男性在勃起功能障碍治疗中的经验和决策：定性证据综合
Men's Experiences and Decision-Making in Erectile Dysfunction Treatment: A Qualitative Evidence Synthesis.
摘要(中文译文)
本文呈现了一项定性证据综合研究，旨在探讨男性在勃起功能障碍（ED）方面的临床体验、心理社会挑战以及围绕求助和治疗决策的过程。研究结果表明，ED会影响关系体验、自尊、心理社会健康以及求助行为。通过Scopus、PubMed和PsycINFO检索到的研究进行了定性综合，重点关注成年男性在ED、病情披露、治疗参与和决策方面的体验。本综述方案未进行前瞻性注册。检索于2026年3月进行，纳入的研究涵盖了多样化的临床情境，包括普通ED诊疗、糖尿病诊疗、癌症幸存者照护和心血管康复。共纳入8项定性研究，涉及209名参与者，归纳出四大主题：男性气质、污名与自我沉默；影响求助与披露的关系性后果；医疗沟通作为照护的障碍或促进因素；以及治疗权衡、依从性与可接受性。男性常报告ED对情绪健康和求助行为产生负面影响。披露和求助方面的延迟与犹豫被归因于害怕被评判、缺乏支持以及对信心和自尊的负面影响。参与者重视医疗专业人员尊重的沟通方式，并偏好包含关系支持的支持性、个体化方案。寻求治疗的决定不仅受感知疗效的影响，还受副作用、情感负担、关系顾虑和沟通体验的影响。对研究结果的解读应考虑纳入研究数量有限以及仅限英文发表文献的局限性。这些发现提示，ED照护应纳入尊重患者、对污名敏感的沟通方式以及个体化咨询，以促进患者寻求治疗并改善治疗参与。
Abstract
This paper presents a qualitative evidence synthesis investigating men's clinical experiences, psychosocial challenges, and decision-making related to help-seeking and treatment for erectile dysfunction (ED). The findings suggest that ED affects relationship experiences, self-esteem, psychosocial well-being, and help-seeking behaviors. Studies identified through Scopus, PubMed, and PsycINFO were synthesized qualitatively, focusing on adult men's experiences of ED, disclosure, treatment engagement, and decision-making. The review protocol was not prospectively registered. Searches were conducted in March 2026, and the included studies represented diverse clinical contexts, including general ED care, diabetes care, cancer survivorship, and cardiovascular rehabilitation. Eight qualitative studies involving 209 participants were included, and four major themes emerged: masculinity, stigma, and self-silencing; relational consequences influencing help-seeking and disclosure; healthcare communication as a barrier or facilitator to care; and treatment trade-offs, adherence, and acceptability. Men frequently reported negative effects on emotional well-being and help-seeking behaviors due to ED. Delay and hesitation in disclosure and help-seeking were attributed to fear of judgment, lack of support, and negative effects on confidence and self-esteem. Participants valued respectful communication from healthcare professionals and preferred supportive, individualized approaches that included relationship support. Decisions to seek treatment were influenced not only by perceived effectiveness but also by side effects, emotional burden, relationship concerns, and communication experiences. The findings should be interpreted with consideration of the limited number of included studies and the restriction to English-language publications. These findings suggest that ED care should incorporate respectful, stigma-sensitive communication and individualized counseling to facilitate treatment-seeking and improve treatment engagement.
如何引用
AMA
Anayat Ullah, Amer K Hussain, Taha Chaudhry. Men's Experiences and Decision-Making in Erectile Dysfunction Treatment: A Qualitative Evidence Synthesis.. Cureus. 2026; doi:10.7759/cureus.111413.
APA
Anayat Ullah, Amer K Hussain, Taha Chaudhry (2026). Men's Experiences and Decision-Making in Erectile Dysfunction Treatment: A Qualitative Evidence Synthesis.. Cureus. https://doi.org/10.7759/cureus.111413
GB/T 7714
Anayat Ullah, Amer K Hussain, Taha Chaudhry. Men's Experiences and Decision-Making in Erectile Dysfunction Treatment: A Qualitative Evidence Synthesis.[J]. Cureus, 2026 doi:10.7759/cureus.111413.
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