Self-management of lower urinary tract symptoms in post-prostatectomy cancer patients: Content analysis
Self-management of lower urinary tract symptoms in post-prostatectomy cancer patients: Content analysis
复制标题
前列腺癌术后患者下尿路症状的自我管理：内容分析
DOI：
10.1111/ijun.12327
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发表时间：
2022
影响因子：
0.5
通讯作者：
Kumi Suzuki
中科院分区：
文献类型：
--
作者：
Koji Amano;Kumi Suzuki
前列腺癌切除术后患者在下尿路症状的自我管理方面有何经验？前列腺癌患者需要自我管理术后下尿路症状和相关问题。阐明自我管理的各个方面有助于改善患者定制的支持。因此，本研究旨在阐明接受全前列腺切除术的前列腺癌患者下尿路症状的自我管理。大多数前列腺切除术后患者有多种下尿路症状。由于这些症状以及相关的身体、心理和社会问题，他们的生活质量下降。在无并发症的病例中，症状的自我管理已被证明是有效的，但对于前列腺切除术后的癌症患者来说，这一点尚未得到澄清。研究环境包括两个指定的癌症中心。对 13 名接受全前列腺切除术的前列腺癌患者进行了半结构化访谈调查。使用 Mayring 的定性内容分析技术对数据进行分析。总共提取了 410 个代码，其中出现了 42 个小类和 10 个类别。这些类别是：（1）认识到与下尿路症状相关的需要解决的问题； (2) 检查应对这些症状的策略； (3) 采取可改善症状的行动； (4)避免导致症状恶化的行为； (5) 制定防止干扰日常生活的方法； (6)处理与症状相关的问题； （7）与医务人员及周围环境建立关系； (8)膀胱控制状态的自我评价； (9)积极接受症状； (10)感知控制排尿策略的有效性。结果表明，医疗保健专业人员需要向患者提供有关 LUTS 策略及其效果的反馈，以帮助支持患者的应对策略。此外，确定个体患者在自我管理方面的优势和不足将使我们能够为患者提供量身定制的帮助。这是开发自我管理量表以客观评估自我管理的第一步。
What are the experiences of post‐prostatectomy cancer patients regarding self‐management of lower urinary tract symptoms? Individuals with prostate cancer are required to self‐manage their post‐operative lower urinary tract symptoms and issues associated with them. Clarifying the various aspects of self‐management can help in improving patient‐tailored support. This study therefore aimed to clarify the self‐management of lower urinary tract symptoms in prostate cancer patients who underwent total prostatectomy. Most post‐prostatectomy cancer patients have multiple lower urinary tract symptoms. They have a reduced quality of life due to the symptoms and associated physical, psychological, and social issues. Self‐management of the symptoms in uncomplicated cases has been shown to be effective, but this has not been clarified for post‐prostatectomy cancer patients. The study setting consisted of two designated cancer centres. A survey with semi‐structured interviews was conducted among 13 patients with prostate cancer that underwent total prostatectomy. Data were analysed using the qualitative content analysis techniques of Mayring. A total of 410 codes were extracted from which 42 subcategories and 10 categories emerged. The categories were: (1) recognition of issues associated with lower urinary tract symptoms to be solved; (2) examination of strategies for coping with these symptoms; (3) incorporation of actions that lead to an improvement in the symptoms; (4) avoidance of behaviours that cause worsening of the symptoms; (5) devising ways to prevent interference with one's daily life; (6) dealing with problems associated with the symptoms; (7) building relationships with medical staff and surroundings; (8) self‐evaluation of bladder control status; (9) positive acceptance of the symptoms; and (10) sensing the effectiveness of strategies regarding the control of urination. The results suggest that health care professionals need to provide feedback to patients on LUTS strategies and their effects to help support patient coping strategies. In addition, determining individual patients' strengths and deficiencies in self‐management will allow us to tailor assistance to patients. This is the first step towards the development of self‐management scales to objectively assess self‐management.