前立腺全摘除術を受けるがん患者と生活を共にするパートナーの体験に関する統合的文献レビュー—前立腺がんの診断時から術後にかけて

An Integrative Literature Review of Experiences of Partners Living With Patients With Cancer Undergoing Radical Prostatectomy: From Prostate Cancer Diagnosis to the Postoperative Period

要旨

　目的：前立腺全摘除術を受ける患者と共に暮らすパートナーの体験に焦点を当てて国内外の研究を概観すると共に研究知見を統合して明示する．

　方法：統合的文献レビューの手法を用い，26文献を分析した．

　結果：大部分が海外文献で，パートナーと患者の両者を研究対象とした文献が多くを占めた．パートナーの体験は「性的関係の変化に向き合う」「患者の尿漏れが自分の生活を脅かすことに不満をもつ」「がんの診断や患者の心身の健康状態に自身の心身が影響を受ける」「サポート役を担い二人で難局を乗り越える」「病気や術後合併症のことは患者に任せる」「ソーシャルサポート・専門的サポートを欲する」に統合された．

　結論：性交がなくとも愛情確認を通してパートナーと患者とが豊かな関係性を構築でき，尿漏れが生活に及ぼす影響を一時的なものと捉えて対処できるための支援や，パートナーのニードや心情に配慮した支援が必要と示唆された．

　Purpose: This study aimed to provide an overview of relevant studies within and outside Japan focusing on the experiences of partners living with patients undergoing radical prostatectomy while integrating and clarifying research findings.

　Methods: Using the integrative literature review method, 26 manuscripts were analyzed.

　Results: Most studies were from outside Japan. Many of the reports focused on both partners and patients. The identified partner experiences included "Navigating changes in sexual relationships," "feeling dissatisfied that the patient's urine leakage will threaten one's own lifestyle," "one's physical and mental health being impacted by the cancer diagnosis and the patient's state of physical and mental health," "taking on a supportive role and overcoming this difficulty together," "leaving the illness and postoperative complications up to the patient," and "wanting social support and specialized support."

　Conclusions: Clearly, a rich relationship between the partner and patient should be encouraged whereby loving feelings can be confirmed without sexual intercourse, and helping them view the effects of urine leakage on lifestyle to be temporary. Moreover, partners' needs and feelings should be considered.