Paterson Catherine, Kata Sławomir Grzegorz, Nandwani Ghulam, Das Chaudhury Debi, Nabi Ghulam
Author Affiliations: Academic Section of Urology, Division of Cancer, School of Medicine, University of Dundee (Dr Paterson and Dr Nabi); NHS Tayside Ninewells Hospital (Mr Kata, Mr Nandwani, and Mr Das Chaudhury), Dundee, Scotland, UK.
Cancer Nurs. 2017 Nov/Dec;40(6):497-507. doi: 10.1097/NCC.0000000000000482.
Men affected by prostate cancer who are undergoing hormone therapy can endure a range of symptoms that can adversely affect quality of life. Little research has been conducted to date, to understand the specific unmet supportive care needs of this patient group within the context of current service delivery.
The aim of this study was to understand the experiences of unmet supportive care needs of men affected by prostate cancer on hormone therapy in the United Kingdom.
Mixed methods study recruited 31 men with ≥T3 prostate Cancer or worse and treated by hormone therapy. A small cross-sectional survey (European Organization for Research and Treatment of Cancer [EORTC] C30 and PR25, Self-Management Self-Efficacy Scale, and the Supportive Care Needs Survey) was used to inform the interview schedule. Semi-structured interviews were conducted, and framework approach was used to analyze the data.
Complex unmet supportive care needs that were related to physical, psychological/emotional, intimacy/sexual, practical, health system/informational, existential, and patient/clinician communication needs are experienced. Men articulated that current healthcare delivery is failing to provide a holistic person-centered model of care.
This is one of the few studies that have identified the unmet supportive care needs of men receiving hormone therapy for ≥T3 prostate Cancer or worse. The needs are multiple and far-ranging.
Despite national cancer reforms, unmet supportive care needs persist. The findings from this study may be central in the re-design of future services to optimize men's quality of life and satisfaction with care. Clinicians are encouraged to use these finding to help them optimize care delivery and individual quality of life.
正在接受激素治疗的前列腺癌男性患者会经历一系列可能对生活质量产生不利影响的症状。迄今为止，针对当前服务提供背景下该患者群体未得到满足的具体支持性护理需求，几乎没有开展相关研究。
本研究旨在了解英国接受激素治疗的前列腺癌男性患者未得到满足的支持性护理需求的经历。
采用混合方法研究，招募了31名患有≥T3期前列腺癌或更严重疾病且接受激素治疗的男性。通过一项小型横断面调查（欧洲癌症研究与治疗组织[EORTC]C30和PR25、自我管理自我效能感量表以及支持性护理需求调查）来确定访谈提纲。进行了半结构化访谈，并采用框架分析法对数据进行分析。
患者经历了与身体、心理/情感、亲密关系/性、实际、医疗系统/信息、生存以及患者/临床医生沟通需求相关的复杂的未得到满足的支持性护理需求。男性患者明确表示，当前的医疗服务未能提供以患者为中心的整体护理模式。
这是为数不多的确定了接受激素治疗的≥T3期前列腺癌或更严重疾病男性患者未得到满足的支持性护理需求的研究之一。这些需求多种多样且范围广泛。
尽管进行了国家癌症改革，但未得到满足的支持性护理需求依然存在。本研究结果可能对未来服务的重新设计至关重要，以优化男性患者的生活质量和对护理的满意度。鼓励临床医生利用这些研究结果来帮助他们优化护理服务和患者的生活质量。
