Author Affiliation: Faculty of Health and Life Sciences, Oxford Brookes University, UK.
Cancer Nurs. 2018 Jul/Aug;41(4):298-310. doi: 10.1097/NCC.0000000000000509.
There has been little psychosocial research concerning men's adaption to prostate cancer and treatment-related sexual dysfunction. Qualitative studies have explored men's sense of self after treatment, but the data have yet to be synthesized.
The aim of this study was to report a meta-synthesis of qualitative studies exploring men's sense of masculinity after treatment of prostate cancer.
Six databases were searched to identify relevant studies conducted and published between January 1990 and August 2016. Titles and abstracts were reviewed by 2 reviewers. Studies that met the inclusion criteria were selected and reviewed for quality. The extracted data were then synthesized.
A total of 14 studies met the inclusion criteria and passed the quality assessment. The meta-synthesis found that men's sense of masculinity diminished after treatment of prostate cancer. Impotence, incontinence, and physical changes caused psychological stress. Underpinning these factors were cultural influences and dominant ideals of what it means to be a man.
Men had entrenched ideas about what manhood entailed. The review found that men's sense of masculinity was diminished posttreatment of prostate cancer. They felt that they could not exercise their manliness because of the adverse effects associated with prostate cancer treatment.
More support and communication throughout the process are required to better inform patients of the outcomes of treatment. In addition, it would be beneficial to have open forums through which to encourage men to talk frankly about their masculine identities.
针对男性适应前列腺癌和与治疗相关的性功能障碍问题，相关的心理学研究较少。定性研究已经探讨了治疗后男性的自我意识，但这些数据尚未综合。
本研究旨在报告一项对探索前列腺癌治疗后男性男子气概感的定性研究的元综合分析。
检索了 6 个数据库，以确定 1990 年 1 月至 2016 年 8 月期间进行和发表的相关研究。由 2 名审查员对标题和摘要进行了审查。符合纳入标准的研究被选中并进行质量评估。然后综合提取的数据。
共有 14 项研究符合纳入标准并通过了质量评估。元综合分析发现，男性在前列腺癌治疗后男子气概感减弱。阳痿、尿失禁和身体变化导致心理压力。这些因素的基础是文化影响和男子气概的主导观念。
男性对男子气概的含义有根深蒂固的观念。该综述发现，男性在前列腺癌治疗后男子气概感减弱。他们觉得自己不能行使男子气概，因为前列腺癌治疗带来的不良影响。
需要在整个过程中提供更多的支持和沟通，以便更好地告知患者治疗的结果。此外，通过开放论坛鼓励男性坦率地谈论他们的男子气概身份将是有益的。
