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中国男性前列腺癌治疗后性与亲密关系体验的定性研究。

Men's experiences of sex and intimacy after prostate cancer treatment in China: a qualitative study.

机构信息

School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

Guangdong Provincial Key Laboratory Of Malignant Tumor Epigenetics and Gene Regulation, Department of Urology, Shenshan Medical Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.

出版信息

Support Care Cancer. 2022 Apr;30(4):3085-3092. doi: 10.1007/s00520-021-06720-w. Epub 2021 Dec 1.

Abstract

PURPOSE

While the existing knowledge base on the impact of prostate cancer (PC) and its treatment on sexuality and intimacy has been generated from Western populations, there is a lack of such evidence in the Asian context. This study aimed to explore men's experiences of sex and intimacy after PC treatment in China.

METHODS

This study adopted an interpretive descriptive design. Using purposive sampling, 13 PC patients were selected from a urology outpatient unit of a hospital in South China and proceeded with individual semi-structured telephone interviews. Each interview was transcribed verbatim and analyzed using constant comparison analysis.

RESULTS

Four themes emerged from the interview data, including (a) encountering altered sexuality, (b) communication and sexual adjustments, (c) maintenance of quality intimate relationship, and (d) lack of sexual health support.

CONCLUSIONS

The findings revealed that PC treatment significantly impaired patients' sexual functions, and their sexual health needs were mainly unmet by healthcare providers. There is a great need to design culturally relevant interventions to improve sexual health among this population.

摘要

目的

尽管有关前列腺癌(PC)及其治疗对性行为和亲密关系影响的现有知识库是基于西方人群生成的,但亚洲人群中缺乏此类证据。本研究旨在探讨中国男性在接受 PC 治疗后的性体验和亲密关系。

方法

本研究采用解释性描述设计。通过目的抽样,从华南地区一家医院的泌尿科门诊选择了 13 名 PC 患者,并进行了个人半结构式电话访谈。每次访谈均逐字转录,并使用恒定比较分析进行分析。

结果

访谈数据中出现了四个主题,包括(a)遇到改变的性行为,(b)沟通和性调整,(c)维持优质的亲密关系,以及(d)缺乏性健康支持。

结论

研究结果表明,PC 治疗显著损害了患者的性功能,而他们的性健康需求主要得不到医疗保健提供者的满足。非常有必要设计文化相关的干预措施来改善这一人群的性健康。

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