Care needs of Japanese men for sexual dysfunction associated with prostate cancer treatment.
Care needs of Japanese men for sexual dysfunction associated with prostate cancer treatment.
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DOI：
10.1007/s00520-023-07837-w
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发表时间：
2023-06-05
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影响因子：
--
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中科院分区：
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前列腺癌（PC）的治疗会导致性功能障碍（SD），并改变生育能力、男性身份和与伴侣的亲密关系。在日本，很少有人注意到提供与PC治疗相关的SD护理的重要性。本研究旨在厘清日本男性对于与PC治疗相关的SD的护理需求。对44例PC患者进行一对一半结构化访谈，以确定其护理需求。数据采用专题分析进行分析。分析中出现了四个核心类别。(1)“需要医务人员对SD恐惧的共情”：患者难以向他人吐露自己的性问题，医务人员缺乏对其SD问题的参与。(2)“在决定治疗之前，需要能够提供准确理解SD和应对策略的信息”：日常生活中缺乏关于SD的信息，难以理解医疗机构的信息，导致男性后悔自己的治疗。(3)“受SD影响的个人和夫妻需要专业护理”：由于伴侣不愿意理解他们的SD问题或容忍非性关系，男性面临亲密关系的丧失。(4)“需要一个有利于男性之间互动的环境来解决SD问题”：男性感到孤独，希望与其他患者交流他们对SD的担忧。这些发现可能有助于形成适合这些需求的护理战略，并适用于其他具有强烈传统性别规范的社会。
Prostate cancer (PC) treatment causes sexual dysfunction (SD) and alters fertility, male identity, and intimate relationships with partners. In Japan, little attention has been paid to the importance of providing care for SD associated with PC treatment. This study is aimed at clarifying the care needs of Japanese men regarding SD associated with PC treatment. One-to-one semi-structured interviews were conducted with 44 PC patients to identify their care needs. Data were analyzed using thematic analysis. Four core categories emerged from the analysis. (1) “Need for empathy from medical staff regarding fear of SD”: patients had difficulty confiding in others about their sexual problems, and medical staff involvement in their SD issues was lacking. (2) “Need for information that provides an accurate understanding of SD and coping strategies before deciding on treatment”: lack of information about SD in daily life and difficulty understanding information from medical institutions, caused men to regret their treatment. (3) “Need for professional care for individuals and couples affected by SD”: men faced loss of intimacy because of their partners’ unwillingness to understand their SD issues or tolerate non-sexual relationships. (4) “Need for an environment that facilitates interaction among men to resolve SD issues”: men felt lonely and wanted to interact with other patients about their SD concerns. These findings may help form care strategies tailored to these needs and applicable to other societies with strong traditional gender norms.
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DOI：
10.1097/ppo.0b013e31819765ef
发表时间：
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期刊：
Cancer journal (Sudbury, Mass.)
影响因子：
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DOI：
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发表时间：
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影响因子：
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