Che Ya Siti Nuryati, Muhamad Rosediani, Mohd Zain Norhasmah, Zakaria Rosnani, Ishak Azlina, Hassan Intan Idiana, Ab Hadi Imisairi, Yahya Maya Mazuwin, Low Wah Yun, Liamputtong Pranee
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; BesTaRi Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Sex Med. 2021 Jun;9(3):100336. doi: 10.1016/j.esxm.2021.100336. Epub 2021 Mar 29.
Women' sexuality becomes complex after breast cancer diagnosis and sexual health is highly neglected in the management of the illness.
To explore the coping and strategies to overcome sexuality problems and sexual dysfunction among women with breast cancer.
Using the in-depth and photo-elicitation interview methods, this qualitative study following phenomenological analysis was conducted on fourteen married female respondents with breast cancer and had the positive result for female sexual dysfunction (FSD) screened by Female Sexual Function Index (FSFI-6 items) from Kelantan, Malaysia. The interviews data were audio-recorded, transcribed verbatim and managed in analytic computer software NVivo11 Pro. The transcriptions were analyzed using thematic analysis by referring to the meaning-making theory.
We identified overlapping themes of coping and strategies among women with breast cancer to overcome sexual problems and sexual dysfunction which correspond with meaning-making theory.
Three themes have emerged. Women with breast cancer that developed sexuality problem and sexual dysfunction strived to accept the illness using religious belief and conform by altering sexual practices. These individuals positively look for a solution by seeking formal healthcare advice, modify their physical appearance, active discussion with the husband and support from other survivors. A few of them passively struggle with the subject by averting the intimacy and receptive toward polygamy.
This study highlighted the various mechanisms that emphasized the pivotal role of religious belief and relationship context as key factors in the coping strategies among women with breast cancer in Malaysia. The finding may not be generalized to other countries. Che Ya SN, Muhamad R, Zain NM, et al. Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study. Sex Med 2021;9:100336.
乳腺癌确诊后女性的性取向变得复杂，而性健康在疾病管理中被严重忽视。
探讨乳腺癌女性应对和克服性问题及性功能障碍的策略。
采用深度访谈和照片引发访谈方法，对14名来自马来西亚吉兰丹州、患有乳腺癌且通过女性性功能指数（FSFI - 6项）筛查出女性性功能障碍（FSD）呈阳性结果的已婚女性受访者进行了这项遵循现象学分析的定性研究。访谈数据进行了录音、逐字转录，并在分析性计算机软件NVivo11 Pro中进行管理。通过参考意义建构理论，使用主题分析法对转录内容进行分析。
我们确定了乳腺癌女性应对和克服性问题及性功能障碍的重叠主题，这些主题与意义建构理论相符。
出现了三个主题。出现性问题和性功能障碍的乳腺癌女性努力通过宗教信仰接受疾病，并通过改变性行为习惯来顺应。这些人积极寻求解决方案，包括寻求正规医疗建议、改变外貌、与丈夫积极讨论以及获得其他幸存者的支持。其中一些人通过避免亲密行为和接受一夫多妻制来被动应对这个问题。
本研究强调了各种机制，这些机制强调宗教信仰和关系背景在马来西亚乳腺癌女性应对策略中的关键作用。该研究结果可能不适用于其他国家。Che Ya SN、Muhamad R、Zain NM等人。马来西亚乳腺癌马来女性性问题和性功能障碍的应对策略。一项定性研究。性医学2021；9：100336。
