Li Chia-Chun
School of Nursing, University of Texas at Austin, USA.
J Wound Ostomy Continence Nurs. 2009 May-Jun;36(3):288-96; quiz 297-8. doi: 10.1097/WON.0b013e3181a1a1ab.
A large number of patients undergoing surgery for rectal cancer experience construction of a colostomy and subsequent sexual dysfunction. However, sexual problems are easily neglected or concealed by patients, partners, and medical staff. This literature review explores sexual concerns, dysfunctions, and related factors that directly or indirectly influence sexuality after rectal cancer surgery, including gender differences, sexual orientation, sexual partners, and cultural beliefs. Results of this literature review suggest that additional research is needed that focuses on both anatomical and physiological changes after creation of a colostomy as well as psychological, gender based, and sociocultural factors affecting sexuality.
大量接受直肠癌手术的患者会经历结肠造口术及随后的性功能障碍。然而，性问题很容易被患者、伴侣及医护人员忽视或隐瞒。这篇文献综述探讨了直肠癌手术后直接或间接影响性功能的性方面的担忧、功能障碍及相关因素，包括性别差异、性取向、性伴侣及文化信仰。这篇文献综述的结果表明，需要开展更多研究，关注结肠造口术后的解剖学和生理学变化以及影响性功能的心理、性别和社会文化因素。
