Wootten A C, Abbott J M, Osborne D, Austin D W, Klein B, Costello A J, Murphy D G
Department of Urology, Royal Melbourne Hospital, Parkville, Vic., Australia; Epworth Prostate Centre, Epworth Healthcare, Richmond, Vic., Australia; Australian Prostate Cancer Research, East Melbourne, Vic., Australia.
Psychooncology. 2014 Nov;23(11):1252-8. doi: 10.1002/pon.3552. Epub 2014 Apr 25.
Prostate cancer and its treatment can result in numerous physical and psychological morbidities for the patient as well as his partner. This qualitative study aimed to explore the experiences of intimate spouses or partners of men diagnosed and/or treated for prostate cancer to better understand the personal impact of prostate cancer on the partner.
Twenty-seven partners participated in this study. Six focus groups were convened, and one in-depth interview was undertaken to explore the practical impact of prostate cancer on the intimate spouse/partner. All discussions were audio-recorded and transcribed and then coded using a thematic approach.
Six themes emerged: (a) The influence of the man's response to prostate cancer on the partner, (b) The need to be involved in treatment and medical decision making, (c) Supporting a man who is experiencing a loss of masculinity, (d) Degree of congruence between each partner's coping responses, (e) Constrained communication, and (f) Changed roles and increased practical management.
It is clear that prostate cancer impacts substantially on many areas of partner well-being. An effective intervention provided to this population seems warranted and may lead to improvements in partner well-being, assist the couple in lessening the impact of prostate cancer and its treatment on their relationship, and assist in the man's recovery.
前列腺癌及其治疗会给患者及其伴侣带来诸多身体和心理方面的疾病。这项定性研究旨在探究被诊断患有前列腺癌和/或接受前列腺癌治疗的男性的亲密配偶或伴侣的经历，以便更好地了解前列腺癌对伴侣的个人影响。
27名伴侣参与了本研究。召开了6次焦点小组会议，并进行了1次深度访谈，以探讨前列腺癌对亲密配偶/伴侣的实际影响。所有讨论均进行了录音和转录，然后采用主题分析法进行编码。
出现了六个主题：（a）男性对前列腺癌的反应对伴侣的影响；（b）参与治疗和医疗决策的必要性；（c）支持正在经历男子气概丧失的男性；（d）每个伴侣应对反应之间的一致程度；（e）沟通受限；（f）角色改变和实际管理增加。
显然，前列腺癌对伴侣幸福的许多方面都有重大影响。为这一人群提供有效的干预措施似乎是必要的，这可能会改善伴侣的幸福状况，帮助夫妻减轻前列腺癌及其治疗对他们关系的影响，并有助于男性康复。
