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宫颈癌治疗后的性功能障碍。

Sexual dysfunction after cervical cancer treatment.

机构信息

Universidade Federal de Pernambuco, Programa de Pós-Graduação em Saúde Coletiva, Recife, PE, Brasil.

Instituto de Medicina Integral Professor Fernando Figueira, Programa de Pós-Graduação em Saúde Materno Infantil, Recife, PE, Brasil.

出版信息

Rev Esc Enferm USP. 2020 Nov 27;54:e03636. doi: 10.1590/S1980-220X2019029903636. eCollection 2020.

DOI:10.1590/S1980-220X2019029903636
PMID:33263665
Abstract

OBJECTIVE

To describe the sociodemographic and clinical characteristics and those related to the sexual life, and to identify sexual dysfunction in women after cervical cancer treatment.

METHOD

Cross-sectional study including women aged ≥18 years and completion of the three-month treatment. Two instruments were used: form with sociodemographic, clinical and sexual life-related information; and the Female Sexual Function Index to assess the sexual function of sexually active participants, with score values ≤26 classified as sexual dysfunction. Descriptive statistics was used to check associations through the Mann-Whitney test and Pearson's chi-square test or Fisher's exact test.

RESULTS

Out of a total of 46 women, 15 (32.61%) had sexual intercourse after treatment and eight had an indication of sexual dysfunction (score 21.66; standard deviation=7.06). The types of treatment (p=0.03) and of radiotherapy (p=0.01), in addition to the staging of the disease (p=0.02) interfered with the sexual function. The most affected domains of the Female Sexual Function Index were lubrication (p=0.03) and pain (p=0.04).

CONCLUSION

Sexual dysfunction was present in women studied and had a negative impact on quality of life.

摘要

目的

描述宫颈癌治疗后女性的社会人口学和临床特征以及与性生活相关的特征,并确定其性功能障碍情况。

方法

本横断面研究纳入了年龄≥18 岁且完成三个月治疗的女性。使用了两种工具:一份包含社会人口学、临床和性生活相关信息的表格;以及女性性功能指数,用于评估有性生活的参与者的性功能,得分值≤26 被归类为性功能障碍。使用描述性统计数据通过曼-惠特尼检验和皮尔逊卡方检验或 Fisher 确切检验检查关联。

结果

在总共 46 名女性中,有 15 名(32.61%)在治疗后有过性行为,有 8 名存在性功能障碍的迹象(得分 21.66;标准差=7.06)。治疗类型(p=0.03)和放疗(p=0.01),以及疾病分期(p=0.02)都对性功能产生了影响。女性性功能指数受影响最严重的领域是润滑(p=0.03)和疼痛(p=0.04)。

结论

研究中的女性存在性功能障碍,这对生活质量产生了负面影响。

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