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在癌症和姑息治疗中解决患者的性问题。

Addressing patient sexuality issues in cancer and palliative care.

机构信息

Senior Lecturer in Cancer, Palliative Care and End of Life Care, School of Health Care and Social Work Buckinghamshire New University, Uxbridge Campus, when this article was written. She is now Lead Nurse for Supportive and Palliative Care and Chaplaincy, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust.

Senior Lecturer, School of Health Care and Social Work, Buckinghamshire New University, Uxbridge Campus.

出版信息

Br J Nurs. 2021 May 27;30(10):S24-S28. doi: 10.12968/bjon.2021.30.10.S24.

DOI:10.12968/bjon.2021.30.10.S24
PMID:34037445
Abstract

The impact of cancer and subsequent treatments can have serious implications for patient sexuality, both physically and psychologically. Patients report inadequate communication and support from professionals in relation to sexual issues. The aim of this literature review was to ascertain the educational requirements of health professionals practising in oncology and palliative care, to enable effective assessment and support in this area of clinical practice. There appear to be numerous barriers preventing professionals from addressing patient sexuality-lack of knowledge and poor confidence levels being among the most common. Appropriate education is required to equip staff, and it appears that short training programmes can be effective. The use of sexuality assessment tools and information cards, and accessing information from cancer charity websites may improve clinical practice. Addressing sexuality concerns is the responsibility of each person in the multidisciplinary team. Patients require open discussion and professionals must skilfully address the topic of sexuality. Education in this area must be accessible, cost effective and sustainable.

摘要

癌症及后续治疗会对患者的性生活造成严重影响,无论是身体上还是心理上。患者报告说,他们在性问题方面与专业人员的沟通和支持不足。本文献回顾的目的是确定从事肿瘤学和姑息治疗的卫生专业人员的教育要求,以便在这一临床实践领域进行有效的评估和支持。有许多障碍似乎使专业人员无法解决患者的性问题,其中最常见的是缺乏知识和信心不足。需要进行适当的教育来培训员工,而且似乎短期培训计划可能会有效。使用性行为评估工具和信息卡,并从癌症慈善机构的网站获取信息,可以改善临床实践。解决性问题是多学科团队中每个人的责任。患者需要进行开放的讨论,专业人员必须巧妙地处理性问题。这一领域的教育必须是可及的、具有成本效益的和可持续的。

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