Moffitt Cancer Center and Research Institute, Department of Health Outcomes and Behavior, 12902 Magnolia Drive, Tampa, FL 33612, USA.
Psychooncology. 2011 Jan;20(1):106-10. doi: 10.1002/pon.1711.
Focus on cancer survivorship and quality of life (QOL) is a growing priority. The aim of this study was to identify and describe the most salient psychosocial concerns related to sexual functioning among African-American (AA) prostate cancer survivors and their spouses.
Twelve AA prostate cancer survivors and their spouses participated in semi-structured individual interviews. The interviews assessed couples' experiences with psychosocial adjustment and sexual functioning posttreatment for localized prostate cancer. The data were analyzed using the constant comparison method and content analysis.
In this qualitative study of couples surviving prostate cancer, there were divergent views between the male prostate cancer survivors and their female partners, particularly regarding sexual functioning. For the males, QOL issues emerged as the primary area of concern, whereas survival of their husbands was considered most important among the female spouses. The male respondents expressed unease with the sexual side effects of their cancer treatment, such as erectile dysfunction and decreased sexual desire and satisfaction. Female spouses recognized decreased sexual desire in their partners following treatment, but this was not considered a primary concern.
Patients and their spouses may have differing perceptions regarding QOL and the impact of sexual functioning on survivorship. This study points to the need for further research and intervention development to address these domains with a goal to improve QOL.
关注癌症生存者及其生活质量（QOL）是一个日益重要的优先事项。本研究的目的是确定并描述与非裔美国（AA）前列腺癌生存者及其配偶的性功能相关的最突出的心理社会问题。
12 名 AA 前列腺癌生存者及其配偶参加了半结构化的个体访谈。这些访谈评估了夫妇在局部前列腺癌治疗后的心理社会适应和性功能体验。使用恒比法和内容分析法对数据进行分析。
在这项针对前列腺癌生存夫妇的定性研究中，男性前列腺癌生存者及其女性伴侣之间存在不同观点，尤其是在性功能方面。对于男性来说，QOL 问题是主要关注领域，而女性伴侣则认为丈夫的生存是最重要的。男性受访者对癌症治疗的性副作用感到不安，如勃起功能障碍、性欲和性满足感下降。女性配偶认识到伴侣在治疗后的性欲下降，但这并不是主要关注点。
患者及其配偶可能对 QOL 和性功能对生存的影响有不同的看法。这项研究表明，需要进一步研究和干预措施的发展，以解决这些领域的问题，目标是提高 QOL。
