Men's experience with penile rehabilitation following radical prostatectomy: a qualitative study with the goal of informing a therapeutic intervention.
Men's experience with penile rehabilitation following radical prostatectomy: a qualitative study with the goal of informing a therapeutic intervention.
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男性根治性前列腺切除术后阴茎康复的经验：一项定性研究，旨在为治疗干预提供信息。
DOI：
10.1002/pon.3771
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发表时间：
2015
期刊：
影响因子：
3.6
通讯作者：
Mulhall,JohnP
中科院分区：
文献类型：
--
作者：
Nelson,ChristianJ;Lacey,Stephanie;Kenowitz,Joslyn;Pessin,Hayley;Shuk,Elyse;Roth,AndrewJ;Mulhall,JohnP
背景根治性前列腺切除术(RP)后的勃起康复(ER)被认为是帮助男性恢复勃起功能的重要组成部分；然而，许多男性难以坚持这种类型的计划。这项定性研究探讨了男性接受ER、勃起功能障碍(ED)和勃起功能障碍(ED)治疗的经验，以提供旨在帮助男性坚持ER术后的心理干预。方法30名参加ER计划的1至3年的男性参加了四个焦点小组之一。结果平均年龄59岁(标准差 = 7)；平均手术时间26个月(标准差 = 6)。研究发现了六个主要主题：(1)对术后勃起功能障碍缺乏信息的挫败感；(2)勃起功能障碍对情绪的负面影响；(3)阴茎注射的负面情绪体验和导致回避的障碍；(4)专注于ER相对于短期焦虑的长期优势的好处；(5)使用幽默来帮助应对；以及(6)来自伴侣和同龄人的支持的好处。结论男性对勃起功能障碍的沮丧可以导致避免性行为和勃起功能障碍治疗，这对男性对ER计划的坚持具有负面影响。接受和承诺疗法的理论结构被用来将这些主题置于一个框架中，以概念化这一人群中潜在的回避和坚持的机制。因此，接受和承诺疗法有可能成为心理干预的概念基础，帮助男性减少对阴茎注射的回避，并坚持ER计划。版权所有©2015 John Wiley&Sons，Ltd.
BackgroundErectile rehabilitation (ER) following radical prostatectomy (RP) is considered an essential component to help men regain erectile functioning; however, many men have difficulty adhering to this type of program. This qualitative study explored men's experience with ER, erectile dysfunction (ED), and ED treatments to inform a psychological intervention designed to help men adhere to ER post‐RP.MethodsThirty men, 1‐to‐3‐years post‐RP, who took part in an ER program, participated in one of four focus groups. Thematic analysis was used to identify the primary themes.ResultsAverage age was 59 years (standard deviation = 7); mean time since surgery was 26 months (standard deviation = 6). Six primary themes emerged: (1) frustration with the lack of information about postsurgery ED; (2) negative emotional impact of ED and avoidance of sexual situations; (3) negative emotional experience with penile injections and barriers leading to avoidance; (4) the benefit of focusing on the long‐term advantage of ER versus short‐term anxiety; (5) using humor to help cope; and (6) the benefit of support from partners and peers.ConclusionsMen's frustration surrounding ED can lead to avoidance of sexual situations and ED treatments, which negatively impact men's adherence to an ER program. The theoretical construct of acceptance and commitment therapy was used to place the themes into a framework to conceptualize the mechanisms underlying both avoidance and adherence in this population. As such, acceptance and commitment therapy has the potential to serve as a conceptual underpinning of a psychological intervention to help men reduce avoidance to penile injections and adhere to an ER program. Copyright © 2015 John Wiley & Sons, Ltd.