Bae Hyewoo, Park Hyojung
Division of Nursing Science, College of Health Sciences, Ewha Womans University, 52 Ewhayeodaegil , Seodaemoon-Ku, Seoul, 120-750, Republic of Korea.
Support Care Cancer. 2016 Mar;24(3):1277-83. doi: 10.1007/s00520-015-2918-z. Epub 2015 Aug 26.
The purpose of this study was to examine the level of sexual function, depression, and quality of life in cervical cancer patients.
This descriptive, correlational, cross-sectional study was conducted at E Hospital, Seoul. A total of 137 women diagnosed with cervical cancer completed a structured questionnaire. Sexual function was measured with the Female Sexual Function Index (FSFI), depression with the Hospital Anxiety and Depression Scale (HADS), and quality of life with the Functional Assessment of Cancer Therapy-General version 4 (FACT-G). Descriptive statistics, ANOVA, Scheffé's tests, and Pearson correlations were computed with SPSS Win 21.0.
The participants experienced sexual dysfunction (4.83 ± 4.16) and moderate to severe depression (11.08 ± 5.06). The mean score of quality of life was 57.33 ± 8.47. Sexual function had a negative relationship with depression, while having a positive one with quality of life (p < .001). Also, in relation with subcategories of quality of life, sexual function was positively correlated with physical well-being, social well-being, and functional well-being (p = .001), but not with psychological well-being (p = .223).
This study showed that cervical cancer patients with lower sexual function tended to have lower quality of life and higher levels of depression. Thus, clinical nurses should develop and implement interventions to enhance sexual function for patients diagnosed with cervical cancer.
本研究旨在调查宫颈癌患者的性功能水平、抑郁程度和生活质量。
本描述性、相关性横断面研究在首尔E医院进行。共有137名被诊断为宫颈癌的女性完成了一份结构化问卷。性功能采用女性性功能指数(FSFI)进行测量,抑郁采用医院焦虑抑郁量表(HADS)进行测量,生活质量采用癌症治疗功能评估通用版4(FACT-G)进行测量。使用SPSS Win 21.0进行描述性统计、方差分析、谢费检验和皮尔逊相关性分析。
参与者存在性功能障碍(4.83±4.16)和中度至重度抑郁(11.08±5.06)。生活质量的平均得分为57.33±8.47。性功能与抑郁呈负相关,与生活质量呈正相关(p<0.001)。此外,就生活质量的子类别而言,性功能与身体幸福感、社会幸福感和功能幸福感呈正相关(p = 0.001),但与心理幸福感无关(p = 0.223)。
本研究表明,性功能较低的宫颈癌患者往往生活质量较低且抑郁程度较高。因此,临床护士应制定并实施干预措施,以提高被诊断为宫颈癌患者的性功能。