前列腺癌治疗后支持性康复的干预措施中患者及其伴侣的需求：一项探索性聚合混合方法研究
What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study.
作者信息
Mehta Akanksha, Pollack Craig Evan, Gillespie Theresa W, Duby Ashley, Carter Caroline, Thelen-Perry Steve, Witmann Daniela
机构信息
Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
出版信息
Sex Med. 2019 Jun;7(2):184-191. doi: 10.1016/j.esxm.2019.01.002. Epub 2019 Mar 2.
INTRODUCTION
Men treated for prostate cancer suffer from treatment-related sexual side effects that adversely affect their relationships and quality of life.
AIM
To investigate what prostate cancer survivors and their partners want from a sexual recovery intervention, and whether they consider an online tool acceptable for use in promoting sexual recovery.
METHODS
This mixed-methods study included focus groups and interviews with both heterosexual and gay cancer survivors, as well as their partners. Focus groups and interviews probed experiences with treatment, side effects, and support received/needed for sexual recovery. Participants responded to proposed web-based intervention content. Interviews were analyzed with thematic content analysis. Their sexual function was assessed with validated measures.
MAIN OUTCOME MEASURES
Acceptability of online tools for promoting sexual recovery was evaluated.
RESULTS
Participants included 14 patients and 10 partners (2 male). Patient and partner median age was 62 and 62.5 years, respectively. Treatment ranged from surgery alone to combined radiation and hormonal therapy. Qualitative data analysis yielded 5 main intervention needs: (i) pretreatment discussion of sexual side effects, rehabilitation, emotional impact and realistic expectations, (ii) improved sexual communication within couples, (iii) strategies for promoting sexual intimacy beyond penetrative intercourse, (iv) attentiveness to partners' needs, and (v) access to peer support. Gay men specifically expressed the need for improved provider understanding of their sexuality and experiences. Most considered a web-based approach to be acceptable.
CONCLUSION
Patients and partners value both pretreatment preparation for sexual recovery and support for sexual recovery for both after treatment. A web-based approach may help mitigate barriers to access to these support services. Mehta A, Pollack CE, Gillespie T., et. al. What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study. Sex Med 2019;7:184-191.
引言
接受前列腺癌治疗的男性会遭受与治疗相关的性副作用，这对他们的人际关系和生活质量产生不利影响。
目的
调查前列腺癌幸存者及其伴侣对性康复干预的期望，以及他们是否认为在线工具可用于促进性康复。
方法
这项混合方法研究包括对异性恋和男同性恋癌症幸存者及其伴侣进行焦点小组讨论和访谈。焦点小组讨论和访谈探讨了治疗经历、副作用以及性康复所接受/需要的支持。参与者对提议的基于网络的干预内容做出回应。采用主题内容分析法对访谈进行分析。用经过验证的方法评估他们的性功能。
主要观察指标
评估促进性康复的在线工具的可接受性。
结果
参与者包括14名患者和10名伴侣（2名男性）。患者和伴侣的年龄中位数分别为62岁和62.5岁。治疗方式从单纯手术到放疗与激素治疗相结合。定性数据分析得出5项主要干预需求：（i）治疗前对性副作用、康复、情感影响和现实期望的讨论，（ii）改善夫妻间的性沟通，（iii）促进除插入式性交之外的性亲密的策略，（iv）关注伴侣的需求，以及（v）获得同伴支持。男同性恋者特别表示需要医疗服务提供者更好地理解他们的性取向和经历。大多数人认为基于网络的方法是可以接受的。
结论
患者及其伴侣重视治疗前的性康复准备以及治疗后双方的性康复支持。基于网络的方法可能有助于减少获得这些支持服务的障碍。梅塔A、波拉克CE、吉莱斯皮T等。前列腺癌治疗后支持性康复的干预措施中患者及其伴侣的需求：一项探索性收敛混合方法研究。性医学2019；7：184 - 191。
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