Leung Margaret W, Goldfarb Shari, Dizon Don S
Kaiser Permanente, 1600 Eureka Road, Roseville, CA, 95661, USA.
Memorial Sloan Kettering Cancer Center, Breast and Imaging Center, 300 East 66th St., New York City, NY, 10065, USA.
Curr Oncol Rep. 2016 Feb;18(2):11. doi: 10.1007/s11912-015-0497-2.
Treatment-related sexual complications are common in cancer patients although rarely discussed in the palliative care setting. Sexuality is an important survivorship issue and remains relevant even in the terminal setting. There are multiple barriers in dialoguing about intimacy and sexual functioning from the patient and provider perspectives. Palliative care providers, while not expected to be sexual health experts, can provide comprehensive patient-centered care by including sexual health as part of their evaluation. They can explore how sexual dysfunction can impair functioning and utilize an interdisciplinary approach to manage symptoms. Palliative care providers can help patients identify their goals of care and explore what anticipated sexual changes and treat-related side effects are tolerable and intolerable to the patient's quality of life. Principles on addressing sexuality in the palliative setting and practical ways of incorporating sexual history into the palliative care assessment are provided.
与治疗相关的性并发症在癌症患者中很常见，尽管在姑息治疗环境中很少被讨论。性是一个重要的生存问题，即使在晚期阶段也仍然相关。从患者和提供者的角度来看，在讨论亲密关系和性功能方面存在多个障碍。姑息治疗提供者虽然不被期望成为性健康专家，但可以通过将性健康纳入其评估内容，提供以患者为中心的全面护理。他们可以探讨性功能障碍如何影响身体机能，并采用跨学科方法来管理症状。姑息治疗提供者可以帮助患者确定其护理目标，并探讨哪些预期的性变化和与治疗相关的副作用对患者的生活质量来说是可以忍受的和无法忍受的。本文提供了在姑息治疗环境中解决性问题的原则以及将性病史纳入姑息治疗评估的实用方法。
