Jonsson Annikki, Aus Gunnar, Berterö Carina
Department of Primary Care, Höglandssjukhuset, Nässjö, Sweden.
Eur J Oncol Nurs. 2009 Sep;13(4):268-73. doi: 10.1016/j.ejon.2009.02.006. Epub 2009 Jun 16.
The aim was to improve the knowledge and understanding of how newly diagnosed advanced prostate cancer affects the men and their life situation and perhaps causes fatigue before the side effects of any treatment has an impact on them.
The qualitative study where ten men, newly diagnosed with advanced prostate cancer and at an early stage in their treatment, were interviewed. The interviews were analysed by using Gadamer's hermeneutics.
The men in the present study did not experience fatigue specifically because they had been diagnosed for advanced prostate cancer. Three topics were identified during the analysis and interpretations: awareness of mortality, the influence on their emotions and the influence on their normal life. These topics offered a structure presenting the essence; the need to get back to as normal a life as possible, albeit with a new perspective. The topics together confirmed an affected life situation, which in turn helped the participants to form a new perspective on life.
The knowledge and understanding of the study is that advanced prostate cancer affects men's lives: they are placed in a new life situation, against their will, and in their new situation they form a new life perspective. Healthcare professionals need to evaluate, perceive and furthermore understand the men's apprehensions and expectations, on an individual basis, for their future and empower them to formulate a new life perspective.
旨在提高对新诊断出的晚期前列腺癌如何影响男性及其生活状况，以及在任何治疗副作用对其产生影响之前可能导致疲劳的认识和理解。
进行了一项定性研究，对10名新诊断出晚期前列腺癌且处于治疗早期的男性进行了访谈。采用伽达默尔诠释学对访谈进行分析。
本研究中的男性并非特别因为被诊断为晚期前列腺癌而感到疲劳。在分析和解读过程中确定了三个主题：对死亡的认知、对其情绪的影响以及对其正常生活的影响。这些主题提供了一个呈现本质的结构；即需要尽可能回归正常生活，尽管要有新的视角。这些主题共同证实了生活状况受到影响，这反过来又帮助参与者形成了新的生活视角。
该研究的认识和理解是，晚期前列腺癌会影响男性的生活：他们违背自己的意愿置身于新的生活状况中，并且在新状况下形成了新的生活视角。医疗保健专业人员需要基于个体情况评估、感知并进一步理解男性对其未来的担忧和期望，并使他们有能力形成新的生活视角。
