Pirkanmaa Hospital District, Tampere University Hospital Heart Center, Kangasala, Finland.
Eur J Oncol Nurs. 2013 Feb;17(1):9-15. doi: 10.1016/j.ejon.2012.03.002. Epub 2012 Apr 16.
The aim of the research was to identify cancer patients who may have a greater need about sexuality-related information. The study explored the association between sexuality-related information need and socio-demographic factors, cancer type, types of cancer treatment, experienced adverse effects on sexuality, and changes experienced in relationships.
This study used a survey design. Questionnaires were distributed and completed by 505 patients, with a diversity of cancer diagnoses, treated at a university hospital in Finland in 2009 and 2010. Information needs were rated using the international and well validated Information Needs Questionnaire (INQ). Sosiodemographic factors, cancer type, treatments, experienced adverse effects on sexuality and changed experienced in relationships were measured by using another questionnaire.
Those patients with experiences of functional problems or other adverse effects on sexuality due to cancer or treatment found sexuality related information more important than those with no experiences of adverse effects on sexuality. Patients with experiences of weakened relationships due to cancer had greater information needs than those with experiences of strengthened relationships or no changes in relationships due to cancer.
Cancer patients should be asked whether cancer or treatment has caused problems in their sexuality and possible relationships. Patients who experience problems in their sexuality or relationships should be provided an opportunity to discuss the issues. The whole oncology team have a role to play in patient sexuality guidance. The items on the INQ could be used as a reference tool for exploring patients' information needs.
本研究旨在确定可能对与性相关信息有更大需求的癌症患者。该研究探讨了与性相关的信息需求与社会人口因素、癌症类型、癌症治疗类型、性方面的不良反应经历以及关系变化之间的关联。
本研究采用调查设计。2009 年至 2010 年,在芬兰的一所大学医院,对 505 名具有不同癌症诊断的患者发放并完成了问卷。使用国际上经过验证的信息需求问卷(INQ)来评估信息需求。使用另一个问卷测量社会人口因素、癌症类型、治疗、性方面的不良反应经历以及关系变化。
那些因癌症或治疗而出现性功能问题或其他性方面不良反应经历的患者,比没有性方面不良反应经历的患者更重视与性相关的信息。因癌症而导致关系减弱的患者比关系得到加强或因癌症而没有关系变化的患者有更大的信息需求。
应该询问癌症患者或治疗是否导致其在性行为和可能的关系方面出现问题。对于在性行为或关系方面存在问题的患者,应提供讨论这些问题的机会。整个肿瘤学团队在患者的性行为指导方面都有作用。INQ 的项目可以作为探索患者信息需求的参考工具。