[1]曹茂秋,何骄,张婷,等.PACTR结构化管理在男性肿瘤患者生育力保存中的实践与效果[J].中国计划生育和妇产科,2020,(4):76-79.
 CAO Mao qiu,HE Jiao,ZHANG Ting,et al.Practice and effect of PACTR structured management in fertility preservation of male tumor patients[J].Chinese Journal of Family Planning & Gynecotokology,2020,(4):76-79.
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PACTR结构化管理在男性肿瘤患者生育力保存中的实践与效果
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年4期
页码:
76-79
栏目:
论著与临床
出版日期:
2020-04-25

文章信息/Info

Title:
Practice and effect of PACTR structured management in fertility preservation of male tumor patients
作者:
曹茂秋1何骄2张婷3张健4*
610041四川成都,四川省肿瘤医院,1.腹部放疗一病区;2.导管室;3.妇科肿瘤中心一区;4.护理部
Author(s):
CAO Maoqiu1HE Jiao2ZHANG Ting3ZHANG Jian4*
1.Department of Radiation Oncology;2.Cath Lab;3.Department of Gynecological Oncology;4.Department of Nursing, Sichuan Cancer Hospital, Chengdu Sichuan 610041,P.R.China
关键词:
肿瘤男性生育力保存
Keywords:
tumormalefertility preservation
分类号:
R 473.73
摘要:
目的 探讨PACTR结构化管理在男性肿瘤患者生育力保存中的实践与效果。方法 将2016年10~12月在四川省肿瘤医院就诊的男性肿瘤患者纳入对照组(31例),采用传统方式管理。2017年1~3月就诊的男性肿瘤患者纳入研究组(28例),采用PACTR结构化管理(包括评估患者接受度和意愿,考虑不育风险和保存生育能力安全性,结合宣教手册告知患者不育风险,提供生育力保存信息,有意愿者及时转诊给生殖专家)。自设问卷调查研究对象的生育力保存及肿瘤治疗生殖毒性认知,以及生育力保存意愿。结果 研究组与对照组的生育力保存意愿相比较,差异有统计学意义(P<005)。结论 PACTR结构化管理是促进男性肿瘤患者保存生育力的有效举措。
Abstract:
ObjectiveTo explore the practice and effect of PACTR structured management in fertility preservation of male tumor patients.MethodsThe male tumor patients treated in Sichuan Cancer Hospital from October to December 2016 were included in the control group(31 cases) and managed by traditional methods. The male tumor patients who were treated from January to March 2017 were included in the study group(28 cases) and PACTR structured management was adopted. This included assessing patient acceptance and willingness, considering infertility risks and fertility preservation safety, informing patients of infertility risks in conjunction with education manuals, providing fertility preservation information, and those who were willing to refer to a reproduction specialist in a timely manner. Selfestablished questionnaires surveyed the fertility preservation and reproductive toxicity cognition of tumor treatment, as well as the fertility preservation intention. ResultsCompared with the control group's willingness to preserve fertility, the difference was statistically significant (P<005). ConclusionPACTR structured management is an effective measure to promote fertility preservation in male tumor patients.

参考文献/References:

[1]Meistrich M L.Male gonadal toxicity [J].Pediatric Blood & Cancer, 2009, 53(2): 261266. [2]Crawshaw M A, Sloper P.`Swimming against the tide'  the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer [J].European Journal of Cancer Care, 2010, 19(5): 610620. [3]Goossens J, Delbaere I, Van Lancker A A, et al.Cancer patients' and professional caregivers' needs, preferences and factors associated with receiving and providing fertilityrelated information: A mixedmethods systematic review [J].International Journal of Nursing Studies, 2014, 51(2): 300319. [4]Ruddy K J, Gelber S I, Tamimi R M, et al.Prospective study of fertility concerns and preservation strategies in young women with breast cancer [J].Journal of Clinical Oncology, 2014, 32(11): 11511156. [5]Senkus E, Gomez H, Dirix L, et al.Attitudes of young patients with breast cancer toward fertility loss related to adjuvant systemic therapies.EORTC study 10002 BIG 398 [J].PsychoOncology, 2014, 23(2): 173182. [6]Coccia P F, Altman J, Bhatia S, et al.Adolescent and young adult oncology.Clinical practice guidelines in oncology [J].Journal of the National Comprehensive Cancer Network Jnccn, 2014, 12(1):2132. [7]Loren A W, Mangu P B, Beck L N, et al.FP for patients with cancer:American society of clinical oncology clinical practice guideline update [J].Journal of Clinical Oncology, 2013, 31(19): 25002510. [8]Peccatori F, Azim J H, Orecchia R, et al.Cancer,pregnancy and fertility:ESMO Clinical Practice Guidelines for diagnosis,treatment and followup [Z], 2013: 24. [9]Kelvin J F.Fertility preservation before cancer treatment: options, strategies, and resources [J].Clinical Journal of Oncology Nursing, 2016, 20(1): 4451. [10]Lindsrey K C, Miree C A, Wilson C, et al.Oncology nurses'perceptions of barriers to discussion of fertility preservation with patients with cancer [J].Clinical Journal of Oncology Nursing, 2008, 12(3): 467. [11]Clayton H, Quinn G P, Lee J H, et al.Trends in clinical practice and nurses' attitudes about fertility preservation for pediatric patients with cancer [C]//Oncology nursing forum.2008, 35(2):249255. [12]AyensuCoker L, Essig E, Breech L L.Ethical quandaries in GameteEmbryo cryopreservation related to oncofertility [J].Journal of Law Medicine & Ethics, 2013, 41(3): 711719. [13]Ginsberg J P, Carlson C A, Lin K, et al.An experimental protocol for fertility preservation in prepubertal boys recently diagnosed with cancer: a report of acceptability and safety [J].Human Reproduction, 2010, 25(1): 3741. [14]龚德华.癌症病人的生育意愿及其影响因素研究 [D].长沙:中南大学,2009. [15]Waimey K E, Duncan F E, Su Hi, et al.Future directions in oncofertility and fertility preservation:a report from the 2011 oncofertility consortium conference [J].Journal of Adolescent and Young Adult Oncology, 2013, 2(1): 2530.

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备注/Memo

备注/Memo:
四川省科技计划项目(项目编号:2016SZ0066)
更新日期/Last Update: 2020-04-25