Obora Maximillar, Onsongo Lister, Ogutu James O
Department of Community and Reproductive Health Nursing, School of Nursing Sciences, Kenyatta University, 43844-00100 Nairobi, Kenya.
https://orcid.org/0000-0001-2345-6789.
Ecancermedicalscience. 2022 May 5;16:1384. doi: 10.3332/ecancer.2022.1384. eCollection 2022.
Gynaecological cancer impacts approximately three million women globally. The problem is much more intense in resource-limited countries. Sexual health is a critical aspect of gynaecological cancer treatment and an important component of quality of life (QoL).
This study aimed to assess the determinants of sexual function among survivors of gynaecological cancer.
This was a cross-sectional study. The simple random sampling technique was used to recruit survivors of gynaecological cancers aged 18 years and above on follow-up in a tertiary hospital in Kenya.
The study used the socio-demographic survey, Body Image Scale, Multidimensional Perceived Social Support Scale and Female Sexual Function Index.
Cervical cancer was the most common gynaecological malignancy among respondents (51%). The mean total score of the Female Sexual Function Index was significantly low at 10.0 (cut off = 26.5). The majority (85%) of respondents had sexual dysfunction. The most commonly affected sexual domain was lubrication at a mean value of 0.91 (SD = 1.58). Age (aOR = 0.05, 95% CI: 0.003-0.16, = 0.005), cancer stage 3 (aOR = 9.81, 95% CI: 1.34-20.56, = 0.035) and social support (aOR = 1.29, 95% CI: 1.05-1.59, = 0.015) were independent predictors of sexual dysfunction.
The prevalence of sexual dysfunction among gynaecological cancer survivors remains significantly high. Having cervical cancer was the most significant predictor of sexual dysfunction in this study population.
There is a need for further studies to improve the sexual life and hence the QoL among survivors of gynaecological malignancies.
妇科癌症在全球影响着约300万女性。在资源有限的国家，这一问题更为严重。性健康是妇科癌症治疗的关键方面，也是生活质量（QoL）的重要组成部分。
本研究旨在评估妇科癌症幸存者性功能的决定因素。
这是一项横断面研究。采用简单随机抽样技术，在肯尼亚一家三级医院对18岁及以上的妇科癌症幸存者进行随访招募。
该研究使用了社会人口学调查问卷、身体意象量表、多维感知社会支持量表和女性性功能指数。
宫颈癌是受访者中最常见的妇科恶性肿瘤（51%）。女性性功能指数的平均总分显著较低，为10.0（临界值=26.5）。大多数（85%）受访者存在性功能障碍。受影响最常见的性领域是润滑，平均值为0.91（标准差=1.58）。年龄（调整比值比=0.05，95%置信区间：0.003 - 0.16，P = 0.005）、癌症3期（调整比值比=9.81，95%置信区间：1.34 - 20.56，P = 0.035）和社会支持（调整比值比=1.29，95%置信区间：1.05 - 1.59，P = 0.015）是性功能障碍的独立预测因素。
妇科癌症幸存者性功能障碍的患病率仍然显著较高。在本研究人群中，患宫颈癌是性功能障碍最显著的预测因素。
有必要进行进一步研究，以改善妇科恶性肿瘤幸存者的性生活，从而提高其生活质量。
