a Department of Surgical Oncology , University Health Network , Toronto , ON , Canada.
b Department of Urology , Macquarie University Hospital , Sydney , Australia.
J Psychosoc Oncol. 2018 Mar-Apr;36(2):159-174. doi: 10.1080/07347332.2017.1342733. Epub 2017 Aug 8.
To quantify distress in men treated with radical prostatectomy (RP) or active surveillance (AS).
In a retrospective cross-sectional design, we assessed men through questionnaire and investigator-designed questions.
RP patients worried more about cancer spread than AS patients. RP patients were influenced by friends for treatment decision, whereas AS patients were influenced by urologists. RP group report declines in intimacy and instrumental. AS men worried more about future health and dying than post-RP men.
Fear of disease progression may be a motivating factor in choosing RP. AS patients adhere to their treatment decision in spite of distress.
定量评估接受根治性前列腺切除术（RP）或主动监测（AS）治疗的男性的痛苦程度。
在回顾性横断面设计中，我们通过问卷和研究者设计的问题评估男性。
RP 患者比 AS 患者更担心癌症扩散。RP 患者的治疗决策受到朋友的影响，而 AS 患者则受到泌尿科医生的影响。RP 组报告亲密关系和工具性下降。与 RP 后男性相比，AS 男性更担心未来的健康和死亡。
对疾病进展的恐惧可能是选择 RP 的一个动机因素。尽管有痛苦，AS 患者仍坚持他们的治疗决定。
