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Bei Langzeit\u00fcberlebenden eines Prostatakarzinoms (PCa) kann das Autonomieerleben durch altersassoziierte Einschr\u00e4nkungen und therapiebedingte Belastungen beeintr\u00e4chtigt sein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Erfassung der wahrgenommenen Autonomie bei PCa-Langzeit\u00fcberlebenden und Analyse soziodemographischer, klinischer und psychosozialer Einflussfaktoren.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>Querschnittanalyse im Rahmen des deutschen Forschungsprojekts \u201eFamili\u00e4res Prostatakarzinom\u201c. Es wurden 2143 PCa-Langzeit\u00fcberlebende (mittleres Alter: 80\u00a0Jahre) nach radikaler Prostatektomie eingeschlossen. Die wahrgenommene Autonomie wurde mittels eines Items der Skala \u201ewahrgenommene Autonomie im Alter\u201c (WAA) erfasst. Es erfolgte eine dichotome Auswertung in \u201eeher autonom\u201c vs. \u201eeher nicht autonom\u201c. Die Auswertung umfasste soziodemographische, klinische und psychosoziale Parameter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Als \u201eeher autonom\u201c stuften sich 86\u202f% der Befragten ein. Eine geringere wahrgenommene Autonomie war signifikant mit h\u00f6herem Alter, niedrigem Bildungsniveau, schlechterer wahrgenommener wirtschaftlicher Situation, aktueller PCa-Therapie, niedrigeren Lebensqualit\u00e4t, niedrigerem subjektivem Wohlbefinden, Progredienzangst und fehlender Internetnutzung assoziiert (alle\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090,001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Die Autonomiewahrnehmung bleibt bei vielen PCa-Patienten, die die Krankheit \u00fcberlebt haben, langfristig erhalten, ist jedoch durch verschiedene beeinflussbare Faktoren gef\u00e4hrdet. Die Ergebnisse liefern Ansatzpunkte f\u00fcr eine patientenzentrierte, ressourcenorientierte Langzeitversorgung.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00120-026-02854-z","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T12:27:39Z","timestamp":1780662459000},"page":"1066-1072","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wahrgenommene Autonomie bei Prostatakarzinom-Langzeit\u00fcberlebenden","Perceived autonomy of long-term prostate cancer survivors"],"prefix":"10.1007","volume":"65","author":[{"given":"Cornelia","family":"Peter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Kathrin","family":"Christmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilly J.","family":"Schmalbrock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Schiele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen E.","family":"Gschwend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Dinkel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Herkommer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"2854_CR1","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","volume":"85","author":"NK Aaronson","year":"1993","unstructured":"Aaronson\u00a0NK, Ahmedzai\u00a0S, Bergman\u00a0B et\u00a0al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. 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