Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Department of Urology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Curr Oncol. 2023 Sep 21;30(9):8633-8652. doi: 10.3390/curroncol30090626.
A 28-day Prostate Cancer-Patient Empowerment Program (PC-PEP) developed through patient engagement was successful at promoting mental and physical health. Thirty prostate cancer patients from Halifax, Canada participated in the 28-day PC-PEP intervention in early 2019. PC-PEP encompassed daily patient education and empowerment videos, prescribed physical activities (including pelvic floor exercises), a mostly plant-based diet, stress reduction techniques, intimacy education, social connection, and support. Quantitative exit surveys and semi-structured interviews (conducted in focus groups of ten) were used to assess perceived factors that facilitated or impeded adherence to the program. The program received high praise from the patients and was deemed extremely useful by the participating men, who rated it 9 out of 10. Patients expressed that the multifaceted, online, home-based nature of the program helped them adhere to it better than they would have had to a single or less comprehensive intervention. Feedback from the participants indicated that the program, when viewed as a whole, was perceived as greater than the sum of its individual parts. Furthermore, the program addressed various issues, including emotional vulnerability and distress, physical fitness, urinary incontinence, challenges in expressing emotions, perceived lack of control over healthcare decisions, emotional fragility, and hesitancy to discuss prostate cancer-related matters in social settings. Patients highly (9.6/10) endorsed integrating the program into the standard care regimen from the very beginning of diagnosis. However, challenges such as work commitments were noted. Patients' high endorsement of PC-PEP suggests that its implementation into the standard of care from day one of diagnosis may be warranted.
一项通过患者参与制定的为期 28 天的前列腺癌患者赋权计划（PC-PEP）成功地促进了身心健康。2019 年初，来自加拿大哈利法克斯的 30 名前列腺癌患者参加了为期 28 天的 PC-PEP 干预。PC-PEP 包括每日患者教育和赋权视频、规定的体育活动（包括骨盆底练习）、以植物为主的饮食、减压技术、亲密教育、社交联系和支持。通过定量的退出调查和半结构化访谈（在十个焦点小组中进行）来评估促进或阻碍对该计划的坚持的感知因素。该计划受到患者的高度赞扬，参与的男性认为该计划非常有用，他们给该计划打了 9 分（满分 10 分）。患者表示，该计划的多方面、在线、家庭式性质帮助他们更好地坚持下去，而不是单一的或不那么全面的干预。参与者的反馈表明，该计划作为一个整体，被认为大于其各个部分的总和。此外，该计划解决了各种问题，包括情绪脆弱和困扰、身体健康、尿失禁、表达情感的挑战、对医疗保健决策缺乏控制的感知、情绪脆弱以及在社交场合中不愿讨论前列腺癌相关问题。患者非常（9.6/10）支持将该计划从诊断一开始就纳入标准治疗方案。然而，也注意到了工作承诺等挑战。患者对 PC-PEP 的高度认可表明，从诊断的第一天开始将其纳入标准治疗方案可能是合理的。
