Men's experience with sexual dysfunction post-rectal cancer treatment: a qualitative study.
Men's experience with sexual dysfunction post-rectal cancer treatment: a qualitative study.
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DOI：
10.1007/s13187-013-0492-y
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发表时间：
2013-09
期刊：
影响因子：
--
通讯作者：
DuHamel K
中科院分区：
文献类型：
--
作者：
Ball M;Nelson CJ;Shuk E;Starr TD;Temple L;Jandorf L;Schover L;Mulhall JP;Woo H;Jennings S;DuHamel K
为了解决男性在直肠癌治疗后性生活更差的报告，这项定性研究旨在更好地了解他们在直肠癌治疗后性功能障碍的经历，从而为男性直肠癌幸存者提供关于适应心理教育性健康干预的信息，同时调查影响他们参与心理教育的障碍和促进因素，性健康教育干预。13名在纪念斯隆-凯特琳癌症中心（MSKCC）接受直肠癌治疗的男性直肠癌幸存者参加了研究（治疗后中位时间为6.4年）。六名幸存者参加了个人半结构化的电话采访，其他七人参加了焦点小组。我们进行了定性主题文本分析的标准程序，其中包括由几位分析师对访谈和焦点小组记录进行独立审查，然后举行共识会议以确定关键主题。参与者报告肠功能障碍（N= 13，或100%）和勃起功能障碍（N= 12，或92%）为主诉。参与者认为术后心理教育性健康干预是有帮助的，因为它将提供有关其问题和治疗的病因的教育信息，以改善其性健康（N= 8，或62%）。大多数参与者在治疗后立即关注的主要问题是生存下来;随着时间的推移，改善性功能似乎变得更加重要。潜在参与心理教育性健康干预的障碍包括与MSKCC的地理距离（N= 3，或3/13）和讨论性问题时的尴尬风险（N= 5，或5/13）。男性报告说，心理教育性健康干预将有助于改善他们的性功能治疗后。对肠道问题和后勤问题的讨论提供了关于心理教育性健康干预的信息。
In an effort to address reports from men that their sex life is worse after treatment for rectal cancer, this qualitative study was designed to better understand their experience with sexual dysfunction following rectal cancer treatment, thus providing information on the adaptation of a psycho-educational sexual health intervention for male rectal cancer survivors and simultaneously investigating barriers and promoters that would influence their participation in a psycho-educational sexual health intervention. Thirteen male rectal cancer survivors who were treated at Memorial Sloan-Kettering Cancer Center (MSKCC) for rectal cancer participated (median time post-treatment was 6.4 years). Six survivors participated in individual semi-structured phone interviews, and seven others took part in focus groups. We performed standard procedures of qualitative thematic text analysis, which involved independent review of interview and focus group transcripts by several analysts followed by consensus meetings to identify key themes. Participants reported bowel dysfunction (N= 13, or 100 %) and erectile dysfunction (N= 12, or 92 %) as chief complaints. The participants thought a psychoeducational sexual health intervention post-surgery would be helpful because it would provide educational information regarding the etiology of their problems and treatments to improve their sexual health (N= 8, or 62 %). Most participants' primary concern immediately after treatment was surviving their disease; improving sexual functioning seemed to become more important over time. Barriers to potentially participating in a psycho-educational sexual health intervention included geographical distance from MSKCC (N= 3, or 3/13) and the risk of embarrassment when discussing sexual issues (N= 5, or 5/13). Men reported that a psycho-educational sexual health intervention would be helpful to improve their sexual functioning post-treatment. Discussion of bowel issues and logistical concerns gave information on the psycho-educational sexual health intervention.
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影响因子：
3.3
作者：
Moriya, Yoshihiro
通讯作者：
Moriya, Yoshihiro
影响因子：
7.6
作者：
Andersen, BL;Cyranowski, JM;Espindle, D
通讯作者：
Espindle, D
影响因子：
3.5
作者：
Nelson, Christian J.;Mulhall, John P.;Roth, Andrew J.
通讯作者：
Roth, Andrew J.
影响因子：
3.9
作者：
Kerr, J;Engel, J;Hölzel, D
通讯作者：
Hölzel, D
DOI：
10.1053/ejso.2000.1099
发表时间：
2001-04-01
期刊：
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY
影响因子：
--
作者：
Mannaerts, GHH;Schijven, MP;Wiggers, T
通讯作者：
Wiggers, T