School of Healthcare Sciences, The Wales Centre for Evidence Based Care, Cardiff University, Cardiff, UK.
Int J Evid Based Healthc. 2019 Jun;17 Suppl 1:S41-S42. doi: 10.1097/XEB.0000000000000192.
A qualitative systematic review was carried out to identify men's perceptions of the impact of the physical consequences of a radicalized prostatectomy on their quality of life (QOL). The review included men of all ages and nationalities who had radicalized prostatectomy as treatment for all stages of prostate cancer. Inclusion criteria were studies that investigated the physical consequences of radicalized prostatectomy and its impact on QOL and life experience as identified by the men and the psychosocial implications of the identified physical consequences of radicalized prostatectomy as identified by the men. A search across six databases aimed to find English language studies (November 2017). Critical appraisal was conducted using the Joanna Briggs Institute critical appraisal instrument for qualitative studies. Nineteen qualitative studies were included and the findings are presented as five aggregated qualitative syntheses.Urinary incontinence and erectile dysfunction are significant side-effects of radicalized prostatectomy that have a negative impact on men's QOL for which they feel ill prepared. Men are often reluctant to discuss their emotions and therefore the need to create suitable opportunities for them to express their feelings in conjunction with appropriate evidence-based emotional support and advice is pivotal to the development of support interventions. This review highlights the importance of men being made aware of the impact the physical effects that radicalized prostatectomy can have on their QOL and that those who select radicalized prostatectomy as a treatment strategy must be provided with appropriate information and support from healthcare professionals.
一项定性系统评价旨在确定男性对根治性前列腺切除术的身体后果对其生活质量（QOL）的影响的看法。该评价纳入了所有年龄段和国籍的男性，他们因所有阶段的前列腺癌而接受根治性前列腺切除术作为治疗方法。纳入标准是研究根治性前列腺切除术的身体后果及其对男性确定的 QOL 和生活体验的影响，以及男性确定的根治性前列腺切除术的身体后果的心理社会影响。在六个数据库中进行了搜索，旨在寻找英语语言研究（2017 年 11 月）。使用 Joanna Briggs 研究所定性研究评价工具对批判性评价进行了评价。纳入了 19 项定性研究，研究结果呈现为五个综合定性综合。尿失禁和勃起功能障碍是根治性前列腺切除术的显著副作用，对男性的 QOL 产生负面影响，他们对此感到准备不足。男性通常不愿意讨论自己的情绪，因此需要为他们创造合适的机会来表达自己的感受，并结合适当的基于证据的情感支持和建议，这对于支持干预措施的发展至关重要。该评价强调了让男性意识到根治性前列腺切除术对其 QOL 可能产生的身体影响的重要性，并且那些选择根治性前列腺切除术作为治疗策略的人必须从医疗保健专业人员那里获得适当的信息和支持。
