a Department of Psychology , University of Southern Denmark , Odense , Denmark.
b Department of Gynecology , Odense University Hospital and The Clinical Institute, Faculty of Health Science, University of Southern Denmark , Odense , Denmark.
Acta Oncol. 2019 May;58(5):769-775. doi: 10.1080/0284186X.2019.1566774. Epub 2019 Feb 6.
Sexual dysfunction and problems are common late effects after treatment of cancer. However, little is known about the prevalence and risk factors for sexual dysfunction in patients with advanced cancer. The aim of this study was to investigate the prevalence and predictors of sexual problems and needs in a large sample of Danish patients with advanced cancer. The data derived from a representative cross-sectional study of patients with advanced cancer. Patients who had been in contact with 1 of 54 hospital departments were invited to fill out a questionnaire on symptoms and problems. Five items asked about sexuality. Ordinal logistic regression was used to identify variables associated with sexual functioning in explorative analyses. A total of 1,447 patients completed the questionnaire and of those, 961 patients (66%) completed the sexuality items. More than half of the patients (60%) had not been sexually active within the previous month, despite a high prevalence of desire for sexual intimacy (62%). More than half of the patients (57%) experienced that their physical condition or treatment had impaired their sex life. Of those, 52% experienced an unmet need for help with sexual problems from the health care system. Older patients were less likely to report sexual problems than younger patients. Having prostate or gynecologic cancer was associated with the feeling that one's sexual life was negatively influenced. Sexual problems are common among patients with advanced cancer and should be addressed by the health care system.
性功能障碍和问题是癌症治疗后的常见晚期效应。然而，对于晚期癌症患者性功能障碍的患病率和风险因素知之甚少。本研究旨在调查丹麦大量晚期癌症患者中性功能问题和需求的患病率和预测因素。数据来自于对 54 个医院科室的患者进行的代表性横断面研究。与 1 个科室接触过的患者被邀请填写一份关于症状和问题的问卷。问卷中有 5 个项目涉及到性行为。有序逻辑回归用于识别探索性分析中与性功能相关的变量。共有 1447 名患者完成了问卷，其中 961 名患者（66%）完成了与性行为相关的项目。尽管大多数患者（62%）有性亲密的欲望，但超过一半的患者（60%）在过去一个月内没有进行过性行为。超过一半的患者（57%）表示他们的身体状况或治疗影响了他们的性生活。其中，52%的患者表示他们对性问题需要得到医疗系统的帮助，但这一需求未得到满足。与年轻患者相比，老年患者报告性功能问题的可能性较小。患有前列腺癌或妇科癌症的患者更有可能感到自己的性生活受到负面影响。
性功能障碍在晚期癌症患者中很常见，应得到医疗系统的关注。
