与前列腺癌相关的性功能障碍和求助障碍:范围界定综述》。

IF 3.3 2区 医学 Q2 ONCOLOGY
Psycho‐Oncology Pub Date : 2024-08-01 DOI:10.1002/pon.9303
Megan Charlick, Tenaw Tiruye, Kerry Ettridge, Michael O'Callaghan, Sally Sara, Alexander Jay, Kerri Beckmann
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引用次数: 0

摘要

目的:尽管有可用的支持,但在前列腺癌男性患者中,性需求是最常报告的未得到满足的需求,这可能是由于求助率低造成的。我们以生态系统框架为理论基础,对现有文献进行了范围界定,以了解哪些因素会影响接受过前列腺癌治疗的男性患者在治疗后就性问题寻求帮助的行为:按照 PRISMA 指南,我们在 Medline、PsychInfo、Embase、Emcare 和 Scopus 上进行了系统性检索,以确定有关成年前列腺癌患者治疗后的研究,这些研究报告了性健康问题求助的障碍和/或促进因素。采用乔安娜-布里格斯研究所的评估工具进行了质量评估,并对结果进行了定性综合:在 3870 项独特的结果中,只有 30 项研究符合纳入标准。总体而言,这些研究被认为质量中等至良好,但只有六项研究使用了标准化的方法来评估求助行为。研究发现,性求助的障碍和促进因素横跨生态系统框架的所有五个层面,包括年龄、治疗类型和以往的求助经历(个人层面)、医护人员沟通和伴侣支持(微观系统)、经济成本和支持的可及性(中观/生态系统),以及尴尬、男性气质、文化规范和性少数群体(宏观系统):要确保患者得到适当的支持,就必须解决常见的性问题求助障碍(反之,则要加强促进因素)。根据我们的研究结果,我们建议医护人员将性健康讨论作为所有前列腺癌患者的标准护理,无论患者接受了何种治疗、年龄、性取向以及伴侣状况/参与程度如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prostate Cancer Related Sexual Dysfunction and Barriers to Help Seeking: A Scoping Review.

Objective: Despite available support, sexuality needs are the most frequently reported unmet need among men with prostate cancer, which may be due to low help-seeking rates. Using the Ecological Systems Framework as a theoretical foundation, we conducted a scoping review of the available literature to understand what factors impact help-seeking behaviour for sexual issues after prostate cancer treatment among men who had received treatment.

Methods: Following PRISMA guidelines, a systematic search on Medline, PsychInfo, Embase, Emcare, and Scopus was conducted to identify studies of adult prostate cancer patients post-treatment, which reported barriers and/or facilitators to help-seeking for sexual health issues. Quality appraisals were conducted using Joanna Briggs Institute appraisal tools, and results were qualitatively synthesised.

Results: Of the 3870 unique results, only 30 studies met inclusion criteria. In general, studies were considered moderate to good quality, though only six used standardised measures to assess help-seeking behaviour. Barriers and facilitators for sexual help-seeking were identified across all five levels of the Ecological Systems Framework, including age, treatment type, and previous help seeking experience (individual level), healthcare professional communication and partner support (microsystem), financial cost and accessibility of support (meso/exosystem), and finally embarrassment, masculinity, cultural norms, and sexuality minority (macrosystem).

Conclusions: Addressing commonly reported barriers (and inversely, enhancing facilitators) to help-seeking for sexual issues is essential to ensure patients are appropriately supported. Based on our results, we recommend healthcare professionals include sexual wellbeing discussions as standard care for all prostate cancer patients, regardless of treatment received, age, sexual orientation, and partnership status/involvement.

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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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