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充满话语的沉默:伊朗乳腺癌治疗女性性健康背后的社会文化信念,一项定性研究。

A silence full of words: sociocultural beliefs behind the sexual health of Iranian women undergoing breast cancer treatment, a qualitative study.

机构信息

Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Support Care Cancer. 2022 Dec 27;31(1):84. doi: 10.1007/s00520-022-07502-8.

DOI:10.1007/s00520-022-07502-8
PMID:36574074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9792940/
Abstract

PURPOSE

Therapeutic interventions lead to impaired sexual health in women undergoing breast cancer treatment. There are some problem such as vaginal dryness, decreased libido, decreased sexual satisfaction, and decreased frequency of sexual intercourse among breast cancer survivors. This study was conducted to discover the sexual experiences of women undergoing breast cancer treatment.

METHODS

A total of 39 semi-structured interviews were held with the women undergoing breast cancer treatment, husbands, and health care providers. Recorded interviews were transcribed and analyzed using qualitative content analysis.

RESULTS

Three categories of cultural and gender taboos, adherence to subjective norms, and hidden values in sexuality were revealed. The cultural and gender taboos category consisted of subcategories of learned sexual shame, fear of judgment, sexual schemas, and gender stereotypes. The adherence to subjective norms category consisted of subcategories of sexual socialization, being labeled as a disabled woman and the priority of being alive to sexuality. The hidden values in sexuality category consist of subcategories of Task-based sexuality, Tamkin, and Sexuality prevents infidelity.

CONCLUSIONS

Socio-cultural beliefs affect the sexual health of women undergoing breast cancer treatment, so paying attention to this issue can improve the quality of sexual health services.

摘要

目的

治疗干预会导致接受乳腺癌治疗的女性的性健康受损。乳腺癌幸存者中存在一些问题,如阴道干燥、性欲降低、性满意度降低和性交频率降低。本研究旨在探讨接受乳腺癌治疗的女性的性体验。

方法

对 39 名正在接受乳腺癌治疗的女性、其丈夫和医疗保健提供者进行了总计 39 次半结构化访谈。使用定性内容分析对记录的访谈进行转录和分析。

结果

揭示了文化和性别禁忌、主观规范的遵守以及性行为中的隐藏价值观三个范畴。文化和性别禁忌类别包括性羞耻感、害怕评判、性图式和性别刻板印象的子类别。遵守主观规范类别包括性社会化、被贴上残疾妇女的标签以及生存对性行为的优先性的子类别。性行为中的隐藏价值观包括基于任务的性行为、Tamkin 和性行为防止不忠的子类别。

结论

社会文化信仰会影响接受乳腺癌治疗的女性的性健康,因此关注这一问题可以提高性健康服务的质量。

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