Vermeer Willemijn M, Bakker Rinske M, Stiggelbout Anne M, Creutzberg Carien L, Kenter Gemma G, ter Kuile Moniek M
Department of Gynecology, Leiden University Medical Center, P.O. BOX 9600, 2300 RC, Leiden, The Netherlands,
Support Care Cancer. 2015 Mar;23(3):831-9. doi: 10.1007/s00520-014-2433-7. Epub 2014 Sep 14.
About half of the gynecological cancer (GC) survivors suffer from sexual dysfunctions and report a need for professional psychosexual support. The current study assessed (1) health care professionals' (HCP) current psychosexual support practices, (2) barriers to providing psychosexual support, and (3) HCP needs for training and assistance.
Semistructured interviews were conducted with gynecological oncologists (n = 10), radiation oncologists (n = 10), and oncology nurses involved in the treatment of GC (n = 10).
The majority of the professionals reported discussing sexuality at least once with each patient. An important reason for addressing sexual functioning was to reassure patients that it is normal to experience sexual concerns and give them an opportunity to discuss sexual issues. About half of the professionals provided specific suggestions. Patients were rarely referred to a sexologist. Barriers encountered by professionals in the provision of psychosexual support were embarrassment and lack of time. HCP suggestions for the facilitation of psychosexual support provision were skills training, an increased availability of patient information, and the standard integration of psychosexual support in total gynecological cancer care.
The majority of the professionals reported discussing sexuality at least once with every patient, but discussions of sexual functioning were often limited by time and attention. The development of comprehensive patient information about sexuality after GC is recommended as well as a more standard integration of psychosexual support in GC care and specific training.
约一半的妇科癌症（GC）幸存者存在性功能障碍，并表示需要专业的性心理支持。本研究评估了：（1）医护人员（HCP）当前的性心理支持实践；（2）提供性心理支持的障碍；（3）医护人员对培训和援助的需求。
对参与GC治疗的妇科肿瘤学家（n = 10）、放射肿瘤学家（n = 10）和肿瘤护士（n = 10）进行了半结构化访谈。
大多数专业人员报告称至少与每位患者讨论过一次性功能。讨论性功能的一个重要原因是让患者放心，出现性方面的担忧是正常的，并给他们一个讨论性问题的机会。约一半的专业人员提供了具体建议。很少将患者转介给性学家。专业人员在提供性心理支持时遇到的障碍是尴尬和缺乏时间。医护人员对促进性心理支持提供的建议是技能培训、增加患者信息的可获取性，以及将性心理支持标准纳入妇科癌症整体护理中。
大多数专业人员报告称至少与每位患者讨论过一次性功能，但对性功能的讨论往往受到时间和关注度的限制。建议制定关于GC后性方面的全面患者信息，以及将性心理支持更标准地纳入GC护理和进行特定培训。
