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护士对癌症患者情感和性生活的认知与态度

[Perceptions and attitudes of nurses on emotional and sexual lives of cancer patients].

作者信息

Mbalè Eugénie, D'Hondt Lionel, Vastrade Christelle, Coppieters Yves

机构信息

Centre de recherches politiques et systèmes de santé, École de Santé Publique, Université libre de Bruxelles (ULB), route de Lennik 808, 1070 Bruxelles, Belgique.

CHU UCL Namur (site Godinne), service d'oncologie, rue G.-Thérasse 1, 5530 Yvoir, Belgique.

出版信息

Bull Cancer. 2020 Dec;107(12):1233-1240. doi: 10.1016/j.bulcan.2020.06.012. Epub 2020 Oct 14.

Abstract

INTRODUCTION

Despite the frequency of sexual issues during cancer care, the majority of nurses do not bring up the topic with their patients. The purpose of this study is to encourage nurses in oncology and hematology units on how to better participate in the assessment of the well-being of cancer patients as part of their sexual health.

METHODS

Using an interview guide, we conducted a qualitative study by interviewing twenty nurses working in the Oncology and Hematology Units of four Belgian hospitals. The twenty semi-structured interviews were transcribed, and we performed a content analysis of the data collected.

RESULTS

Sexuality is still a taboo topic, sexual dysfunction is undervalued, nurses lack knowledge on the topic which create many barriers to sexual health assessment. Obstacles are intrinsic or extrinsic towards nurses: prejudices, embarrassment, lack of evaluation tools, lack of support, resources, the environment is not always adequate. This is linked to the lack of knowledge of side effects of treatments, the lack of know-how, well-being and reflexivity. The assessment of sexual health is however part of their role. Nurses would like to have tools and better education to address the various shortcoming on how to address sexual health.

CONCLUSION

Nurses must acknowledge the existence of sexual health issues in cancer patients by rectifying their perceptions of sexuality, improving their knowledge and management of care, by addressing the issue of sexual health early enough.

摘要

引言

尽管在癌症治疗期间性问题很常见,但大多数护士并未与患者提及这一话题。本研究的目的是鼓励肿瘤学和血液学科室的护士更好地参与对癌症患者性健康状况的评估,将其作为患者整体健康状况评估的一部分。

方法

我们使用访谈指南,对比利时四家医院肿瘤学和血液学科室的20名护士进行访谈,开展了一项定性研究。对这20次半结构化访谈进行了转录,并对收集到的数据进行了内容分析。

结果

性仍然是一个禁忌话题,性功能障碍未得到重视,护士缺乏关于该话题的知识,这给性健康评估造成了诸多障碍。这些障碍对护士来说既有内在的也有外在的:偏见、尴尬、缺乏评估工具、缺乏支持和资源,环境往往也不合适。这与对治疗副作用的知识缺乏、技能不足、健康意识和反思能力有关。然而,性健康评估是他们职责的一部分。护士希望获得工具和更好的培训,以弥补在处理性健康问题方面的各种不足。

结论

护士必须通过纠正对性的认知、提高护理知识和管理水平,尽早处理性健康问题,从而认识到癌症患者存在性健康问题。

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