Faculty of Health Sciences and Medicine, Bond University, Australia; Human Potential Centre, AUT University, Auckland, New Zealand; Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Australia.
Psychooncology. 2013 Dec;22(12):2869-75. doi: 10.1002/pon.3363. Epub 2013 Aug 1.
The primary aim of this study was to examine the perceptions of older men with prostate cancer regarding their quality of life and physical activity post-diagnosis, and the potential benefits and risks associated with being physically active. A secondary aim was to gain some preliminary insight into how these perceptions may differ as a function of androgen deprivation therapy (ADT).
Two focus groups were conducted, consisting of six ADT and eight non-ADT men, respectively. The probe questions used assessed the link between quality of life and physical activity as well as the benefits and risks associated with physical activity. Data were transcribed verbatim and themes identified using a general inductive thematic approach.
The primary themes identified were sexual health, 'plumbing' and non-urogenital side-effects, return to and increased levels of physical activity post-diagnosis, physical health/function and psychological benefits of physical activity as well as over-doing it and age-related risks of excessive physical activity. However, not all themes were present in both the ADT and the non-ADT sub-groups.
These results further highlight the link between physical activity and quality of life in prostate cancer survivors and how they use physical activity as a part of their survivorship process. Of particular interest was how several men on ADT used resistance training to counteract ADT-related side-effects affecting their masculinity. As the evidence for physical activity for prostate cancer survivorship is increasing, cancer clinicians and service providers should consider ways to better assist these men, especially those on ADT become more active.
本研究的主要目的是探讨前列腺癌老年男性患者对诊断后生活质量和身体活动的看法，以及身体活动的潜在益处和风险。次要目的是初步了解这些看法如何因雄激素剥夺疗法（ADT）而有所不同。
分别进行了两组焦点小组讨论，每组分别有 6 名 ADT 男性和 8 名非 ADT 男性。使用的探针问题评估了生活质量和身体活动之间的联系，以及身体活动的益处和风险。数据逐字转录，并使用一般归纳主题方法识别主题。
确定的主要主题包括性健康、“管道”和非泌尿生殖系统副作用、诊断后恢复和增加身体活动水平、身体健康/功能和身体活动的心理益处以及过度活动和与年龄相关的过度身体活动风险。然而，并非所有主题都存在于 ADT 和非 ADT 亚组中。
这些结果进一步强调了前列腺癌幸存者身体活动与生活质量之间的联系，以及他们如何将身体活动作为生存过程的一部分。特别有趣的是，一些接受 ADT 的男性如何使用阻力训练来对抗影响其男性气质的 ADT 相关副作用。随着针对前列腺癌幸存者的身体活动证据不断增加，癌症临床医生和服务提供者应考虑如何更好地帮助这些男性，特别是那些接受 ADT 的男性，使他们更活跃。
