Julien Jerelyn O, Thom Bridgette, Kline Nancy E
Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Oncol Nurs Forum. 2010 May;37(3):E186-90. doi: 10.1188/10.ONF.E186-E190.
PURPOSE/OBJECTIVES: To explore oncology nurses' attitudes about and knowledge of sexual health. Sexual health is an integral component of quality of life, which is an Oncology Nursing Society research priority.
A descriptive, cross-sectional design.
A National Cancer Institute-designated comprehensive cancer center in the northeastern United States.
A convenience sample of 576 RNs working in acute care, ambulatory, and perioperative services were approached during an annual mandatory training day.
Attitudes and beliefs about patients' sexual health assessment in nursing practice were evaluated with the Sexual Attitudes and Beliefs Survey and 10 demographic questions.
Oncology nurses' attitudes and beliefs regarding sexual health assessment of patients.
A statistically significant difference was found in scores based on age and nursing experience, whereby younger and less experienced nurses had higher scores, indicating greater discomfort in discussing sexual health with patients. Statistical significance also was found in scores based on oncology certification and practice setting, whereby oncology certified nurses and outpatient nurses identified fewer attitudinal barriers than noncertified nurses and nurses working in the inpatient setting.
The results suggest that this patient population may not be receiving a complete sexual health assessment.
Nurses in the sample believed that sexuality was not too private an issue to discuss with their patients and claimed to understand how disease and treatment may affect patients' sexuality. Nurses also believed that their patients should not expect nurses to ask about their sexual concerns and often defer to the physician for any sexually related questions.
目的/目标：探讨肿瘤护理人员对性健康的态度和知识。性健康是生活质量的一个重要组成部分，这是肿瘤护理协会的一项研究重点。
描述性横断面设计。
美国东北部一家由国家癌症研究所指定的综合癌症中心。
在年度强制培训日，对576名在急症护理、门诊和围手术期服务部门工作的注册护士进行了便利抽样。
使用性态度与信念调查问卷及10个人口统计学问题，评估护理实践中对患者性健康评估的态度和信念。
肿瘤护理人员对患者性健康评估的态度和信念。
根据年龄和护理经验得出的分数存在统计学上的显著差异，即年轻且经验较少的护士得分较高，表明在与患者讨论性健康时更不自在。根据肿瘤学认证和执业环境得出的分数也存在统计学显著性，即获得肿瘤学认证的护士和门诊护士比未获认证的护士及在住院部工作的护士识别出的态度障碍更少。
结果表明，这一患者群体可能未接受全面的性健康评估。
样本中的护士认为，性并非是一个过于私密而无法与患者讨论的问题，并声称了解疾病和治疗可能如何影响患者的性行为。护士们还认为，患者不应期望护士询问他们的性方面问题，而且在任何与性有关的问题上往往会听从医生的意见。
