Abstract：
OBJECTIVE: Despite available support, sexuality needs are the most frequently reported unmet need among men with prostate cancer, which may be due to low help-seeking rates. Using the Ecological Systems Framework as a theoretical foundation, we conducted a scoping review of the available literature to understand what factors impact help-seeking behaviour for sexual issues after prostate cancer treatment among men who had received treatment.
METHODS: Following PRISMA guidelines, a systematic search on Medline, PsychInfo, Embase, Emcare, and Scopus was conducted to identify studies of adult prostate cancer patients post-treatment, which reported barriers and/or facilitators to help-seeking for sexual health issues. Quality appraisals were conducted using Joanna Briggs Institute appraisal tools, and results were qualitatively synthesised.
RESULTS: Of the 3870 unique results, only 30 studies met inclusion criteria. In general, studies were considered moderate to good quality, though only six used standardised measures to assess help-seeking behaviour. Barriers and facilitators for sexual help-seeking were identified across all five levels of the Ecological Systems Framework, including age, treatment type, and previous help seeking experience (individual level), healthcare professional communication and partner support (microsystem), financial cost and accessibility of support (meso/exosystem), and finally embarrassment, masculinity, cultural norms, and sexuality minority (macrosystem).
CONCLUSIONS: Addressing commonly reported barriers (and inversely, enhancing facilitators) to help-seeking for sexual issues is essential to ensure patients are appropriately supported. Based on our results, we recommend healthcare professionals include sexual wellbeing discussions as standard care for all prostate cancer patients, regardless of treatment received, age, sexual orientation, and partnership status/involvement.
METHODS: Following PRISMA guidelines, a systematic search on Medline, PsychInfo, Embase, Emcare, and Scopus was conducted to identify studies of adult prostate cancer patients post-treatment, which reported barriers and/or facilitators to help-seeking for sexual health issues. Quality appraisals were conducted using Joanna Briggs Institute appraisal tools, and results were qualitatively synthesised.
RESULTS: Of the 3870 unique results, only 30 studies met inclusion criteria. In general, studies were considered moderate to good quality, though only six used standardised measures to assess help-seeking behaviour. Barriers and facilitators for sexual help-seeking were identified across all five levels of the Ecological Systems Framework, including age, treatment type, and previous help seeking experience (individual level), healthcare professional communication and partner support (microsystem), financial cost and accessibility of support (meso/exosystem), and finally embarrassment, masculinity, cultural norms, and sexuality minority (macrosystem).
CONCLUSIONS: Addressing commonly reported barriers (and inversely, enhancing facilitators) to help-seeking for sexual issues is essential to ensure patients are appropriately supported. Based on our results, we recommend healthcare professionals include sexual wellbeing discussions as standard care for all prostate cancer patients, regardless of treatment received, age, sexual orientation, and partnership status/involvement.
摘要：
目标：尽管有可用的支持，性需求是前列腺癌男性中最常见的未满足需求，这可能是由于低的求助率。以生态系统框架为理论基础，我们对现有文献进行了范围审查,以了解哪些因素影响接受治疗的男性前列腺癌治疗后性问题的求助行为.
方法：遵循PRISMA指南，在Medline上进行系统搜索,PsychInfo,Embase,Emcare,和Scopus进行了鉴定成年前列腺癌患者治疗后的研究，报告了寻求性健康问题的障碍和/或促进者。使用乔安娜·布里格斯研究所的评估工具进行质量评估，并对结果进行定性合成。
结果：在3870个独特的结果中，只有30项研究符合纳入标准.总的来说,研究被认为是中等到良好的质量，尽管只有六个使用标准化措施来评估寻求帮助的行为。在生态系统框架的所有五个层面上都确定了寻求性帮助的障碍和促进者，包括年龄,治疗类型,和以前的帮助寻求经验(个人水平)，医疗保健专业沟通和合作伙伴支持(微系统)，财务成本和支持的可获得性(中观/外系统)，最后是尴尬，阳刚之气,文化规范,和性少数(宏观系统)。
结论：解决通常报告的障碍(相反，加强促进者）寻求帮助解决性问题对于确保患者得到适当支持至关重要。根据我们的结果,我们建议医疗保健专业人员将性健康讨论作为所有前列腺癌患者的标准护理，无论接受何种治疗,年龄,性取向,和伙伴关系地位/参与。
方法：遵循PRISMA指南，在Medline上进行系统搜索,PsychInfo,Embase,Emcare,和Scopus进行了鉴定成年前列腺癌患者治疗后的研究，报告了寻求性健康问题的障碍和/或促进者。使用乔安娜·布里格斯研究所的评估工具进行质量评估，并对结果进行定性合成。
结果：在3870个独特的结果中，只有30项研究符合纳入标准.总的来说,研究被认为是中等到良好的质量，尽管只有六个使用标准化措施来评估寻求帮助的行为。在生态系统框架的所有五个层面上都确定了寻求性帮助的障碍和促进者，包括年龄,治疗类型,和以前的帮助寻求经验(个人水平)，医疗保健专业沟通和合作伙伴支持(微系统)，财务成本和支持的可获得性(中观/外系统)，最后是尴尬，阳刚之气,文化规范,和性少数(宏观系统)。
结论：解决通常报告的障碍(相反，加强促进者）寻求帮助解决性问题对于确保患者得到适当支持至关重要。根据我们的结果,我们建议医疗保健专业人员将性健康讨论作为所有前列腺癌患者的标准护理，无论接受何种治疗,年龄,性取向,和伙伴关系地位/参与。
