前列腺癌治疗后的生活：一项关于性功能障碍男性及其伴侣经历的混合方法研究。
Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners.
作者信息
Albaugh Jeffrey A, Sufrin Nat, Lapin Brittany R, Petkewicz Jacqueline, Tenfelde Sandi
机构信息
John and Carol Walter Center for Urological Health, NorthShore University HealthSystem, 2180 Pfingsten Road, Suite 3000, Glenview, Illinois, 60026, USA.
The Doctoral Program in Clinical Psychology, The City College of the City University of New York, New York, NY, USA.
出版信息
BMC Urol. 2017 Jun 15;17(1):45. doi: 10.1186/s12894-017-0231-5.
BACKGROUND
Prostate cancer is the most common non-skin cancer in men and sexual dysfunction is the most frequently reported long-term side effect of prostate cancer surgery or radiation. The aim of this study was to examine the experiences of men with sexual dysfunction and their partners following prostate cancer treatment.
METHODS
Men with sexual dysfunction from either surgical removal or radiation therapy 1-5 years after treatment were interviewed, as well as their partners. A mixed method design was used to determine the lived experience of men with sexual dysfunction. Open-ended questions guided the interviews.
RESULTS
Twenty seven men completed the study with a mean age of 61 years (SD = 8.0; range = 44-77 years). Nine partners also participated. The majority of men (92.6%) had surgery. The average time from treatment to the interview was 23.5 months (SD = 11.7). Themes were frustration with sexual dysfunction, importance of support and understanding from others, depression and anxiety related to sexual dysfunction, importance of intimacy with partner, factors that impact treatment satisfaction, and education and comprehensive information about sex.
CONCLUSIONS
Prostate cancer survivors and partners need accurate information about sexual side effects before during and after treatment. Men and partners required individualized help and guidance to manage sexual dysfunction. Support and understanding from partners, family, and others was also identified as an important aspect of healing and adjustment after prostate cancer treatment. Prostate cancer education/support groups played a key role in helping men and partners gain advocacy, education, and support. Psychological problems such as depression and anxiety need to be identified and addressed in men after prostate cancer treatment. Men and partners need assistance in understanding and navigating their way through intimacy to move forward with connectedness in their relationship. Satisfaction with treatment and with providers is dependent on patient education and understanding of all aspects of prostate cancer treatment including sexual side effects and incontinence.
背景
前列腺癌是男性中最常见的非皮肤癌，性功能障碍是前列腺癌手术或放疗最常报告的长期副作用。本研究的目的是调查前列腺癌治疗后性功能障碍男性及其伴侣的经历。
方法
对治疗后1至5年因手术切除或放疗导致性功能障碍的男性及其伴侣进行访谈。采用混合方法设计来确定性功能障碍男性的生活经历。开放式问题指导访谈。
结果
27名男性完成了研究，平均年龄为61岁（标准差=8.0；范围=44-77岁）。9名伴侣也参与了研究。大多数男性（92.6%）接受了手术。从治疗到访谈的平均时间为23.5个月（标准差=11.7）。主题包括对性功能障碍的沮丧、他人支持和理解的重要性、与性功能障碍相关的抑郁和焦虑、与伴侣亲密关系的重要性、影响治疗满意度的因素以及关于性的教育和全面信息。
结论
前列腺癌幸存者及其伴侣在治疗前、治疗期间和治疗后需要有关性副作用的准确信息。男性及其伴侣需要个性化的帮助和指导来管理性功能障碍。伴侣、家人和其他人的支持和理解也被确定为前列腺癌治疗后康复和调整的一个重要方面。前列腺癌教育/支持小组在帮助男性及其伴侣获得宣传、教育和支持方面发挥了关键作用。前列腺癌治疗后的男性需要识别和解决抑郁和焦虑等心理问题。男性及其伴侣在理解和处理亲密关系以推进他们关系中的联系方面需要帮助。对治疗和提供者的满意度取决于患者对前列腺癌治疗各个方面的教育和理解，包括性副作用和尿失禁。
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