Smida Safa, Bouchahda Rim, Guezguez Ameni, Regaya Meriem, Frigui Rim, Kaabia Ons, Khairi Hedi
Service de Gynéco-obstétrique, Centre Hôpital Universitaire Farhat Hached de Sousse, Sousse, Tunisie.
Service de Psychiatrie, Centre Hôpital Universitaire Fattouma Bourguiba de Monastir, Tunis, Tunisie.
Pan Afr Med J. 2021 Sep 15;40:38. doi: 10.11604/pamj.2021.40.38.29406. eCollection 2021.
Breast cancer is the most common neoplastic disease in women. Several treatment strategies are used: chemotherapy, radiotherapy, surgery and hormone therapy. Each of these treatments may affect sexual health of patients in the short or long term. The purpose of our study is to assess the quality of sexual life in women after breast cancer treatment. We made a quantitative descriptive estimate of 100 sexual active patients followed up for non-metastatic breast cancer, met during their consultations with a gynaecologist at the Farhat Hached hospital in Sousse. Data collection was carried out using an information sheet and two validated scales: RSS (relation Ship and sexual) and BESAA (Body EsteemScale for adolescents and Adults) to assess the quality of sexual life and body image. The average age of patients was 53.8 years. About half of patients (48%) had impaired sexuality due to the disease. The frequency of intercourse, sexual desire and the ability to reach orgasm were decreased in 65. 45, and 54 patients, respectively. The overall score for the three body image dimensions was 49.4. Women aged between 35 and 39 years were significantly more afraid of sexual intercourse (p=0.002) and less of sexual frequency (p=0.004). Adequate and enhanced training focused on the management of women with cancer and their sexual problems and multidisciplinary approach can improve women's psychological status.
乳腺癌是女性中最常见的肿瘤性疾病。目前采用了多种治疗策略:化疗、放疗、手术和激素治疗。这些治疗方法中的每一种都可能在短期或长期影响患者的性健康。我们研究的目的是评估乳腺癌治疗后女性的性生活质量。我们对100名患有非转移性乳腺癌且有性生活的患者进行了定量描述性评估,这些患者是在苏塞的法哈特·哈切德医院妇科门诊就诊时遇到的。数据收集使用了一份信息表和两个经过验证的量表:RSS(关系与性)量表和BESAA(青少年及成人体像量表),以评估性生活质量和身体形象。患者的平均年龄为53.8岁。约一半的患者(48%)因疾病出现了性功能障碍。分别有65、45和54名患者的性交频率、性欲和达到性高潮的能力下降。身体形象三个维度的总体得分是49.4。年龄在35至39岁之间的女性明显更害怕性交(p = 0.002),性交频率更低(p = 0.004)。针对癌症女性及其性问题管理的充分且强化的培训以及多学科方法可以改善女性的心理状态。