University of Wisconsin-Madison, School of Nursing, 600 Highland Ave., Madison, WI 53792-2455, USA.
Gynecol Oncol. 2012 Mar;124(3):477-89. doi: 10.1016/j.ygyno.2011.11.030. Epub 2011 Nov 28.
To identify physical, psychological and social sexual concerns reported by gynecological (GYN) cancer survivors.
A systematic review of the literature was conducted using CINAHL, PubMed and PsycInfo databases. Reference lists from articles provided additional relevant literature. Only research articles from peer-reviewed journals were included. A total of 37 articles were located; 34 explored women's sexual concerns following gynecological cancer diagnosis and treatment and 3 tested interventions for sexual concerns in women with gynecological cancer.
Sexual concerns were identified across all dimensions of sexuality. Common concerns in the physical dimension were dyspareunia, changes in the vagina, and decreased sexual activity. In the psychological dimension, common concerns were decreased libido, alterations in body image, and anxiety related to sexual performance. And in the social dimension, common concerns were difficulty maintaining previous sexual roles, emotional distancing from the partner, and perceived change in the partner's level of sexual interest. Of the three psychoeducational intervention studies, two reported improvements in physical aspects of sexual function, and one reported improved knowledge, but without resolution of sexual concerns.
Gynecological cancer survivors experience a broad range of sexual concerns after diagnosis and treatment, but the majority of studies emphasized physical aspects of sexuality, and may not adequately represent women's psychological and social sexual concerns. Health care providers should remain mindful of psychological and social sexual concerns when caring for gynecologic cancer survivors. Future research should systematically evaluate the full range of sexual concerns in large, representative samples of GYN cancer survivors and develop and test interventions to address those concerns.
确定妇科（GYN）癌症幸存者报告的身体、心理和社会性行为问题。
使用 CINAHL、PubMed 和 PsycInfo 数据库对文献进行系统综述。从文章提供的参考文献中找到了其他相关文献。仅包括来自同行评议期刊的研究文章。共找到了 37 篇文章；其中 34 篇探讨了妇科癌症诊断和治疗后女性的性问题，3 篇测试了妇科癌症女性性问题的干预措施。
性问题在性行为的所有维度都有被识别到。身体维度的常见问题是性交痛、阴道变化和性活动减少。在心理维度，常见问题是性欲下降、身体形象改变和与性表现相关的焦虑。在社会维度，常见问题是难以维持以前的性角色、与伴侣情感疏远以及感知伴侣性兴趣水平的变化。在三项心理教育干预研究中，有两项报告了性功能的身体方面的改善，一项报告了知识的提高，但没有解决性问题。
妇科癌症幸存者在诊断和治疗后会经历广泛的性行为问题，但大多数研究强调了性行为的身体方面，可能无法充分代表女性的心理和社会性行为问题。医疗保健提供者在照顾妇科癌症幸存者时应注意心理和社会性行为问题。未来的研究应在大型、代表性的妇科癌症幸存者样本中系统评估全面的性行为问题，并开发和测试解决这些问题的干预措施。
Zotero 插件