Chow Ka Ming, Porter-Steele Janine, Siu Ka Yi, Choi Kai Chow, Chan Carmen W H
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR.
Choices Programme, The Wesley Hospital, Auchenflower, Queensland, Australia.
J Adv Nurs. 2022 May;78(5):1503-1512. doi: 10.1111/jan.15208. Epub 2022 Mar 14.
To implement a nurse-led sexual rehabilitation programme for gynaecological cancer (GC) survivors and to evaluate its effects on their sexual functioning, sexual distress and marital satisfaction.
An assessor-blinded, randomized controlled trial.
The development of the nurse-led sexual rehabilitation intervention was guided by the concept of sexual health, as stated in the Neotheoretical Framework of Sexuality; the explicit permission giving, limited information, specific suggestions and intensive therapy model; and evidence-based nursing interventions for sexuality. Four intervention sessions will be delivered along the treatment trajectory. Women newly diagnosed (within 3 months) with GC will be recruited from the gynaecological units of three hospitals in Hong Kong. The participants (N = 172) will be randomly assigned to the intervention group to receive the nurse-led sexual rehabilitation programme, or to an attention control group to receive attention on four occasions during the same period when the intervention group receives the intervention. Sexual functioning, sexual distress and marital quality will be measured at baseline, 1 month after the completion of cancer treatment, after completion of the sexual rehabilitation programme and 12 months after cancer treatment. Semi-structured interviews will be conducted with the participants in the intervention group to explore their experiences with and feelings towards the programme. The study was funded in March 2019 and ethics approval was obtained in January 2019.
Positive outcomes of the nurse-led sexual rehabilitation programme will contribute to scientific and practical knowledge about nursing interventions to help GC survivors and their partners to resume a satisfying intimate relationship and adapt to changes in sexuality after treatment.
This study will contribute to the evidence for and advance research on the effectiveness of nurse-led sexuality rehabilitation interventions to support women and their partners to rebuild sexuality and intimacy after treatment for GC.
为妇科癌症（GC）幸存者实施一项由护士主导的性康复计划，并评估其对幸存者性功能、性困扰和婚姻满意度的影响。
一项评估者盲法随机对照试验。
由护士主导的性康复干预措施的制定，以性健康概念为指导，如性取向新理论框架所述；明确的许可给予、有限的信息、具体的建议和强化治疗模式；以及基于证据的性取向护理干预措施。在治疗过程中将进行四次干预课程。新诊断（3个月内）为GC的女性将从香港三家医院的妇科病房招募。参与者（N = 172）将被随机分配到干预组接受由护士主导的性康复计划，或分配到注意力控制组，在干预组接受干预的同一时期接受四次注意力关注。将在基线、癌症治疗完成后1个月、性康复计划完成后以及癌症治疗后12个月测量性功能、性困扰和婚姻质量。将对干预组的参与者进行半结构化访谈，以探讨他们对该计划的体验和感受。该研究于2019年3月获得资助，并于2019年1月获得伦理批准。
由护士主导的性康复计划的积极成果将有助于积累关于护理干预的科学和实践知识，以帮助GC幸存者及其伴侣恢复令人满意的亲密关系，并适应治疗后性取向的变化。
本研究将为护士主导的性取向康复干预措施的有效性提供证据，并推动相关研究，以支持女性及其伴侣在GC治疗后重建性取向和亲密关系。
