Burns M, Costello J, Ryan-Woolley B, Davidson S
Nurse Learning & Development Unit, Christie Hospital NHS Trust, Manchester, UK.
Eur J Cancer Care (Engl). 2007 Jul;16(4):364-72. doi: 10.1111/j.1365-2354.2006.00743.x.
Cancer survivorship has become a major issue due to people living longer with the effects of cancer treatment. A key issue in this area are the 'iatrogenic effects' of cancer treatments and their adverse impact on the quality of long-term patient survival. This paper considers the late physical effects of treatment for cervical cancer, in particular psychosocial problems associated with sexuality. The aim of this paper was to explore women's sexuality following treatment for cervical cancer. A qualitative phenomenological design was used to explore the lived experiences of a purposive sample of 13 women 2-3 years after treatment, using in-depth interviewing. The findings demonstrate that cancer treatment can result in a number of late physical effects, including bladder and bowel dysfunction. Moreover, the physical problems led to sexual difficulties experienced several years after treatment. Concerns were expressed by patients about perceived psychosexual difficulties encountered as a result of treatment. In conclusion, the study raises issues associated with the management of late treatment effects and its impact on sexuality. The findings underline the need for effective communication of possible iatrogenic effects of treatment during follow-up care and a need for research to consider the advice and information that women require about long-term treatment effects.
由于癌症患者在接受治疗后生存期延长，癌症幸存者问题已成为一个重大问题。该领域的一个关键问题是癌症治疗的“医源性效应”及其对患者长期生存质量的不利影响。本文探讨宫颈癌治疗的晚期身体影响，特别是与性相关的心理社会问题。本文的目的是探究宫颈癌治疗后女性的性功能情况。采用定性现象学设计，通过深度访谈，对13名在治疗后2至3年的女性进行有目的抽样，以探究她们的生活经历。研究结果表明，癌症治疗会导致一些晚期身体影响，包括膀胱和肠道功能障碍。此外，身体问题导致治疗数年后出现性功能障碍。患者对治疗后出现的心理性问题表示担忧。总之，该研究提出了与晚期治疗效果管理及其对性功能影响相关的问题。研究结果强调，在后续护理中需要有效沟通治疗可能产生的医源性效应，并且需要开展研究，考虑女性所需的关于长期治疗效果的建议和信息。
