前列腺癌患者的性功能康复：来自 2 家加拿大成熟的性康复诊所的建议。
Sexual Recovery Following Prostate Cancer: Recommendations From 2 Established Canadian Sexual Rehabilitation Clinics.
机构信息
Prostate Cancer Supportive Care Program, Prostate Center, Vancouver Hospital, Department of Urological Sciences, University of British Columbia, Vancouver, BC, Canada; BC Center for Sexual Medicine, Vancouver Coastal Health Authority, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
Cancer Clinical Research Unit, Princess Margaret Cancer Centre, University Health Network, Department of Surgery (Division of Urology) and Psychiatry, University of Toronto, Toronto, ON, Canada.
出版信息
Sex Med Rev. 2018 Apr;6(2):279-294. doi: 10.1016/j.sxmr.2017.09.001. Epub 2017 Dec 2.
INTRODUCTION
Supportive sexual health care is much-needed adjuvant care to oncologic management for men with prostate cancer (PCa).
AIM
To inspire the initiation of biopsychosocial sexual health programming where it does not exist and to inform program enhancement in existing sexual rehabilitation clinics (SRCs).
METHODS
This article reviews the combined 30-year experience of 2 well-established Canadian SRCs for men and their partners after PCa treatments, interwoven with empirical evidence.
MAIN OUTCOME MEASURE
To comprehensively review the biopsychosocial approach to sexual health assessment of men with PCa and their partners to direct the practicalities of running a successful and sustainable SRC.
RESULTS
A full description of the biomedical and psychosocial approaches, inclusive of comprehensive sexual function, the penile rehabilitation controversy, and other medical and relationship issues affecting sexual adjustment, is provided to highlight the relevance of proper assessment and follow-through for sexual adaptation and adjustment. 10 recommendations for a successful SRC are discussed, including the principles behind developing a sustainable business plan, staff acquisition and training, budget, integration of treatment and research priorities, respectful and multidisciplinary approaches to care, and suggestions of visit formats, protocols, and questionnaires. We recommend a phased approach of an SRC into usual care with the option to provide accessible and equitable care to patients not within proximal access of treating institutions.
CONCLUSION
Sexual rehabilitation after treatment for PCa requires a complex treatment process. Providing sustainable sexual rehabilitation programming under the financially strained environment of the Canadian medical system is a challenge; therefore, to provide Canadian patients and their partners with comprehensive cancer care, they deserve a biopsychosocial approach combined with a creative and systematic implementation strategy. Elliott S, Matthew A. Sexual Recovery Following Prostate Cancer: Recommendations From 2 Established Canadian Sexual Rehabilitation Clinics. Sex Med Rev 2018;6:279-294.
简介
对于前列腺癌（PCa）患者，支持性的性健康护理是肿瘤管理中非常需要的辅助护理。
目的
激发新的生物心理社会性行为健康项目的启动，补充现有性康复诊所（SRC）的项目内容。
方法
本文回顾了两家成熟的加拿大男性 PCa 治疗后及其伴侣的 SRC 的 30 年综合经验，并结合实证证据进行了分析。
主要观察指标
全面审查 PCa 男性及其伴侣的性行为健康评估的生物心理社会方法，以指导成功和可持续 SRC 的实际操作。
结果
提供了全面的生物医学和心理社会方法描述，包括全面的性功能、阴茎康复争议以及影响性调整的其他医学和关系问题，以突出适当评估和后续随访对性行为适应和调整的重要性。讨论了成功 SRC 的 10 项建议，包括制定可持续商业计划、员工获取和培训、预算、治疗和研究重点的整合、尊重和多学科的护理方法，以及访问格式、协议和问卷的建议。我们建议采用 SRC 逐步纳入常规护理的方法，为无法接受治疗机构近距治疗的患者提供可及和公平的护理选择。
结论
PCa 治疗后的性康复需要一个复杂的治疗过程。在加拿大医疗体系财务紧张的环境下，提供可持续的性康复项目是一个挑战；因此，为了为加拿大患者及其伴侣提供全面的癌症护理，他们需要接受生物心理社会方法，结合创造性和系统性的实施策略。Elliott S, Matthew A. Sexual Recovery Following Prostate Cancer: Recommendations From 2 Established Canadian Sexual Rehabilitation Clinics. Sex Med Rev 2018;6:279-294.
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