Milne Jill L, Spiers Judith A, Moore Katherine N
Faculty of Medicine, Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alta., Canada.
Int J Nurs Stud. 2008 May;45(5):765-74. doi: 10.1016/j.ijnurstu.2007.01.006. Epub 2007 May 4.
Laparoscopic radical prostatectomy is a less invasive surgical option to the open retropubic approach for prostate cancer that will likely grow in popularity commensurate with availability. However, since little is known about what men experience throughout the postoperative period, our ability to ensure informed decision-making remains compromised.
The aim of this study was to explore what men experience following laparoscopic radical prostatectomy and how adequately their pre- and postoperative needs are being met.
This was a qualitative descriptive study.
Nineteen men, aged 46-76, who had undergone laparoscopic radical prostatectomy within the previous 3-6 months period were recruited from the treatment and control arms of a randomized controlled trial. Men who were not in the trial were recruited via letters mailed from surgeons' offices.
Data were generated during loosely structured individual (n=5) and focus group interviews (n=3). Inductive content analysis helped to ensure that participants' perspectives were accurately represented.
Men had actively sought information prior to surgery but seemed unprepared for the intensity of discomfort and incontinence they experienced. They particularly valued opportunities for informal discussion with former prostatectomy patients; however, erectile dysfunction remained a major concern and most did not know where to turn for help.
Nurses could play a pivotal role in the laparoscopic radical prostatectomy experience by ensuring men are well informed both pre- and postoperatively. Facilitating contact with other men who have undergone laparoscopic radical prostatectomy (LRP) and initiating conversation about potential side-effects such as urinary incontinence and erectile dysfunction would be an important starting point. Particularly in light of early discharge and concerns regarding erectile dysfunction, additional follow-up seems warranted.
对于前列腺癌，腹腔镜根治性前列腺切除术是一种比开放性耻骨后入路侵入性更小的手术选择，随着其可及性提高，可能会越来越受欢迎。然而，由于对男性在术后整个阶段的经历了解甚少，我们确保患者做出明智决策的能力仍然受到影响。
本研究旨在探讨男性在腹腔镜根治性前列腺切除术后的经历，以及他们术前和术后的需求得到满足的程度。
这是一项定性描述性研究。
从一项随机对照试验的治疗组和对照组中招募了19名年龄在46 - 76岁之间、在过去3 - 6个月内接受过腹腔镜根治性前列腺切除术的男性。未参加该试验的男性通过外科医生办公室邮寄的信件招募。
在结构松散的个人访谈（n = 5）和焦点小组访谈（n = 3）中收集数据。归纳性内容分析有助于确保准确呈现参与者的观点。
男性在手术前积极寻求信息，但似乎对他们所经历的不适和尿失禁的严重程度没有做好准备。他们特别重视与以前接受过前列腺切除术的患者进行非正式讨论的机会；然而，勃起功能障碍仍然是一个主要问题，大多数人不知道该向何处寻求帮助。
护士在腹腔镜根治性前列腺切除术的过程中可以发挥关键作用，确保男性在术前和术后都充分了解情况。促进与其他接受过腹腔镜根治性前列腺切除术（LRP）的男性接触，并就尿失禁和勃起功能障碍等潜在副作用展开对话将是一个重要的起点。特别是考虑到早期出院以及对勃起功能障碍的担忧，额外的随访似乎是必要的。
