Wennick Anne, Jönsson Ann-Kristin, Bratt Ola, Stenzelius Karin
Malmö University, Faculty of Health and Society, Department of Care Science, Malmö, Sweden.
Helsingborg Hospital, Department of Urology, Helsingborg, Sweden.
Eur J Oncol Nurs. 2017 Oct;30:107-112. doi: 10.1016/j.ejon.2017.08.008. Epub 2017 Sep 8.
The purpose of this study was to illuminate how men under 65 years of age experience their everyday Life one year or more after a radical prostatectomy for localised prostate cancer.
Interviews with 19 men aged under 65 were performed 12-18 months after their radical prostatectomy. The interviews were analysed using a thematic content analysis.
The analysis of the interviews revealed three categories of experiences: 'Paying a price for survival', 'Feeling sidestepped' and 'Living with death lurking around the corner'. The side effects of the prostatectomy, such as sexual dysfunction, resulted in a changed self-image with a loss of manliness and reduced self-esteem. The men felt sidestepped and that they did not receive enough support. Prostate cancer was experienced as an embarrassing disease and the men felt their fundamental needs could not be openly discussed. Having cancer was associated with death. Thoughts about death faded away during recovery after the operation, but grew stronger in certain situations and reminded the men about their cancer. Returning to work and to previous activities helped them cope with the thoughts about death.
Our study suggests a need for improved rehabilitation after a radical prostatectomy, including more structured sexual rehabilitation, and involving the partner. Sharing the experiences of other men who have undergone prostate cancer surgery may also be beneficial.
本研究旨在阐明65岁以下男性在接受局限性前列腺癌根治性前列腺切除术后一年或更长时间的日常生活体验。
对19名65岁以下男性在根治性前列腺切除术后12 - 18个月进行访谈。采用主题内容分析法对访谈进行分析。
访谈分析揭示了三类体验：“为生存付出代价”“感觉被忽视”和“与死亡阴影相伴”。前列腺切除术的副作用，如性功能障碍，导致自我形象改变，男子气概丧失，自尊降低。这些男性感到被忽视，觉得没有得到足够的支持。前列腺癌被视为一种尴尬的疾病，这些男性觉得他们的基本需求无法公开讨论。患癌症与死亡相关。术后恢复期间对死亡的想法逐渐消退，但在某些情况下会变得更强烈，提醒着这些男性他们患了癌症。重返工作岗位和恢复以前的活动有助于他们应对对死亡的想法。
我们的研究表明，根治性前列腺切除术后需要改善康复措施，包括更有组织的性康复，并让伴侣参与其中。分享其他接受过前列腺癌手术男性的经历可能也有益处。
