Urology and Renal Transplantation Department, FOCH Hospital, University of Versailles Saint-Quentin-en-Yvelines, Suresnes, France.
Urology. 2010 Dec;76(6):1434-9. doi: 10.1016/j.urology.2010.07.483.
To test a tool-kit designed to improve well-being in patients with prostate cancer. Lifestyle changes might lessen the metabolic, cardiovascular, and osseous side effects of androgen deprivation therapy (ADT) in prostate cancer patients.
Urologists supplied 10 consecutive patients initiating ADT with a tool-kit (information brochure, practical guidance on diet and exercise, recipe booklet, and lifestyle diary). The urologists completed a total 4 questionnaires, at study initiation, one at the patients' first and second visits, and one at study completion.
Overall, 91 urologists completed all questionnaires; 585 patients (median age, 75 years) were seen at the first visit, and 511 patients at the second. Patient response rate to the first questionnaire was 62% and 56% to the second. After the first visit, 82% of respondents reported being very glad or glad to receive the kit; among those having read the practical guidance (301/362), 57% had started implementation and 36% intended to do so. After the second visit, 76% were satisfied with the tool-kit and 84% were implementing guidance. Clinician satisfaction rate was 82%: benefits were improved patient dialogue (62%), follow-up (55%), and better explanation of side effects (51%). Only 14 clinicians were not pleased by the tool kit. Their main criticisms (too long, tedious, not tailored to individual needs) matched those of patients.
Written detailed guidance on diet and physical exercise for patients about to receive ADT met a genuine need and was well perceived by both clinicians and patients. Implementation rate was high. However, content should be adapted to patient age and disease stage.
测试一款旨在改善前列腺癌患者幸福感的工具包。生活方式的改变可能会减轻前列腺癌患者接受雄激素剥夺治疗（ADT）的代谢、心血管和骨骼副作用。
泌尿科医生为 10 名开始接受 ADT 的连续患者提供了一个工具包（信息手册、饮食和运动实用指南、食谱小册子和生活方式日记）。泌尿科医生总共完成了 4 份问卷，分别在研究开始时、患者第一次和第二次就诊时以及研究结束时。
共有 91 名泌尿科医生完成了所有问卷；585 名（中位年龄 75 岁）患者在第一次就诊时，511 名患者在第二次就诊时。患者对第一份问卷的回复率为 62%，对第二份问卷的回复率为 56%。第一次就诊后，82%的受访者表示非常高兴或高兴收到工具包；在阅读实用指南的 301 名受访者中，57%已经开始实施，36%打算这样做。第二次就诊后，76%的患者对工具包满意，84%的患者在实施指导。临床医生的满意度为 82%：好处是改善了医患对话（62%）、随访（55%）和更好地解释副作用（51%）。只有 14 名临床医生对工具包不满意。他们的主要批评（太长、乏味、不针对个人需求）与患者的批评相符。
为即将接受 ADT 的患者提供关于饮食和体育锻炼的详细书面指导满足了真正的需求，得到了临床医生和患者的一致好评。实施率很高。然而，内容应该根据患者的年龄和疾病阶段进行调整。
