对马耳他夫妇前列腺癌诊断和放疗护理经验的定性研究。

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography Pub Date : 2024-10-01 DOI:10.1016/j.radi.2024.09.064

G.A. van Dijk , N. Courtier , P. Bezzina , P. Gill

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引用次数: 0

摘要

导言：虽然前列腺癌是男性特有的疾病，但其诊断和治疗也会影响到近亲，尤其是配偶。确诊后，必须做出治疗选择，这可能会给患者及其家人带来一段时间的压力和困惑。本研究调查了马耳他夫妇从前列腺癌诊断到放射治疗的护理经验：采用定性描述方法，对 12 对夫妇和 2 名男性进行了半结构化访谈。数据收集时间为 2019 年 1 月至 12 月。参与者来自马耳他当地的一家肿瘤医院。数据按主题进行分析，包括识别男性及其配偶之间的潜在对比和重叠：前列腺癌的诊断和治疗给男性及其配偶带来了极大的困扰。医护人员并没有始终如一地关注夫妻双方所关心的问题，例如前列腺癌治疗和治疗决策过程中的延误。大多数夫妇没有向更广泛的家人和朋友透露诊断结果，有几位男性非常重视之前接受过前列腺癌治疗的男性的经验：结论：确保这些夫妇获得正确的信息、支持和资源，对于帮助他们有效地应对癌症过程中的挑战至关重要。当经历不太积极时，他们认为与医护人员的沟通过程不够充分，这对他们的情绪健康产生了负面影响：实践启示：对医护人员进行额外的沟通培训可提高他们对服务使用者需求的认识和响应。此外，还可以考虑针对男性及其配偶的需求提供信息，例如使用数字工具或让以前接受过治疗的男性参与进来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A qualitative exploration of Maltese couples' care experiences of prostate cancer diagnosis and radiotherapy treatment

Introduction

Although prostate cancer is male-specific, the diagnosis and treatment also affect close family members, particularly spouses. Following diagnosis, treatment choices have to be made and this may lead to a period of stress and confusion for both patient and their family. This study investigated couples' care experiences with prostate cancer from diagnosis to radiotherapy treatment in Malta.

Methods

A qualitative descriptive methodology was adopted using semi-structured interviews with twelve couples and two men. Data were collected between January and December 2019. The participants were recruited from a local oncology hospital in Malta. Data were analysed Thematically and included the identification of potential contrasts and overlaps between men and their spouses.

Results

A prostate cancer diagnosis and treatment was a significant source of distress for men and their spouses. Healthcare professionals did not consistently attend to the couple's concerns, such as perceived delays in the management of prostate cancer and the treatment decision-making process. Most couples did not disclose the diagnosis to wider family and friends and several men valued the experience of men who previously underwent prostate cancer treatment.

Conclusion

Ensuring that these couples receive the right information, support, and resources is crucial to assisting couples in navigating the challenges of the cancer journey effectively. When experiences were less positive, the communication process with healthcare professionals was not perceived as adequate, which negatively impacted their emotional well-being.

Implications for practice

Additional communication training for healthcare professionals may improve their recognition and response to the needs of service users. Information tailored to the needs of men and spouses may also be considered such as the use of digital tools or involving men who previously underwent treatment.

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来源期刊

Radiography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.70

自引率

34.60%

发文量

169

审稿时长

63 days

期刊介绍： Radiography is an International, English language, peer-reviewed journal of diagnostic imaging and radiation therapy. Radiography is the official professional journal of the College of Radiographers and is published quarterly. Radiography aims to publish the highest quality material, both clinical and scientific, on all aspects of diagnostic imaging and radiation therapy and oncology.