Chow Ka Ming, Chan Carmen W H, Law Bernard M H
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Cancers (Basel). 2021 Apr 1;13(7):1654. doi: 10.3390/cancers13071654.
Patients treated for gynaecological cancer (GC) generally experience impaired sexual function. Research on their sexual life experiences and perceptions on the sexuality care they receive is warranted. This study aimed to examine the perceptions of Chinese patients treated for GC regarding the effects of cancer treatment on their sexual function and femininity, their relationships with their partners, and the adequacy of the sexual information received from healthcare professionals during treatment. Individual, semi-structured interviews were conducted with 21 Chinese patients treated for GC, collecting data on their perceptions regarding the effects of cancer treatment on their sexual lives, femininity, and relationships with partners; and their views about the quality of sexuality care received. Data were analysed using content analysis. Participants experienced impaired sexual function, reduced sex drive, and expressed dissatisfaction with their sex lives. They perceived a loss of femininity and poor body image. They desired more information about how to address sexual problems and opted to receive this information from female healthcare professionals in individual counselling sessions during which the professionals could initiate such discussions. Overall, Chinese patients treated for GC have concerns about multiple sexual issues and a strong desire for information about strategies to address these issues. Nurse-led interventions should be implemented via a shared care approach to enhance patients' awareness about managing their sexual and psychological symptoms.
接受妇科癌症(GC)治疗的患者通常会出现性功能障碍。有必要对她们的性生活经历以及对所接受的性健康护理的看法进行研究。本研究旨在调查接受GC治疗的中国患者对癌症治疗对其性功能和女性特质的影响、她们与伴侣的关系以及治疗期间从医护人员那里获得的性信息是否充分的看法。对21名接受GC治疗的中国患者进行了个体半结构式访谈,收集了关于她们对癌症治疗对其性生活、女性特质以及与伴侣关系的影响的看法的数据;以及她们对所接受的性健康护理质量的看法。采用内容分析法对数据进行分析。参与者经历了性功能障碍、性欲降低,并对自己的性生活表示不满。她们感觉失去了女性特质,身体形象不佳。她们希望获得更多关于如何解决性问题的信息,并选择在个体咨询 session 中从女性医护人员那里获取此类信息,在此类咨询中,专业人员可以发起此类讨论。总体而言,接受GC治疗的中国患者对多个性问题感到担忧,并强烈希望获得有关解决这些问题策略的信息。应由护士主导通过共享护理方法实施干预措施,以提高患者对管理其性症状和心理症状的认识。