Dyadische Planungsintervention nach Prostatektomie

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• 作者：Dr. Silke Burkert (1)
  Nina Knoll (2)
  
• 关键词：Prostatakrebs ; Gesundheitsverhalten ; Selbstregulation ; Anpassung ; psychologisch ; Ehe ; und Lebenspartner ; Prostate cancer ; Health behavior ; Self regulation ; Adaptation ; psychological ; Spouses
• 刊名：Psychotherapeut
• 出版年：2012
• 出版时间：November 2012
• 年：2012
• 卷：57
• 期：6
• 页码：525-530
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• 作者单位：Dr. Silke Burkert (1)
  Nina Knoll (2)
  
  1. Institut für Medizinische Psychologie, Charité–Universit?tsmedizin Berlin, Luisenstr. 57, 10117, Berlin, Deutschland
  2. Arbeitsbereich Gesundheitspsychologie, Freie Universit?t Berlin, Berlin, Deutschland
  
• ISSN：1432-2080

文摘

Background Prostate cancer is one of the most prevalent forms of cancer in men. One treatment for localized prostate cancer is radical prostatectomy. Patients and partners have to deal with stressors associated with the diagnosis, the surgery and its consequences (e.g. incontinence). Dyadic planning prepares for the coping process with illness consequences in order to enhance self-regulation and reduce anxiety. Dyadic planning means generating plans together with a partner specifying when, where and how the target person wants to initiate a health behavior. Patients and methods In this longitudinal randomized controlled trial (RCT) 112 prostatectomy patients and their spouses were invited to participate in a dyadic planning intervention. Participants were randomly allocated to a dyadic pelvic floor exercise (pfe) planning group or one of three control groups (i.e., individual pfe planning, dyadic or individual nutrition planning). Patients and partners received questionnaires at baseline, 2 weeks and 6 months after surgery. Results Patients in the dyadic pfe planning group reported higher dyadic pfe planning 2 weeks after surgery than patients in the nutrition planning groups. No such differential effects were found in partners. Additionally, there were no group differences in patient reports on anxiety 6 months after surgery, whereas partners in the dyadic pfe planning group reported lower anxiety levels compared to partners in the individual pfe planning group. Self-reported pfe planning did not, however, mediate the effects of the intervention on partners-anxiety. Conclusion Economical dyadic planning interventions may not only support change of health-relevant behaviour in target persons but also emotional adjustment of their partners.