Lehto Ulla-Sisko, Helander Sanni, Taari Kimmo, Aromaa Arpo
Population Health Unit, National Institute for Health and Welfare, Helsinki, Finland.
Finnish Cancer Registry, Helsinki, Finland.
Eur J Oncol Nurs. 2015 Jun;19(3):220-9. doi: 10.1016/j.ejon.2014.10.018. Epub 2014 Dec 24.
Most cases of prostate cancer are diagnosed at an early stage, and men live for many years after diagnosis. Thus, their well-being and quality of life are of great importance. This study investigated patient experiences and psychological well-being in a Finnish national sample of prostate cancer patients who received various types of treatment.
In a national sample (50%) of prostate cancer patients diagnosed in Finland in 2004, information was collected on the patients' experiences at diagnosis and choice of treatment (e.g. treatment selection, patient satisfaction with care and information, psychological reactions). In 2009, participants were asked about their experiences, and psychological well-being (psychological symptoms, satisfaction with life) was measured. In total, 1239 completed questionnaires (73%) were accepted for the study. Differences between treatments and predictors of psychological well-being were investigated using descriptive statistics and regression analysis.
Half of the respondents were satisfied with the care and information they received about the cancer and side effects of treatment. Experiences and psychological well-being were most positive among patients who received brachytherapy and poorest among patients who received hormonal therapy. Patients who underwent prostatectomy or brachytherapy were most likely to have been involved in treatment selection. Negative experiences, such as learning of the diagnosis in an impersonal way and dissatisfaction with the information and care received, were predictive of poorer well-being.
Unmet supportive care and informational needs were common. Experiences and well-being varied between treatments. Patients tended to prefer prostatectomy and brachytherapy. Unmet needs, which would probably be reduced by improvements in care, appear to have a long-lasting impact on patients' psychological well-being.
大多数前列腺癌病例在早期被诊断出来，男性在确诊后能存活多年。因此，他们的幸福和生活质量至关重要。本研究调查了芬兰全国范围内接受各种治疗的前列腺癌患者的就医体验和心理健康状况。
在2004年芬兰确诊的前列腺癌患者全国样本（50%）中，收集了患者在诊断时的经历以及治疗选择方面的信息（如治疗方案选择、患者对护理和信息的满意度、心理反应）。2009年，询问了参与者的经历，并测量了他们的心理健康状况（心理症状、生活满意度）。总共1239份完整问卷（73%）被纳入研究。使用描述性统计和回归分析来研究不同治疗方法之间的差异以及心理健康状况的预测因素。
一半的受访者对他们收到的有关癌症和治疗副作用的护理及信息感到满意。接受近距离放射治疗的患者的经历和心理健康状况最为积极，而接受激素治疗的患者情况最差。接受前列腺切除术或近距离放射治疗的患者最有可能参与治疗方案的选择。负面经历，如以冷漠的方式得知诊断结果以及对所获得的信息和护理不满意，预示着心理健康状况较差。
未满足的支持性护理和信息需求很常见。不同治疗方法的经历和幸福感各不相同。患者倾向于选择前列腺切除术和近距离放射治疗。未满足的需求可能会因护理的改善而减少，似乎对患者的心理健康有持久影响。
