Mumuni Seidu, O'Donnell Claire, Doody Owen
School of Nursing and Midwifery, University of Limerick, V94 T9PX Limerick, Ireland.
Healthcare (Basel). 2025 May 2;13(9):1049. doi: 10.3390/healthcare13091049.
Prostate cancer is recognised as the second most common diagnosed cancer in men and remains a significant global public health concern. In Ireland, the incidence of prostate cancer continues to rise, with approximately 1 in 6 men being diagnosed in their lifetime. Men's experiences with prostate cancer are complex, necessitating further research into the factors influencing diagnosis and treatment. Therefore, this study aims to explore men's experiences with prostate cancer, emphasising the interplay between screening, diagnosis, and the lived experiences of those affected.
A qualitative descriptive study was conducted among men with prostate cancer in Ireland. Using a purposive sampling (n = 11) were interviewed with data saturation guiding sample size determination. A semi-structured interview guide was used for data collection either face-to-face or via Microsoft Teams and phone calls. Data were analysed using Braune and Clarke's thematic analysis approach after transcription, with NVivo 12.0 software supporting analysis.
Thematic analysis identified five themes: systemic obstacle in timely cancer detection, the role of efficient system in cancer care, emotional resilience in cancer recovery, redefining normalcy post treatment and harnessing specialised support network in coping strategies. These themes were examined through the lens of the Biopsychosocial Model to understand their interconnected nature and impact on patient experiences.
This study highlights the complex factors affecting prostate cancer patients' experiences, emphasizing the need for a patient-centred approach, addressing systemic disparities, and promoting multidisciplinary care. It suggests implementing evidence-based survivorship care frameworks to improve quality of life for survivors, with future research exploring long-term effects of integrated care models.
前列腺癌被认为是男性中第二常见的确诊癌症,仍然是一个重大的全球公共卫生问题。在爱尔兰,前列腺癌的发病率持续上升,约每6名男性中就有1人在其一生中被诊断出患有此病。男性患前列腺癌的经历很复杂,需要进一步研究影响诊断和治疗的因素。因此,本研究旨在探讨男性患前列腺癌的经历,强调筛查、诊断与患者生活经历之间的相互作用。
在爱尔兰对前列腺癌男性患者进行了一项定性描述性研究。采用目的抽样法(n = 11)进行访谈,并以数据饱和指导样本量的确定。使用半结构化访谈指南,通过面对面、微软团队或电话进行数据收集。转录后,使用布劳恩和克拉克的主题分析方法对数据进行分析,NVivo 12.0软件辅助分析。
主题分析确定了五个主题:癌症及时检测中的系统性障碍、癌症护理中高效系统的作用、癌症康复中的情绪恢复力、治疗后重新定义常态以及在应对策略中利用专业支持网络。通过生物心理社会模型的视角审视这些主题,以了解它们的相互联系性质以及对患者经历的影响。
本研究强调了影响前列腺癌患者经历的复杂因素,强调需要采取以患者为中心的方法,解决系统性差异,并促进多学科护理。建议实施基于证据的生存护理框架,以提高幸存者的生活质量,未来研究探索综合护理模式的长期效果。