前列腺癌男性患者根治性前列腺切除术后的个体生活质量。

Individual quality of life following radical prostatectomy in men with prostate cancer.

作者信息

Willener Rita, Hantikainen Virpi

机构信息

Department of Urology, University Hospital Berne, Berne, Switzerland.

出版信息

Urol Nurs. 2005 Apr;25(2):88-90, 95-100.

PMID:15900977

Abstract

PURPOSE

The aim of this study was to examine the individual quality of life (QoL) of men following radical prostatectomy for prostate cancer. The following research questions were addressed: (a) What are the most important areas of quality of life for men following radical prostatectomy? (b) How do these men rate their satisfaction in each area and what is the relative importance of each area to their overall quality of life?

METHODS

The purposive sample consisted of 11 men with prostate cancer who had undergone a radical prostatectomy 3 to 4 months earlier. QoL was examined using the SEIQoL-DW (Schedule for the Evaluation of Individual QoL: A Direct Weighting Procedure). The data were analyzed by means of qualitative content analysis (five most important QoL areas).

FINDINGS

The 11 respondents named a total of 55 QoL areas which they described and labelled. They then rated their current satisfaction in each area, and how important each one was to them. A second analysis of the content was made to identify the main QoL areas. The 55 quality of life areas mentioned by respondents were reduced to the following categories: health, activity, family, relationship with a partner, autonomy, independence, hobby, financial security, and sexuality. Health, family, and relationship with a partner are the thee areas which had the most impact on QoL. Overall, the respondents had a high quality of life value. Impotence and incontinence did not appear to have a very negative impact on quality of life.

CONCLUSIONS

SEIQoL-DW was used for the first time in patients with prostate cancer. In a urology department where nurses and patients are confronted daily with the topics of intimacy, sexuality, and sense of embarrassment, more importance should be placed on the topic of sexuality when taking a patient history. Nurses should be trained in communication techniques that enable them to engage patients in a safe and therapeutic dialogue about their sexual concerns related to the diagnosis of prostate cancer. SEIQoL-DW can support the communication with patients.

摘要

目的

本研究旨在调查前列腺癌患者根治性前列腺切除术后的个体生活质量（QoL）。研究解决了以下问题：（a）根治性前列腺切除术后男性生活质量最重要的方面有哪些？（b）这些男性如何评价他们在每个方面的满意度，以及每个方面对他们整体生活质量的相对重要性是什么？

方法

目标样本包括11名前列腺癌患者，他们在3至4个月前接受了根治性前列腺切除术。使用SEIQoL-DW（个体生活质量评估量表：直接加权法）对生活质量进行评估。通过定性内容分析（五个最重要的生活质量方面）对数据进行分析。

结果

11名受访者共列出了55个他们描述并标注的生活质量方面。然后他们对自己目前在每个方面的满意度以及每个方面对他们的重要性进行了评分。对内容进行了二次分析以确定主要的生活质量方面。受访者提到的55个生活质量方面归纳为以下几类：健康、活动、家庭、伴侣关系、自主性、独立性、爱好、经济保障和性功能。健康、家庭和伴侣关系是对生活质量影响最大的三个方面。总体而言，受访者的生活质量得分较高。阳痿和尿失禁似乎对生活质量没有非常负面的影响。