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对接受雄激素剥夺治疗的前列腺癌患者配偶生活经历的定性评估。

Qualitative evaluation of the life experiences of spouses of prostate cancer patients receiving androgen deprivation therapy.

机构信息

Department of Mental Health and Psychiatric Nursing, Faculty of Health Sciences, Bandırma Onyedi Eylul University, Balıkesir, Turkey.

Department of Surgical Diseases Nursing, Faculty of Health Sciences, Bandırma Onyedi Eylul University, Balıkesir, Turkey.

出版信息

Support Care Cancer. 2023 Sep 12;31(10):571. doi: 10.1007/s00520-023-08047-0.

Abstract

PURPOSE

This study was conducted to qualitatively evaluate the life experiences of women whose spouses had been receiving androgen deprivation therapy.

METHODS

The purposive sample of the research, in which a descriptive phenomenological design was used, consisted of 15 women. The data were evaluated according to Colaizzi's phenomenological analysis steps.

RESULTS

The views of the participants were classified into 7 themes: loss and grief, physical difficulties, socioeconomic difficulties, psychological difficulties, relational changes, strengths, and benefits.

CONCLUSION

It was determined that women whose husbands had been receiving ADT experienced grief responses and physical, socioeconomic, and psychological difficulties. Psychological difficulties were found to include care burden, hospital stress, sexuality, and burnout. It was observed that the patients and their spouses experienced some positive and negative relational changes. Satisfaction with health services and resilience were facilitating factors for female spouses to adapt to the treatment process. It was determined that during the adaptation to the disease and treatment process, the participants had some needs such as family support, economic support, reduction of negative representations in the media, and enhancement of communication skills of health professionals. Moreover, they were found to have some benefits related to post-traumatic growth. Uro-oncology nurses can develop services intended to improve the well-being of the wives of men receiving ADT and use the knowledge and experience of uro-oncology nursing for the benefit of both patients and caregivers.

摘要

目的

本研究旨在定性评估配偶接受雄激素剥夺治疗的女性的生活经历。

方法

本研究采用描述性现象学设计,采用目的性抽样,共纳入 15 名女性。根据科莱兹的现象学分析步骤对数据进行评估。

结果

参与者的观点分为 7 个主题:丧失和悲伤、身体困难、社会经济困难、心理困难、关系变化、优势和获益。

结论

研究发现,接受 ADT 的女性经历了悲伤反应以及身体、社会经济和心理方面的困难。心理困难包括照顾负担、医院压力、性生活和倦怠。观察到患者及其配偶经历了一些积极和消极的关系变化。对卫生服务的满意度和适应力是女性配偶适应治疗过程的促进因素。研究确定,在适应疾病和治疗过程中,参与者有一些需求,如家庭支持、经济支持、减少媒体中的负面描述以及增强卫生专业人员的沟通技巧。此外,他们还发现与创伤后成长有关的一些获益。泌尿肿瘤护士可以为接受 ADT 的男性的妻子提供旨在改善其幸福感的服务,并利用泌尿肿瘤护理的知识和经验使患者和护理人员受益。

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