Paterson Catherine, Robertson Allison, Smith Alison, Nabi Ghulam
College of Medicine, Dentistry and Nursing, Medical Research Institute, School of Medicine, University of Dundee, UK.
National Health Service Tayside, Urology Department, Dundee, UK.
Eur J Oncol Nurs. 2015 Aug;19(4):405-18. doi: 10.1016/j.ejon.2014.12.007. Epub 2015 Jan 19.
Men affected by prostate cancer are a patient population in need of on-going person-centred supportive care. Our aim was to synthesise current available evidence with regard to the unmet supportive care needs of men living with and beyond prostate cancer.
A systematic review was conducted according to the PRISMA Statement Guidelines. Electronic databases (DARE, Cochrane MEDLINE, BNI, PsychINFO, EMBASE and CIHAHL) were searched to identify studies employing qualitative and/or quantitative methods. Methodological evaluation was conducted, and findings were integrated in a narrative synthesis.
7521 references were retrieved, 17 articles met the eligibility criteria. Individual needs were classified into the following domains: social needs (2/17: 11.8%), spiritual needs (4/7: 23.5%), practical needs (4/17: 23.5%), daily living needs (5/17: 29.4%), patient-clinician communication (5/17: 29.4%), family-related needs (7/17: 41.2%), physical needs (8/17: 47.1%), psychological emotional needs (9/17: 52.9%), interpersonal/intimacy needs (11/17: 64.7%) and health system/Information needs (13/17: 76.5%).
This systematic review has identified that men can experience a range of unmet supportive care needs with the most frequently reported being needs related to intimacy, informational, physical and psychological needs. Despite the emerging evidence-base, the current with-in study limitations precludes our understanding about how the needs of men evolve over time from diagnosis to living with and beyond prostate cancer. Whether demographic or clinical variables play a moderating role, only remains to be addressed in future studies. This review has made an important contribution by informing clinicians about the complex unmet supportive care needs of men affected by this disease.
受前列腺癌影响的男性是需要持续的以患者为中心的支持性护理的患者群体。我们的目的是综合当前现有的证据，以了解前列腺癌患者及康复后的男性未得到满足的支持性护理需求。
根据PRISMA声明指南进行了系统评价。检索了电子数据库（DARE、Cochrane MEDLINE、BNI、PsychINFO、EMBASE和CIHAHL），以识别采用定性和/或定量方法的研究。进行了方法学评估，并将研究结果整合到叙述性综述中。
共检索到7521篇参考文献，17篇文章符合纳入标准。个体需求分为以下领域：社会需求（2/17：11.8%）、精神需求（4/7：23.5%）、实际需求（4/17：23.5%）、日常生活需求（5/17：29.4%）、患者与临床医生沟通（5/17：29.4%）、家庭相关需求（7/17：41.2%）、身体需求（8/17：47.1%）、心理情感需求（9/17：52.9%）、人际/亲密需求（11/17：64.7%）和卫生系统/信息需求（13/17：76.5%）。
本系统评价发现，男性可能存在一系列未得到满足的支持性护理需求，其中最常报告的是与亲密关系、信息、身体和心理需求相关的需求。尽管有新出现的证据基础，但目前研究的局限性使我们无法了解男性的需求从诊断到患前列腺癌及康复后的过程中是如何随时间演变的。人口统计学或临床变量是否起调节作用，仍有待未来研究解决。本综述通过向临床医生通报受该疾病影响的男性复杂的未得到满足的支持性护理需求，做出了重要贡献。
