Treatment Decision Regret and Related Factors Following Radical Prostatectomy
Treatment Decision Regret and Related Factors Following Radical Prostatectomy
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DOI：
10.1097/ncc.0b013e318206b22b
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发表时间：
2011-09-01
期刊：
影响因子：
2.6
通讯作者：
Lin, Yu-Hua
中科院分区：
文献类型：
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作者：
Lin, Yu-Hua
背景：根治性乳腺癌切除术（RP）后，诸如身体和心理困扰等问题影响患者的生活质量。重要的是要了解患者在RP后经常报告的遗憾以及影响他们遗憾的因素。目的：本研究的目的是了解患者在RP后报告的后悔以及影响他们后悔的因素。方法：本研究招募了2004年至2010年间诊断为前列腺癌并接受RP的患者。收集的数据包括后悔量表;加州大学洛杉矶分校前列腺癌指数;以及人口统计学和疾病相关信息。结果：共有100名患者参加了我们的研究。在参与调查的人中，31%的人后悔收到了RP。逐步回归分析显示，以下5个变量是RP后患者后悔的预测因素：患者是否会选择再次进行RP，了解治疗和并发症，令人烦恼的不良性影响，年龄和令人烦恼的不良肠道影响。结论：我们发现，31%的参与者报告说，收到RP后感到后悔。我们的数据表明，泌尿科医生和护士应仔细描绘的风险和好处的RP在术前咨询，以尽量减少病人的遗憾和最大限度地提高病人的满意度。实践启示：患者在RP后后悔是常见的。因此，泌尿科护士应就RP相关并发症的影响向患者提供咨询，并寻求适当的护理干预措施，以减少RP后患者的遗憾。
Background: Issues such as physical and psychological distress impact the quality of life of patients after a radical prostatectomy (RP). It is important to understand the regret that patients often report following a RP and the factors that influence their regret. Objective: The objective of the present study was to understand the regret that patients report following a RP and the influencing factors for their regret. Methods: Patients who had a diagnosis of prostate cancer and who underwent a RP between 2004 and 2010 were recruited for this study. The data gathered included a regret scale; the University of California, Los Angeles, Prostate Cancer Index; and demographic and disease-related information. Results: A total of 100 patients participated in our study. Of those who participated, 31% regretted that they had received an RP. Stepwise regression showed that the following 5 variables were predictors of patient regret after an RP: whether the patient would choose to have an RP again, understanding the treatment and complications, bothersome adverse sexual effects, age, and bothersome adverse bowel effects. Conclusion: We found that 31% of the participants reported experiencing regret after receiving an RP. Our data suggest that urologists and nurses should carefully portray the risks and benefits of RPs during preoperative counseling to minimize patient regret and maximize patient satisfaction. Implications for Practice: Patient regret after an RP is common. Urological nurses should therefore counsel patients regarding the impacts of complications associated with RPs and seek appropriate nursing interventions to reduce patient regret following an RP.