Oliffe John L, Mróz Lawrence W, Bottorff Joan L, Braybrook Debbie E, Ward Amanda, Goldenberg S Larry
School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B3, Canada,
Support Care Cancer. 2015 Apr;23(4):1127-33. doi: 10.1007/s00520-014-2562-z. Epub 2014 Dec 21.
Men diagnosed with prostate cancer (PCa) can receive supportive care from an array of sources including female partners and prostate cancer support groups (PCSGs). However, little is known about how heterosexual gender relations and supportive care play out among couples who attend PCSGs. Distilling such gender relation patterns is a key to understanding and advancing supportive care for men who experience PCa and their families.
This study describes connections between heterosexual gender relations and PCa supportive care among couples who attend PCSGs.
In-depth, individual interviews with 30 participants (15 men treated for PCa and their female partners) were analyzed using interpretive descriptive methods. Couples were asked about their relationships, supportive care needs, and attendance at PCSGs. A heterosexual gender relations framework was used to theorize the findings.
Findings showed that traditional heterosexual gender relations guided most couples' PCa-related support both in and out of PCSGs. Three themes were inductively derived: "Not pushing too hard"-balancing women's support with men's autonomy, "Confreres"-men supporting men at PCSGs, and "Women are better at reassuring"-support from and for women.
Couples both aligned to and resisted traditional gender roles to accommodate, explain, and rationalize how, as a couple, they approached PCa supportive care needs.
被诊断患有前列腺癌(PCa)的男性可以从包括女性伴侣和前列腺癌支持小组(PCSGs)在内的一系列渠道获得支持性护理。然而,对于参加PCSGs的夫妻中异性恋性别关系和支持性护理是如何发挥作用的,我们知之甚少。提炼出这种性别关系模式是理解和推进对患有PCa的男性及其家庭的支持性护理的关键。
本研究描述了参加PCSGs的夫妻中异性恋性别关系与PCa支持性护理之间的联系。
采用解释性描述方法对30名参与者(15名接受PCa治疗的男性及其女性伴侣)进行了深入的个人访谈。询问夫妻双方他们的关系、支持性护理需求以及参加PCSGs的情况。使用异性恋性别关系框架对研究结果进行理论分析。
研究结果表明,传统的异性恋性别关系指导着大多数夫妻在PCSGs内外与PCa相关的支持。归纳出三个主题:“不过分强求”——平衡女性的支持与男性的自主性,“同行”——男性在PCSGs中相互支持,以及“女性更擅长安慰”——女性给予和获得的支持。
夫妻双方既认同又抵制传统性别角色,以适应、解释和合理化他们作为夫妻如何满足PCa支持性护理需求。