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Men´s utilization of control strategies and spousal support after prostatectomy: Managing autonomy in the face of postoperative morbidities

前列腺切除术后男性对控制策略和配偶赡养费的利用：面对术后发病情况的自主管理

基本信息

批准号：
107867274
负责人：
Professorin Dr. Nina Knoll
金额：
--
依托单位：
HELIOS Klinikum Berlin-Buch
依托单位国家：
德国
项目类别：
Research Grants
财政年份：
2009
资助国家：
德国
起止时间：
2008-12-31 至 2011-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/107867274?language=en
关键词：
Men utilization control strategies spousal

项目摘要

Following radical prostatectomy (RP), postoperative morbidities (e.g., urinary incontinence) place new challenges upon patients’ autonomy and well-being. To meet these challenges, the Life-Span Theory of Control suggests that individuals actively regulate their development by adjusting goals and by using control strategies for goal attainment. By mobilization of external help, such control-strategy use can be extended to incorporate dynamics of enacted social support. Aims of this study are the investigation of patients’ short- and longer-term changes in control- strategy use, utilization of spousal support, and long-term changes in autonomy-related goals (“Lines of Defense”). Also, these factors’ potential protective functions for patients’ and their spouses’ immediate and long-term adaptation to patients’ postoperative morbidities are studied. A total of 206 RP patients and their partners will be recruited for participation in a prospective, combined diary and questionnaire study spanning about 8 months perisurgery. Studying patients’ immediate responses to postoperative morbidity with a diary approach and their assumed general readjustment as convalescence progresses will promote new insights into the dynamics of patients’ self-regulative functioning and their influence on spouses’ well being and capacity to yield support.

根治性前列腺切除术（RP）后，术后并发症（如尿失禁）对患者的自主性和幸福感提出了新的挑战。为了应对这些挑战，生命周期控制理论建议个体通过调整目标和使用控制策略来实现目标，从而积极调节自己的发展。通过动员外部帮助，这种控制战略的使用可以扩大到包括制定的社会支持的动态。本研究的目的是调查患者在控制策略的使用、配偶支持的利用以及自主相关目标（“防线”）的长期变化方面的短期和长期变化。并研究这些因素对患者及其配偶对患者术后发病率的即时和长期适应的潜在保护功能。共有206名RP患者及其伴侣将被招募参加一项为期8个月的前瞻性、日记和问卷调查相结合的研究。用日记法研究患者对术后并发症的即时反应，以及他们在康复过程中假设的总体调整，将促进对患者自我调节功能的动态及其对配偶幸福感和提供支持能力的影响的新见解。