Harrington Joanne M, Badger Terry A
Phoenix Veterans Affairs Health Care System, 650 E Indian School Rd., Phoenix, AZ 85012, USA.
Cancer Nurs. 2009 Mar-Apr;32(2):E1-7. doi: 10.1097/NCC.0b013e3181982d18.
Each of the successful treatment options for men with prostate cancer is accompanied by its unique side effect profile. However, treatment with androgen deprivation therapy (ADT) and the resulting castrate level of testosterone lead to profound changes in one's physical appearance. The goal of this descriptive study was to describe the relationship between changes in body image and quality of life (QOL) among prostate cancer survivors based upon whether or not treatment was with ADT. A convenience sample of 132 men (aged > or =60 years) with prostate cancer were recruited from the oncology and urology outpatient departments at an urban Veterans Affairs Medical Center. The participants completed 2 established questionnaires, the Body Image Scale and the Quality of Life Index-Cancer Version. Descriptive and inferential statistics were used in the analysis. There was no difference in QOL based on ADT. There was a significant negative correlation between body image dissatisfaction and QOL. The findings add to our knowledge regarding body image and QOL among men with prostate cancer, provide a foundation for future research endeavors, and support the development of evidence-based interventions to mitigate body image dissatisfaction.
前列腺癌男性患者的每一种成功治疗方案都伴随着其独特的副作用情况。然而，雄激素剥夺疗法（ADT）治疗以及由此导致的睾酮去势水平会使人的外貌发生深刻变化。这项描述性研究的目的是根据是否采用ADT治疗，描述前列腺癌幸存者身体意象变化与生活质量（QOL）之间的关系。从一家城市退伍军人事务医疗中心的肿瘤学和泌尿外科学门诊招募了132名年龄≥60岁的前列腺癌男性患者作为便利样本。参与者完成了两份既定问卷，即身体意象量表和癌症版生活质量指数。分析中使用了描述性和推断性统计方法。基于ADT的生活质量没有差异。身体意象不满与生活质量之间存在显著负相关。这些发现增加了我们对前列腺癌男性患者身体意象和生活质量的认识，为未来的研究工作奠定了基础，并支持开发基于证据的干预措施以减轻身体意象不满。
