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前列腺癌手术后患者的女性伴侣:与医生的互动和支持需求。

Female partners of patients after surgical prostate cancer treatment: interactions with physicians and support needs.

机构信息

University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

出版信息

BMC Fam Pract. 2010 Mar 8;11:19. doi: 10.1186/1471-2296-11-19.

Abstract

BACKGROUND

Few studies have explored the women's experiences as a result of a partners' diagnosis of prostate cancer. This study begins to explore women's interactions with physicians (primary care and urologist) and the support needs associated with the diagnosis and treatment of their partners' prostate cancer.

METHODS

Two focus groups (n = 14) of women whose partners were diagnosed with prostate cancer (diagnoses' 1 - 18 months). A trained facilitator used open-ended questions to explore ideas. The framework approach was used to analyze the transcripts.

RESULTS

Three main themes emerged: 1. More support. Validation and information is needed for women including emotional support and opportunities to share experiences. 2. Role of the physician. The transfer of care once specialized treatment is no longer needed remained poorly defined, which increased confusion and feelings of abandonment related to the role of the primary physician. 3. Partners' relationship changes. Men became more dependent on their partners for support and to act as the primary communicator and caregiver.

CONCLUSIONS

Additional research is needed in this field to confirm the importance of training primary care physicians to consider holistic treatment approaches that recognize the partner and family needs as important in the complete physical and emotional healing of their patients.

摘要

背景

很少有研究探讨伴侣被诊断出前列腺癌后女性的经历。本研究开始探讨女性与医生(初级保健医生和泌尿科医生)的互动以及与配偶前列腺癌的诊断和治疗相关的支持需求。

方法

对 14 名女性进行了两次焦点小组讨论(n=14),这些女性的伴侣被诊断出患有前列腺癌(诊断后 1-18 个月)。一名经过培训的主持人使用开放式问题来探讨想法。采用框架方法分析转录本。

结果

出现了三个主要主题:1.更多支持。女性需要验证和信息,包括情感支持和分享经验的机会。2.医生的角色。一旦不再需要专门的治疗,护理的转移仍然没有明确界定,这增加了与初级医生角色相关的困惑和被抛弃的感觉。3.伴侣关系的变化。男性更加依赖伴侣的支持,并充当主要的沟通者和照顾者。

结论

需要在这一领域进行更多的研究,以确认培训初级保健医生的重要性,使其考虑整体治疗方法,认识到伴侣和家庭的需求在患者身体和情感的全面康复中是重要的。

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