Oxford Brookes University.
University of Exeter at the Knowledge Spa in Truro.
Oncol Nurs Forum. 2020 May 1;47(3):318-330. doi: 10.1188/20.ONF.318-330.
To explore the experiences of men with prostate cancer identified as having psychological distress and to identify factors influencing distress.
PARTICIPANTS & SETTING: 28 men with prostate cancer diagnosed 18-42 months earlier, identified as having psychological distress on survey measures.
Semistructured telephone interviews were conducted. Thematic analysis using a framework approach was used.
Men with psychological distress had strong perceptions of loss toward self (identity, sexuality/masculinity, self-confidence), function (physical activities), connection (relational, social, community), and control (future, emotional). Psychological vulnerability appeared heightened in particular groups of men. Maladaptive strategies of emotional concealment, help-seeking avoidance, and withdrawal appeared to contribute to distress.
Distress in men with prostate cancer is multifaceted. Men with distress should be identified and offered support. Nurse- or peer-led interventions are required.
探讨被诊断患有心理困扰的前列腺癌男性患者的体验，并确定影响其困扰的因素。
28 名被诊断患有前列腺癌的男性，在调查中被确定为存在心理困扰，诊断时间为 18-42 个月前。
进行半结构化电话访谈。使用框架方法进行主题分析。
有心理困扰的男性对自我（身份、性/男子气概、自信）、功能（身体活动）、联系（关系、社会、社区）和控制（未来、情感）存在强烈的丧失感。在特定的男性群体中，心理脆弱性似乎更高。情感隐瞒、寻求帮助回避和退缩等适应不良的策略似乎导致了困扰。
前列腺癌男性的困扰是多方面的。应该识别有困扰的男性并为其提供支持。需要进行护士或同伴主导的干预。
