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穿越的另一面:年轻乳腺癌幸存者的性与生殖健康需求谱

The Other Side of Through: Young Breast Cancer Survivors' Spectrum of Sexual and Reproductive Health Needs.

作者信息

Black Kristin Z, Eng Eugenia, Schaal Jennifer C, Johnson La-Shell, Nichols Hazel B, Ellis Katrina R, Rowley Diane L

机构信息

East Carolina University, Greenville, North Carolina, USA.

The University of North Carolina at Chapel Hill, North Carolina, USA.

出版信息

Qual Health Res. 2020 Nov;30(13):2019-2032. doi: 10.1177/1049732320929649. Epub 2020 Jun 18.

Abstract

The long-term reproductive health impact of cancer treatments is a concern for premenopausal women with a history of breast cancer. This study examined the unmet sexual and reproductive health needs of breast cancer survivors, as well as concordances and discordances in needs by childbearing status and race. We interviewed 17 women diagnosed with breast cancer between the ages of 18 and 45 years and living in North Carolina. To analyze these data, we used the method, a multidimensional qualitative analysis approach. We learned that breast cancer survivors (a) received limited reproductive health information, (b) desired realistic expectations of conceiving postcancer, (c) struggled with adjusting to their altered physical appearance, and (d) had menopause symptoms that led to sexual health and quality of life issues. Breast cancer survivors are in need of and desire more education and resources to address their sexual and reproductive health concerns.

摘要

癌症治疗对生殖健康的长期影响是有乳腺癌病史的绝经前女性所关注的问题。本研究调查了乳腺癌幸存者未得到满足的性健康和生殖健康需求,以及按生育状况和种族划分的需求的一致性和不一致性。我们采访了17名年龄在18至45岁之间、居住在北卡罗来纳州且被诊断患有乳腺癌的女性。为了分析这些数据,我们使用了主题分析法,这是一种多维度定性分析方法。我们了解到,乳腺癌幸存者(a)获得的生殖健康信息有限,(b)对癌症后怀孕抱有现实期望,(c)努力适应身体外观的改变,并且(d)出现了导致性健康和生活质量问题的更年期症状。乳腺癌幸存者需要并渴望获得更多教育和资源来解决她们的性健康和生殖健康问题。

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