Connecticut, USA.
Oncol Nurs Forum. 2004 Nov 16;31(6):1057-66. doi: 10.1188/04.ONF.1057-1066.
PURPOSE/OBJECTIVES: To summarize the recent literature and report the issues and controversies surrounding watchful waiting as a management option for prostate cancer.
All recent, published articles describing the experience, outcomes, and quality of life of men undergoing watchful waiting and the psychoeducational interventions tested in this population.
The outcomes of men living with prostate cancer often do not vary greatly from men who are cured from the disease through radical prostatectomy or brachytherapy. Limited intervention studies have been aimed at improving these outcomes among those who have chosen watchful waiting.
A paucity of information remains surrounding interventions to support men undergoing watchful waiting for prostate cancer. A consensus must be reached on who is most appropriate for watchful waiting. Watchful waiting does not mean doing nothing. Men who undergo watchful waiting should be assured that it is an active, deliberate process, not an opportunity to be overlooked by the healthcare system.
Future nursing care and research must concentrate on understanding the experience of men who are undergoing watchful waiting and interventions to improve outcomes in this population.
目的/目标：总结近期文献，并报告围绕观察等待作为前列腺癌管理选项的相关问题和争议。
所有近期发表的描述接受观察等待的男性的经历、结局和生活质量，以及在该人群中测试的心理教育干预措施的文章。
前列腺癌患者的结局通常与通过根治性前列腺切除术或近距离放射治疗治愈的患者相比差异不大。有限的干预研究旨在改善那些选择观察等待的患者的这些结局。
关于支持前列腺癌观察等待患者的干预措施的信息仍然匮乏。必须就谁最适合观察等待达成共识。观察等待并不意味着无所作为。接受观察等待的男性应确信这是一个积极、深思熟虑的过程，而不是被医疗系统忽视的机会。
未来的护理和研究必须专注于了解接受观察等待的男性的经历以及改善该人群结局的干预措施。
