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乳腺癌女性的性生活质量

Sexual Quality of Life in Women with Breast Cancer.

作者信息

Brajkovic Lovorka, Sladic Petra, Kopilaš Vanja

机构信息

University of Zagreb, Zagreb, Croatia.

Faculty of Croatian Studies, Department of psychology, University of Zagreb, Zagreb, Croatia; Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia.

出版信息

Health Psychol Res. 2021 Jun 11;9(1):24512. doi: 10.52965/001c.24512. eCollection 2021.

Abstract

For women with breast cancer, sexual quality of life is one of the most disrupted aspects of life often associated with long-term physical and emotional difficulties. The main goal of this paper is to systematically review the literature to determine the level of sexual quality of life in women with breast cancer considering the individual and combined impact of grade, progression of the disease, type of treatment, body image, degree of depression, and anxiety, self-esteem, and social partner support and to determine whether the perception of the body, level of self-esteem and the presence of depressive and anxiety symptoms differ regarding different types of treatment or the level of partners' social support. Using the PRISMA method, all found literature published in electronic databases PubMed, EBSCO, and Hrcak were reviewed and resulted in 10 relevant scientific and review papers. The results showed that women with breast cancer reported disruption in their sexual quality of life. Among the types of treatment, mastectomy and chemotherapy proved to be the most important, while it is not possible to draw clear conclusions about degree and progression of the disease. Disturbed body image, depressive and anxiety symptoms, lower self-esteem, and inadequate social support of the partner are associated with a lower sexual quality of life. The discussion provides detailed explanations of these results and highlights implications for future research.

摘要

对于乳腺癌女性而言,性生活质量是生活中受影响最大的方面之一,常伴有长期的身体和情感困扰。本文的主要目的是系统回顾文献,以确定乳腺癌女性的性生活质量水平,考虑分级、疾病进展、治疗类型、身体形象、抑郁程度、焦虑、自尊以及社会伴侣支持的个体及综合影响,并确定身体认知、自尊水平以及抑郁和焦虑症状的存在在不同治疗类型或伴侣社会支持水平方面是否存在差异。使用PRISMA方法,对在电子数据库PubMed、EBSCO和Hrcak上发表的所有已发现文献进行了回顾,得出10篇相关的科学和综述论文。结果表明,乳腺癌女性报告其性生活质量受到干扰。在治疗类型中,乳房切除术和化疗被证明是最重要的,而关于疾病的程度和进展无法得出明确结论。身体形象形象紊乱、抑郁和焦虑症状、较低的自尊以及伴侣的社会支持不足与较低的性生活质量相关。讨论对这些结果提供了详细解释,并突出了对未来研究的启示。

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