Shell Judith A, Carolan Marsha, Zhang Ying, Meneses Karen Dow
Osceola Cancer Center, Kissimmee, FL, USA.
Oncol Nurs Forum. 2008 Jan;35(1):73-9. doi: 10.1188/08.ONF.73-79.
PURPOSE/OBJECTIVES: To examine changes in sexual functioning during treatment for lung cancer and the extent to which age, gender, social support, and mood status affect sexual dysfunction.
Prospective, exploratory.
Outpatient cancer clinic.
59 of 84 eligible patients diagnosed with small cell or non-small cell lung cancer.
The Derogatis Interview for Sexual Function, Self-Report, to measure sexual functioning; the Social Provisions Scale to measure social support; and the Derogatis Affects Balance Scale to measure mood status were administered at diagnosis and at two and four months during treatment.
Level of sexual function, treatment, age, gender, social support, and mood status.
Results indicate a decrease in sexual function but no significant change in sexual function between the two treatment groups. Age was a significant factor affecting sexual function. Gender significantly affected sexual function at time 2 only. Between times 1 and 2, mood status had a significant relationship with sexual function. Social support did not affect sexual function directly; social support was found to significantly affect mood status.
Most patients reported below-normal sexual function at baseline. Sexual function worsened over time. Further research is warranted to examine time, place, and type of intervention needed.
New data encourage assessment, intervention, and research related to the sexual function of patients with lung cancer.
目的/目标：研究肺癌治疗期间性功能的变化，以及年龄、性别、社会支持和情绪状态对性功能障碍的影响程度。
前瞻性、探索性研究。
门诊癌症诊所。
84名符合条件的诊断为小细胞或非小细胞肺癌的患者中的59名。
采用德罗加蒂斯性功能访谈自评量表来测量性功能；采用社会支持量表来测量社会支持；采用德罗加蒂斯情感平衡量表来测量情绪状态，在诊断时以及治疗期间的两个月和四个月时进行测评。
性功能水平、治疗、年龄、性别、社会支持和情绪状态。
结果表明性功能有所下降，但两个治疗组之间性功能无显著变化。年龄是影响性功能的一个重要因素。仅在第2次测评时性别对性功能有显著影响。在第1次和第2次测评之间，情绪状态与性功能有显著关系。社会支持并未直接影响性功能；研究发现社会支持对情绪状态有显著影响。
大多数患者在基线时报告性功能低于正常水平。性功能随时间恶化。有必要进行进一步研究以探讨所需干预的时间、地点和类型。
新数据鼓励对肺癌患者的性功能进行评估、干预和研究。
