Jakobsson Liselotte, Fransson Per
School of Health and Society, Kristianstad University, SE-291 88 Kristianstad, Sweden.
Open Nurs J. 2013 Dec 27;7:165-73. doi: 10.2174/1874434601307010165.
Prostate cancer is the most common cancer among men in Sweden, and treatment is negatively affecting the patients' quality of life. Even so, long term experiences are sparse and implications for nursing practice are little known. The aim of this study was to determine areas of functioning and factors impacting quality of life, QOL, during and five years after radical prostatectomy (RP) using a quality of life questionnaire and a specific module for prostate cancer. A longitudinal study was performed with consecutively included Swedish men from baseline and after RP treatment (n=222) from 2003 to 2011 to obtain their opinions on quality of life. Data was gathered through a mail out - mail in procedure at baseline, 3 months, 1-3 and 5 years after treatment with a response rate of 94.14% - 75.2%. One reminder was sent on each occasion. Identified areas with increased functioning after five years were emotional and social functioning. QOL ratings did not change over the years. Sexual activity and functioning decreased and hormonal treatment-related symptoms increased. Impact on QOL was found regarding emotional and social functioning, nausea/vomiting, pain and hormone-related symptoms. Increasing age, living with a partner and educational level had no significant impact on QOL. Implications for nursing are to initially focus on physical problems and at times for follow-up visits pay attention also to emotional and social aspects of life. To be able to make a difference in the patient's life, nurses need to bridge the gap between in-hospital treatment and everyday life outside hospital.
前列腺癌是瑞典男性中最常见的癌症，其治疗对患者的生活质量产生负面影响。即便如此，长期经验却很匮乏，对护理实践的影响也鲜为人知。本研究的目的是使用生活质量问卷和前列腺癌特定模块，确定根治性前列腺切除术（RP）期间及术后五年影响生活质量（QOL）的功能领域和因素。进行了一项纵向研究，连续纳入2003年至2011年从基线期及RP治疗后（n = 222）的瑞典男性，以获取他们对生活质量的看法。数据通过在基线期、治疗后3个月、1 - 3年和5年进行的邮寄 - 回寄程序收集，回复率为94.14% - 75.2%。每次都发送一次提醒。五年后功能有所改善的领域是情感和社会功能。多年来QOL评分没有变化。性活动和功能下降，与激素治疗相关的症状增加。发现情感和社会功能、恶心/呕吐、疼痛以及与激素相关的症状对QOL有影响。年龄增长、与伴侣同住和教育水平对QOL没有显著影响。对护理的启示是，最初应关注身体问题，有时随访时也要关注生活的情感和社会方面。为了能够对患者的生活产生影响，护士需要弥合住院治疗与院外日常生活之间的差距。
