根治性前列腺切除术患者和伴侣满意度的预测因素。
Predictors of Patient and Partner Satisfaction Following Radical Prostatectomy.
机构信息
Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
出版信息
Sex Med Rev. 2018 Apr;6(2):295-301. doi: 10.1016/j.sxmr.2017.08.005. Epub 2017 Nov 8.
INTRODUCTION
The diagnosis and treatment of prostate cancer adversely affects the physical and emotional well-being of patients and partners and has been associated with sexual dysfunction in patients and their intimate partners.
AIM
To identify predictors of sexual satisfaction in prostate cancer survivors and their partners based on a review of the current literature.
METHODS
We performed a comprehensive review of the PubMed database from January 2000 to May 2017 focused on the (i) prevalence of patient and partner sexual dysfunction related to radical prostatectomy, (ii) differences in patient and partner perspectives of sexual function and dysfunction, and (iii) predictors of patient and partner sexual satisfaction after radical prostatectomy.
MAIN OUTCOME MEASURES
Patient- and partner-reported sexual satisfaction.
RESULTS
There is a paucity of published data examining sexual satisfaction in prostate cancer survivors and their partners. Patients and partners can have different expectations of sexual outcomes after radical prostatectomy and different attitudes toward the relative importance of recovery of sexual function after surgery. Available data suggest that patients' and partners' mental and physical health and the quality of communication between them are important contributors to their sexual satisfaction. Patient-perceived partner support also is associated with better patient-reported erectile function and greater relationship satisfaction.
CONCLUSION
Mental health, physical health, quality of interpersonal communication, and patient-perceived partner support appear to be the most important predictors of sexual satisfaction for patients and partners in the post-prostatectomy period. There is a definite need for further research on this topic to develop interventions to improve sexual function and quality of life for prostate cancer survivors and their intimate partners. Guercio C, Mehta A. Predictors of Patient and Partner Satisfaction Following Radical Prostatectomy. Sex Med Rev 2018;6:295-301.
简介
前列腺癌的诊断和治疗会对患者和其伴侣的身心健康产生不利影响，并与患者及其亲密伴侣的性功能障碍有关。
目的
根据当前文献综述，确定前列腺癌幸存者及其伴侣性满意度的预测因素。
方法
我们对 2000 年 1 月至 2017 年 5 月期间 PubMed 数据库进行了全面回顾，重点关注：（i）与根治性前列腺切除术相关的患者和伴侣性功能障碍的流行情况；（ii）患者和伴侣对性功能和性功能障碍的观点差异；以及（iii）根治性前列腺切除术后患者和伴侣性满意度的预测因素。
主要观察指标
患者和伴侣报告的性满意度。
结果
目前发表的关于前列腺癌幸存者及其伴侣性满意度的研究数据很少。患者和伴侣在根治性前列腺切除术后对性功能的期望可能存在差异，并且对术后恢复性功能的相对重要性可能存在不同的态度。现有数据表明，患者和伴侣的身心健康以及他们之间的沟通质量是影响其性满意度的重要因素。患者感知到的伴侣支持也与更好的患者报告的勃起功能和更大的关系满意度相关。
结论
心理健康、身体健康、人际沟通质量以及患者感知到的伴侣支持似乎是前列腺癌根治术后患者及其伴侣性满意度的最重要预测因素。需要对此主题进行进一步研究，以开发干预措施来改善前列腺癌幸存者及其亲密伴侣的性功能和生活质量。Guercio C，Mehta A。根治性前列腺切除术后患者和伴侣满意度的预测因素。性医学评论 2018；6：295-301。
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