Xiang Junlian, Dai Lifei, Tan Lin, Lv Dong, Chen Yongbo, Tang Liangyou, Zhang Jiali, Yi Xin, Liu Xiaoli
Department of Urology, Deyang People's Hospital, Deyang, China.
School of Basic Medical Sciences and School of Nursing, Chengdu University, Chengdu, China.
Front Public Health. 2025 Jul 24;13:1625611. doi: 10.3389/fpubh.2025.1625611. eCollection 2025.
Prostate cancer, the second most common male malignancy worldwide, treatment-related complications cause both physical dysfunction and psychosocial sequelae, significantly impairing quality of life. Now requires integrated biopsychosocial rehabilitation beyond disease-focused treatment, comprehensive assessment of psychosocial adaptation and illness perception is essential for developing evidence-based, patient-centered rehabilitation strategies to optimize post-therapy recovery.
This study aims to systematically review and synthesize qualitative evidence on post-treatment psychosocial experiences in prostate cancer patients, thoroughly analyze patients' lived experiences and coping strategies, and provide an evidence-based foundation for establishing a tiered psychosocial support system and developing clinical intervention protocols.
This systematic review followed the Joanna Briggs Institute (JBI) methodology for qualitative meta-aggregation, with reporting structured according to the ENTREQ statement. Evidence was graded using the ConQual approach and critically appraised with the JBI Qualitative Assessment and Review Instrument (JBI-QARI). We systematically searched six major English databases for qualitative or mixed-methods studies investigating psychosocial experiences in post-treatment prostate cancer patients, with the literature search updated to February 28, 2024. Two reviewers independently performed study selection, followed by collaborative thematic synthesis to identify core themes.
A total of 22 studies from 12 countries were included, with 65 findings extracted and categorized into 4 synthesized findings consisting of 8 distinct categories: (1) Psychological and emotional responses (fear and anxiety responses, depression and emotional distress); (2) Healthcare information and systemic barriers (disease-related information needs, barriers in healthcare systems); (3) Social support and interpersonal adaptation (support system needs, social role and relationship adaptation); (4) Internal adaptation and external actions (internal psychological adjustment, external coping behaviors).
Prostate cancer survivors face multifaceted psychosocial challenges during post-treatment recovery, with psychological and social responses impacting rehabilitation outcomes. Inadequate social support systems and gaps in healthcare information emerge as major barriers to recovery. To address these issues, healthcare providers should enhance communication effectiveness, while policymakers need to strengthen social support networks, government and corporate sectors should implement targeted policies, and family members should provide empathetic understanding and active encouragement, collectively fostering comprehensive patient support.
https://www.crd.york.ac.uk/PROSPERO/recorddashboard, CRD42024537363.
前列腺癌是全球第二常见的男性恶性肿瘤，与治疗相关的并发症会导致身体功能障碍和心理社会后遗症，严重损害生活质量。目前需要超越以疾病为中心的治疗进行综合的生物心理社会康复，对心理社会适应和疾病认知进行全面评估对于制定基于证据、以患者为中心的康复策略以优化治疗后恢复至关重要。
本研究旨在系统回顾和综合关于前列腺癌患者治疗后心理社会经历的定性证据，深入分析患者的生活经历和应对策略，并为建立分层心理社会支持系统和制定临床干预方案提供循证基础。
本系统评价遵循乔安娜·布里格斯研究所（JBI）的定性元聚合方法，报告根据ENTREQ声明进行构建。使用ConQual方法对证据进行分级，并使用JBI定性评估和审查工具（JBI-QARI）进行严格评价。我们系统检索了六个主要英文数据库，以查找调查前列腺癌治疗后患者心理社会经历的定性或混合方法研究，文献检索更新至2024年2月28日。两名评审员独立进行研究筛选，随后进行协作主题综合以确定核心主题。
共纳入来自12个国家的22项研究，提取了65项研究结果并归类为4项综合研究结果，包括8个不同类别：（1）心理和情绪反应（恐惧和焦虑反应、抑郁和情绪困扰）；（2）医疗保健信息和系统障碍（疾病相关信息需求、医疗保健系统中的障碍）；（3）社会支持和人际适应（支持系统需求、社会角色和关系适应）；（4）内部适应和外部行动（内部心理调整、外部应对行为）。
前列腺癌幸存者在治疗后恢复期间面临多方面的心理社会挑战，心理和社会反应会影响康复结果。社会支持系统不足和医疗保健信息差距成为恢复的主要障碍。为解决这些问题，医疗保健提供者应提高沟通效果，而政策制定者需要加强社会支持网络，政府和企业部门应实施针对性政策，家庭成员应给予同理心理解和积极鼓励，共同促进对患者的全面支持。
https://www.crd.york.ac.uk/PROSPERO/recorddashboard，CRD42024537363。
