A biopsychosocial approach to sexual recovery after prostate cancer treatment: Suggestions for oncology nursing practice
Pourquoi ce travail est dans la base
Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.
Notice bibliographique
Résumé
<p class="p1"><em>In the past decade there has been a surge of literature documenting the impact of prostate cancer (PCa) treatment-induced erectile dysfunction (ED) on intimate relationships. While there have been significant advances in the treatment of ED, with phosphodiesterase inhibitors, vacuum erection devices and intracavernous injections, patients and their partners continue to struggle to finds ways to maintain enjoyable sexual activity. Only half of PCa patients are willing to try ED treatments, and less than half of those patients, who find ED treatments helpful in improving erectile function, will continue to use them long-term.</em> <p class="p2"><em>While there are effective strategies that can be taught to patients for overcoming the barriers associated with the use of ED treatments, many patients struggle on their own with these challenges, become discouraged, and quickly give up. Nurses play a large role in patient education and counselling, both in preparing patients for PCa treatment, and in follow-up. Consequently, they are well positioned to play a significant part in promoting sexual recovery among PCa patients and, thus, increasing patients’ and partners’ experiences of success. Nurses are well versed in providing holistic biopsychosocial care, which is a much-needed approach to complement the use of biomedical ED treatments. </em> <p class="p2"><span class="s1"><em>We begin by providing suggestions for nurses to increase their competence in discussing, assessing and intervening in the area of sexual difficulties. We follow with specific suggestions, based on the PCa literature, to guide nurses in supporting patients receiving ED treatment. Guidance is offered regarding approaches to patient education that fosters the development of realistic treatment expectations. Not only should these suggestions help improve adherence to ED treatments, but they should also help patients think more broadly about the sexual recovery process, encouraging the development of goals in sexual recovery beyond restoration of erectile function. Flexibility in sexual practice is found to be a key in successful sexual renegotiation, therefore, non-penetrative sexual strategies—that are not dependent on erections—should be offered to patients, as a routine part of clinical practice. Additional suggestions regarding couple communication, persistence in the treatment process, and working through grief associated with sexual losses are also offered in addition to strategies for overcoming specific barriers such as loss of libido and demoralization associated with treatment failures.</em></span> <p class="p3">Key words: prostate cancer, erectile dysfunction, sexual adaptation, counselling, patient education
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle