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台湾妇科癌症患者治疗后性表达的转变

Transformation of Sexual Expression in Taiwanese Women After Treatment for Gynecological Cancer.

作者信息

Lee Jian Tao, Lin Helene H, Tsai Jia Ling, Chen Ching-Ping, Huang Kuan-Gen, Lien Angela Shin-Yu

机构信息

Author Affiliations: School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan (Dr Lee, Mss Tsai and Lien); Department of Psychology, Soochow University, Taipei (Dr Lin); School of Nursing, Chang Gung University of Science and Technology, Tao-Yuan (Ms Chen); and Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan (Dr Huang).

出版信息

Cancer Nurs. 2015 Nov-Dec;38(6):475-83. doi: 10.1097/NCC.0000000000000224.

DOI:10.1097/NCC.0000000000000224
PMID:25629893
Abstract

BACKGROUND

Understanding the sexual experience of women after gynecological cancer is important for nurses caring for this population. Sexual experience should be studied within women's sociocultural context because it influences the construction of sex. However, the sexual experience of Chinese women after gynecological cancer has not been examined qualitatively.

OBJECTIVE

The aim of this study is to explore the sexual experience of Taiwanese women after treatment for gynecological cancer.

METHODS

Data for this phenomenological study were collected during in-depth, semistructured interviews with 11 women purposively recruited from outpatients of the gynecological clinic of a medical center in northern Taiwan. Interview data were analyzed using the Colaizzi method.

RESULTS

Data analysis yielded 4 themes: (1) suffering from sexual changes and difficulties, (2) judgments and uncertainty about the appropriateness of sexual behavior, (3) maintenance and transformation of sexual expression, and (4) reinterpretation and reaffirmation of feminine value.

CONCLUSIONS

This woman-centered view of the sexual experience of Taiwanese gynecological cancer survivors can help healthcare professionals understand and educate Chinese and Asian clients about women's sexual expression during and after cancer treatment.

IMPLICATIONS FOR PRACTICE

This woman-centered view of the sexual experience of Taiwanese gynecological cancer survivors can help healthcare professionals understand and educate women about possible alternative ways of sexual expression during and after cancer treatment.

摘要

背景

了解妇科癌症患者术后的性体验对于护理这一群体的护士而言至关重要。性体验应在女性的社会文化背景中进行研究,因为它会影响性观念的形成。然而,尚未对中国妇科癌症患者术后的性体验进行定性研究。

目的

本研究旨在探讨台湾妇科癌症患者术后的性体验。

方法

本现象学研究的数据通过对11名从台湾北部一家医疗中心妇科门诊特意招募的女性进行深入的半结构式访谈收集。访谈数据采用Colaizzi法进行分析。

结果

数据分析得出4个主题:(1)遭受性变化与困难;(2)对性行为适当性的判断与不确定性;(3)性表达的维持与转变;(4)对女性价值的重新诠释与肯定。

结论

这种以女性为中心的台湾妇科癌症幸存者性体验观点有助于医护人员理解并向中国及亚洲患者传授癌症治疗期间及之后女性的性表达。

对实践的启示

这种以女性为中心的台湾妇科癌症幸存者性体验观点有助于医护人员理解并向女性传授癌症治疗期间及之后性表达的可能替代方式。

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