Rowlands Ingrid J, Lee Christina, Beesley Vanessa L, Webb Penelope M
Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia,
Support Care Cancer. 2014 Oct;22(10):2715-23. doi: 10.1007/s00520-014-2263-7. Epub 2014 May 6.
We examined whether sociodemographic, physical, reproductive, psychological and clinical factors at the time of diagnosis were related to women's sexual well-being 3-5 years following treatment for endometrial cancer.
Of the 1,399 women in the Australian National Endometrial Cancer Study, 644 completed a follow-up questionnaire 3-5 years after diagnosis. Of these, 395 women completed the Sexual-Function Vaginal Changes Questionnaire, which was used to assess sexual well-being. Based on two questions assessing worry and satisfaction with their sexuality, women were classified into lower and higher sexual well-being. Multivariable-adjusted logistic regression models were used to examine sexual well-being 3-5 years following cancer treatment and the factors associated with this at diagnosis and at follow-up.
Of the 395 women, 46 % (n = 181) were categorized into the "higher" sexual well-being group. Women who were older (odds ratio [OR] = 1.97; 95 % confidence limit [CI], 1.23-3.17), high school educated (OR = 1.75; 95 % CI, 1.12-2.73), who reported good mental health at the time of diagnosis (OR = 2.29; 95 % CI, 1.32-3.95) and whose cancer was treated with surgery alone (OR = 1.93; 95 % CI, 1.22-3.07) were most likely to report positive sexual well-being. At 3-5 years post-diagnosis, women with few symptoms of anxiety (OR = 2.28; 95 % CI, 1.21-4.29) were also most likely to report positive sexual well-being.
Psychological, sociodemographic and treatment factors are important to positive sexual well-being post-cancer. Care that focuses on maintaining physical and psychosocial aspects of women's lives will be more effective in promoting positive sexual well-being than care that focuses solely on physical function.
我们研究了子宫内膜癌诊断时的社会人口学、身体、生殖、心理和临床因素是否与女性在接受治疗3至5年后的性健康状况相关。
在澳大利亚全国子宫内膜癌研究中的1399名女性中，644人在诊断后3至5年完成了一份随访问卷。其中，395名女性完成了性功能阴道变化问卷，该问卷用于评估性健康状况。根据两个评估对自身性行为的担忧和满意度的问题，女性被分为性健康状况较低和较高两组。多变量调整逻辑回归模型用于研究癌症治疗后3至5年的性健康状况以及诊断时和随访时与之相关的因素。
在395名女性中，46%（n = 181）被归类为“性健康状况较高”组。年龄较大的女性（优势比[OR]=1.97；95%置信区间[CI]，1.23 - 3.17）、受过高中教育的女性（OR = 1.75；95% CI，1.12 - 2.73）、在诊断时报告心理健康状况良好的女性（OR = 2.29；95% CI，1.32 - 3.95）以及仅接受手术治疗癌症的女性（OR = 1.93；95% CI，1.22 - 3.07）最有可能报告积极的性健康状况。在诊断后3至5年，焦虑症状较少的女性（OR = 2.28；95% CI，1.21 - 4.29）也最有可能报告积极的性健康状况。
心理、社会人口学和治疗因素对癌症后的积极性健康状况很重要。关注维持女性生活的身体和心理社会方面的护理，在促进积极的性健康状况方面将比仅关注身体功能的护理更有效。
