Hatta Sidi, Woon Luke Sy-Cherng, Nik Sumayyah Nik Mohd Nor, Mohamad Nasir Shafiee
Department of Psychiatry, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Department of Obstetrics and Gynecology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Front Psychiatry. 2021 Sep 28;12:744922. doi: 10.3389/fpsyt.2021.744922. eCollection 2021.
Marital issues among gynecologic cancer survivors are common but complex. This study aimed to investigate the relationship between sociodemographic and clinical factors, including sexual dysfunction and marital satisfaction among Malaysian gynecologic cancer survivors. A cross-sectional survey of married women with gynecologic cancers was conducted at a Malaysian university hospital. Sociodemographic and clinical data were gathered. Sexual dysfunction was measured using the Malay Version Female Sexual Function Index (MVFSFI), while marital satisfaction was evaluated with the Malay Version Golombok Rust Inventory for Marital Satisfaction (MVGRIMS). A total of 116 patients participated in this study. The median age was 59.0 years (Interquartile range, IQR: 49.0-67.0 years); the median duration of marriage was 32 years (IQR: 20.0-40.8 years). 80.2% had a secondary and lower level of education. 37.9% of study subjects ( = 44) reported poor-and below-levels of marital satisfaction, which was equivalent to MVGRIMS transformed scores of >5. The median FSFI total score was 49.9 (IQR: 2.0-63.0). MVGRIMS transformed score correlated significantly with all MVFSFI sub-scores. In logistic regression, lower educational levels were associated with poor marital satisfaction [primary, (adjusted Odds Ratio) aOR = 12.67, 95% CI: 1.40-114.87; secondary: aOR = 11.52, 95% CI: 1.39-95.72], while higher MVFSFI total score reduced the likelihood of poor marital satisfaction (aOR = 0.979, 95% CI: 0.964-0.994). Both sexual dysfunction and low education level may affect marital satisfaction among gynecologic cancer survivors. Targeted efforts focusing on sex education for patients may help to improve marital satisfaction.
妇科癌症幸存者中的婚姻问题很常见但很复杂。本研究旨在调查社会人口学和临床因素之间的关系，包括马来西亚妇科癌症幸存者的性功能障碍和婚姻满意度。在一家马来西亚大学医院对患有妇科癌症的已婚女性进行了横断面调查。收集了社会人口学和临床数据。使用马来语版女性性功能指数（MVFSFI）测量性功能障碍，同时用马来语版婚姻满意度戈伦伯克-拉斯特量表（MVGRIMS）评估婚姻满意度。共有116名患者参与了本研究。中位年龄为59.0岁（四分位间距，IQR：49.0 - 67.0岁）；中位婚姻持续时间为32年（IQR：20.0 - 40.8年）。80.2%的人受教育程度为中学及以下。37.9%的研究对象（n = 44）报告婚姻满意度差及以下水平，这相当于MVGRIMS转换分数>5。FSFI总分的中位数为49.9（IQR：2.0 - 63.0）。MVGRIMS转换分数与所有MVFSFI子分数均显著相关。在逻辑回归中，较低的教育水平与较差的婚姻满意度相关[小学，（调整后比值比）aOR = 12.67，95%置信区间：1.40 - 114.87；中学：aOR = 11.52，95%置信区间：1.39 - 95.72]，而较高的MVFSFI总分降低了婚姻满意度差的可能性（aOR = 0.979，95%置信区间：0.964 - 0.994）。性功能障碍和低教育水平都可能影响妇科癌症幸存者的婚姻满意度。针对患者的性教育的有针对性努力可能有助于提高婚姻满意度。
