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首页> 外文期刊>Acta oncologica. >Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer
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Feasibility and acceptability of couple counselling and pelvic floor muscle training after operation for prostate cancer

机译：夫妇咨询和骨盆底肌训练的可行性和可接受性，用于前列腺癌

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Background: Radical prostatectomy is often followed by long-lasting erectile dysfunction and urinary incontinence, with adverse effects on the quality of life and intimate relationship of patients and partners. We developed the ProCan intervention to ameliorate sexual and urological dysfunction after radical prostatectomy and examined its feasibility, acceptability and changes in sexual function.Material and methods: Between May 2014 and October 2014, seven couples attending the Department of Urology, Rigshospitalet, were included 3-4 weeks after radical prostatectomy in the ProCan intervention, which consists of up to six couple counselling sessions, group instruction in pelvic floor muscle training (PFMT), up to three individual PFMT sessions and a DVD home training program. We examined its feasibility on the basis of the recruitment rate, adherence to and acceptability of the intervention, the response rate and changes in erectile and sexual functioning measured on the International Index of Erectile Function at baseline and at eight and 12 months.Results: The recruitment rate was 14%. One couple withdrew, six couples attended 1-4 counselling sessions, and all patients attended PFMT until continence was achieved. The response rate on outcomes was 85% for patients and 71% for partners. The couples reported that counselling improved their sex life but it did not improve their ability to talk openly about sex. Most patients found that the physiotherapist improved their motivation and the quality and intensity of PFMT. Erectile dysfunction improved from severe at baseline to moderate at eight months' follow-up, and mean sexual functioning improved from 18.4 to 37.1 points at eight months' follow-up, but decreased slightly to 31.4 at 12 months.Conclusion: Our results suggest that the recruitment procedure should be adapted and minor revisions are needed in the intervention. The key components, couple counselling and PFMT, were well accepted and achievable for the patients.
机译：背景：自由基前列腺切除术往往是持久的勃起功能障碍和尿失禁，对患者和合作伙伴的生活质量和亲密关系的不利影响。我们开发了Procan干预，在激进前列腺切除术后改善性和泌尿外功能功能障碍，并检查了其可行性，可接受性和性功能变化。 -4周后的普罗曼干预后的前列腺切除术后，其中包括多达六个夫妇咨询会议，骨盆底肌训练（PFMT）的集团教学，最多三个个人PFMT会话和DVD家庭培训计划。我们根据招聘率，干预的依从性和可接受性，展示在基线的国际勃起函数指数和八到12个月的勃起和性功能变化的基础上审查了其可行性。结果：招聘率为14％。一对夫妇退出，六对夫妇出席了1-4次咨询会，所有患者都参加了PFMT，直到达到了大陆。患者的响应率为85％，合作伙伴均为71％。夫妻报告说，咨询改善了他们的性生活，但它并没有提高他们对性交谈话的能力。大多数患者发现物理治疗师改善了它们的动机和PFMT的质量和强度。勃起功能障碍从严重的基线改善到八个月的后续行动中度，并且平均值从18.4到37.1点以八个月的后续行动提高到37.1点，但在12个月内略微降至31.4。结论：我们的结果表明应调整招聘程序，干预需要进行轻微修订。关键组成部分，夫妇咨询和PFMT，对患者得到了很好的接受和可实现的。

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