Ko Wellam F Yu, Sawatzky Jo-Ann V
Faculty of Nursing, University of Manitoba, Winnipeg, Canada.
Clin J Oncol Nurs. 2008 Aug;12(4):647-54. doi: 10.1188/08.CJON.647-654.
Prostate cancer is one of the most prevalent malignancies diagnosed in North American men. Typically, men diagnosed with localized prostate cancer have two options for curative treatment: radiation therapy or radical prostatectomy (RP). Many men choose RP to remove the cancer; however, the intervention has two possible side effects that patients dread: erectile dysfunction and urinary incontinence (UI). At least 50% of men who undergo RP suffer from UI, which can lead to embarrassment, loss of a sense of control, depression, and decreased social interactions. The Human Response to Illness Model provides a framework to gain a comprehensive understanding of the physiologic, pathophysiologic, behavioral, and experiential perspectives as well as personal and environmental factors related to UI following RP. Knowledge gained from these perspectives will help nurses design strategies that facilitate coping and improve outcomes in men with UI following RP.
前列腺癌是北美男性中最常见的诊断出的恶性肿瘤之一。通常，被诊断为局限性前列腺癌的男性有两种根治性治疗选择：放射治疗或根治性前列腺切除术（RP）。许多男性选择RP来切除癌症；然而，这种干预有两种患者惧怕的可能副作用：勃起功能障碍和尿失禁（UI）。至少50%接受RP的男性会出现尿失禁，这可能导致尴尬、失去控制感、抑郁以及社交互动减少。人类对疾病的反应模型提供了一个框架，以全面理解与RP后尿失禁相关的生理、病理生理、行为和体验方面，以及个人和环境因素。从这些角度获得的知识将帮助护士设计策略，以促进应对并改善RP后尿失禁男性的治疗效果。
