Author Affiliations: College of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan.
Cancer Nurs. 2022;45(3):190-200. doi: 10.1097/NCC.0000000000000933.
Androgen deprivation therapy is the primary treatment for advanced cases of prostate cancer, but its adverse effects may decrease prostate cancer survivors' quality of life.
The aim of this study was to understand the self-care experiences of prostate cancer survivors before and while receiving androgen deprivation therapy.
A qualitative study design with inductive content analysis was used. Semistructured interviews were conducted with 13 prostate cancer survivors in Taiwan treated with androgen deprivation therapy. Data collection and analysis proceeded simultaneously until data saturation was reached.
The survivors' self-care experiences were categorized into generic categories: physical impacts, psychosocial impacts, lack of supporting information, changing lifestyle habits, coping with physical symptoms, relieving stress, and acquiring disease-related knowledge. These generic categories were then organized into 2 main categories: impacts and adjustments.
This article describes the experiences of prostate cancer survivors in terms of the impacts of disease and its treatment and adjustments in self-care before and while receiving treatment. It was found that the information acquired by survivors and the adjustment strategies they used were not entirely appropriate or adequate.
Healthcare providers should continually assess the self-care experiences of prostate cancer survivors receiving androgen deprivation therapy, provide them with appropriate information, and clarify their understanding. This will improve survivors' disease care-related knowledge, increase the success of their experience of self-care, alleviate their emotional distress, and strengthen their ability to adjust their self-care to cope with the impacts of the disease and its treatment.
雄激素剥夺疗法是治疗晚期前列腺癌的主要方法，但它的副作用可能会降低前列腺癌幸存者的生活质量。
本研究旨在了解接受雄激素剥夺疗法的前列腺癌幸存者在治疗前和治疗期间的自我护理体验。
采用定性研究设计和归纳内容分析。在台湾，对 13 名接受雄激素剥夺疗法治疗的前列腺癌幸存者进行了半结构式访谈。数据的收集和分析是同时进行的，直到达到数据饱和。
幸存者的自我护理体验被分为一般类别：身体影响、心理社会影响、缺乏支持信息、改变生活习惯、应对身体症状、缓解压力和获取疾病相关知识。这些一般类别进一步分为两个主要类别：影响和调整。
本文描述了前列腺癌幸存者在疾病及其治疗的影响以及在治疗前后自我护理方面的调整方面的体验。研究发现，幸存者获得的信息和他们使用的调整策略并不完全合适或充分。
医疗保健提供者应不断评估接受雄激素剥夺疗法的前列腺癌幸存者的自我护理体验，为他们提供适当的信息，并澄清他们的理解。这将提高幸存者的疾病护理相关知识，增加他们自我护理体验的成功，减轻他们的情绪困扰，并增强他们调整自我护理以应对疾病和治疗影响的能力。
