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首页> 外文期刊>BMC Urology >Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners
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Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners

机译：前列腺癌治疗后的生活：性功能障碍男性及其伴侣经验的混合研究

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Background Prostate cancer is the most common non-skin cancer in men and sexual dysfunction is the most frequently reported long-term side effect of prostate cancer surgery or radiation. The aim of this study was to examine the experiences of men with sexual dysfunction and their partners following prostate cancer treatment. Methods Men with sexual dysfunction from either surgical removal or radiation therapy 1-5?years after treatment were interviewed, as well as their partners. A mixed method design was used to determine the lived experience of men with sexual dysfunction. Open-ended questions guided the interviews. Results Twenty seven men completed the study with a mean age of 61?years (SD?=?8.0; range?=?44-77?years). Nine partners also participated. The majority of men (92.6%) had surgery. The average time from treatment to the interview was 23.5?months (SD?=?11.7). Themes were frustration with sexual dysfunction, importance of support and understanding from others, depression and anxiety related to sexual dysfunction, importance of intimacy with partner, factors that impact treatment satisfaction, and education and comprehensive information about sex. Conclusions Prostate cancer survivors and partners need accurate information about sexual side effects before during and after treatment. Men and partners required individualized help and guidance to manage sexual dysfunction. Support and understanding from partners, family, and others was also identified as an important aspect of healing and adjustment after prostate cancer treatment. Prostate cancer education/support groups played a key role in helping men and partners gain advocacy, education, and support. Psychological problems such as depression and anxiety need to be identified and addressed in men after prostate cancer treatment. Men and partners need assistance in understanding and navigating their way through intimacy to move forward with connectedness in their relationship. Satisfaction with treatment and with providers is dependent on patient education and understanding of all aspects of prostate cancer treatment including sexual side effects and incontinence.
机译：背景技术前列腺癌是男性中最常见的非皮肤癌，性功能障碍是最常报道的前列腺癌手术或放疗的长期副作用。这项研究的目的是检查患有性功能障碍的男性及其伴侣在接受前列腺癌治疗后的经历。方法对在手术后1-5年因手术切除或放疗导致性功能障碍的男性及其伴侣进行访谈。混合方法设计用于确定性功能障碍男性的生活经历。开放式问题指导了采访。结果27名男性完成了这项研究，平均年龄为61岁（SD = 8.0）;范围== 44-77岁。九个伙伴也参加了。大多数男性（92.6％）接受了手术。从治疗到访谈的平均时间为23.5个月（标准差= 11.7个月）。主题包括对性功能障碍的挫败感，对他人支持和理解的重要性，与性功能障碍有关的抑郁和焦虑，与伴侣的亲密关系的重要性，影响治疗满意度的因素以及有关性的教育和综合信息。结论前列腺癌幸存者和伴侣在治疗之前和之后都需要有关性副作用的准确信息。男性和伴侣需要个性化的帮助和指导以控制性功能障碍。伴侣，家人和其他人的支持和理解也被认为是前列腺癌治疗后康复和适应的重要方面。前列腺癌教育/支持小组在帮助男性和伴侣获得倡导，教育和支持方面发挥了关键作用。前列腺癌治疗后的男性需要识别和解决诸如抑郁和焦虑之类的心理问题。男人和伴侣需要帮助，以通过亲密关系理解和驾驭自己的方式，从而在人际关系中保持联系。对治疗和提供者的满意度取决于患者的教育程度以及对前列腺癌治疗各个方面的理解，包括性副作用和失禁。

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