MRC Centre for Transplantation, Guy's Hospital Campus, King's College London, King's Health Partners, London, UK.
Department of Urology, King's College Hospital, London, UK.
Eur J Cancer Care (Engl). 2022 Jul;31(4):e13630. doi: 10.1111/ecc.13630. Epub 2022 Jun 26.
The impact of radical prostatectomy on the social well-being of survivors remains poorly understood. This meta-synthesis therefore aimed to integrate the findings of qualitative research evaluating the impact of surgery on the patient relationships with partners, family and wider societal interactions.
Medline, CINAHL, PsycINFO and Embase were searched for qualitative studies evaluating social well-being dimensions. A thematic meta-synthesis was conducted to inductively construct descriptive themes and overarching analytical themes.
Thirty-one articles were included, with seven descriptive themes under two analytical themes generated to describe the experiences of 469 participants. 'Pathway to Conversion' encompassed three themes on the evolving social behaviour of men with both partners and family to adapt to their new normality postoperatively. 'A Man on My Own' discussed four themes focussing on both intimate and wider social relations, describing the stigma, shame and embarrassment felt by patients due to changes in their perceived body image and physical function. This resulted in men feeling alone, unsupported and seeking isolation.
Radical prostatectomy's impact on survivors' social well-being extends beyond surgery and causes a shift in their relationship dynamics with partner and family, highlighting the importance of preoperative and postoperative clinician's counselling to both patient and partner.
根治性前列腺切除术对幸存者社会幸福感的影响仍知之甚少。因此，本荟萃分析旨在综合评估手术对患者与伴侣、家庭和更广泛的社会互动关系影响的定性研究结果。
在 Medline、CINAHL、PsycINFO 和 Embase 中搜索评估社会幸福感维度的定性研究。进行主题荟萃分析，以归纳描述性主题和两个分析性主题。
纳入 31 篇文章，根据两个分析性主题生成了七个描述性主题，描述了 469 名参与者的经历。“转变之路”包含三个主题，讨论了手术后伴侣和家庭中男性社会行为的演变，以适应他们的新常态。“孤独的人”讨论了四个主题，主要集中在亲密和更广泛的社会关系上，描述了患者由于身体形象和身体功能的改变而感到的耻辱、羞耻和尴尬，导致患者感到孤独、无助和寻求孤立。
根治性前列腺切除术对幸存者社会幸福感的影响不仅限于手术，还导致他们与伴侣和家庭关系动态的转变，这强调了术前和术后临床医生对患者和伴侣进行咨询的重要性。
