A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function Connection, and Control
A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function Connection, and Control
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DOI：
10.1188/20.onf.318-330
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发表时间：
2020-05-01
影响因子：
1.9
通讯作者：
Wagland, Richard
中科院分区：
文献类型：
--
作者：
Matheson, Lauren;Nayoan, Johana;Wagland, Richard
目得：探讨男性前列腺癌患者的经历，确定为有心理困扰，并确定影响distress.Participants和设置：28名男性前列腺癌诊断为18-42个月前，确定为有心理困扰的调查measures.METHODOLOGIC APPROACH：半结构化的电话采访进行。主题分析使用框架approaches.FINDINGS：男性心理困扰有强烈的感知损失对自我（身份，性/男子气概，自信），功能（身体活动），连接（关系，社会，社区），和控制（未来，情感）。某些男性群体的心理脆弱性似乎更高。不适应策略的情绪隐瞒，寻求帮助的回避，和撤退似乎有助于distress.Implications为治疗：男性前列腺癌患者的痛苦是多方面的。应查明有痛苦的男子并向其提供支助。需要护士或同行领导的干预措施。
PURPOSE: To explore the experiences of men with prostate cancer identified as having psychological distress and to identify factors influencing distress.PARTICIPANTS & SETTING: 28 men with prostate cancer diagnosed 18-42 months earlier, identified as having psychological distress on survey measures.METHODOLOGIC APPROACH: Semistructured telephone interviews were conducted. Thematic analysis using a framework approach was used.FINDINGS: Men with psychological distress had strong perceptions of loss toward self (identity, sexuality/masculinity, self-confidence), function (physical activities), connection (relational, social, community), and control (future, emotional). Psychological vulnerability appeared heightened in particular groups of men. Maladaptive strategies of emotional concealment, help-seeking avoidance, and withdrawal appeared to contribute to distress.IMPLICATIONS FOR NURSING: Distress in men with prostate cancer is multifaceted. Men with distress should be identified and offered support. Nurse- or peer-led interventions are required.