Prostate cancer patients gradually advance goals for rehabilitation after radical prostatectomy: applying a lines-of-defense model to rehabilitation.
Prostate cancer patients gradually advance goals for rehabilitation after radical prostatectomy: applying a lines-of-defense model to rehabilitation.
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DOI：
10.1037/a0038311
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发表时间：
2014-12
影响因子：
3.7
通讯作者：
N. Knoll;A. Wiedemann;M. Schultze;M. Schrader;J. Heckhausen
中科院分区：
文献类型：
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作者：
N. Knoll;A. Wiedemann;M. Schultze;M. Schrader;J. Heckhausen
肿瘤手术后，尿失禁对前列腺癌患者的功能健康构成了挑战。在大小便失禁康复期间检查功能目标(防线[LODS])的调整。研究了一个概念模型，该模型提出了从最小化不适(最低LOD)到保护自立(最高LOD)的逐步和明显的LODS向上调整。在大小便失禁后的7个月内，175名患者在4个场合完成了问卷调查。一种基于理论的层次结构被强加于时间不变的LOD背书的潜在类别。随着大小便失禁的消退，患者通过LOD分级向上过渡，将LOD与并发的大小便失禁水平相匹配，从而迅速声称具有独立功能和身体改善。
Following tumor surgery, urinary incontinence challenges prostate cancer patients' functional health. Adjustments of functional goals (lines of defense [LoDs]) were examined during rehabilitation from incontinence. A conceptual model proposing stepwise and distinct upward adjustments of LoDs, ranging from minimizing discomfort (lowest LoD) to protecting self-reliance (highest LoD), was investigated. Within 7 months following the onset of incontinence, 175 patients completed questionnaires at 4 occasions. A theory-based hierarchy was imposed on time-invariant latent classes of LoD-endorsements. As incontinence receded, patients transitioned upward through the hierarchy of LoD-classes, matched LoDs to concurrent incontinence levels, and thus promptly claimed independent functioning with physical improvements.