Department of Nursing, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, 210009, China.
Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, 300060, China.
Eur J Oncol Nurs. 2023 Apr;63:102286. doi: 10.1016/j.ejon.2023.102286. Epub 2023 Feb 17.
This study aimed to explore the experiences of Chinese oncology nurses and oncologists who provide sexual health education for breast cancer patients in their practical work.
This was a qualitative study using semistructured face-to-face interviews. Eleven nurses and eight oncologists who provided sexual health education to breast cancer patients were purposively recruited from eight hospitals in seven provinces of China. Data were analyzed using the thematic analysis method.
Four main themes emerged: the surface of sexual health, stress and benefit finding, cultural sensitivity and communication, needs and changes. Both oncology nurses and oncologists found it difficult to solve sexual health problems, which were beyond their responsibilities and competencies. They felt helpless about the limitations of external support. Nurses hoped oncologists could participate in more sexual health education.
Oncology nurses and oncologists experienced great challenges in educating breast cancer patients about sexual health. They are eager to obtain more formal education and learning resources for sexual health education. Specific training to improve the sexual health education competence of healthcare professionals is needed. Furthermore, more support is needed to create conditions to encourage patients to reveal their sexual challenges. It is necessary for oncology nurses and oncologists to communicate on sexual health in breast cancer patients, and to promote interdisciplinary communication and share responsibility.
本研究旨在探讨中国肿瘤护士和肿瘤医生在实际工作中为乳腺癌患者提供性健康教育的体验。
这是一项定性研究，采用半结构式面对面访谈。从中国七个省的八家医院中，有目的选取了 11 名护士和 8 名为乳腺癌患者提供性健康教育的肿瘤医生。使用主题分析方法对数据进行分析。
出现了四个主要主题：性健康的表面、压力和获益、文化敏感性和沟通、需求和变化。肿瘤护士和肿瘤医生都发现很难解决超出其职责和能力范围的性健康问题，他们对外部支持的局限性感到无助。护士希望肿瘤医生能更多地参与性健康教育。
肿瘤护士和肿瘤医生在对乳腺癌患者进行性健康教育方面面临巨大挑战。他们渴望获得更多性健康教育的正规教育和学习资源。需要进行特定的培训，以提高医疗保健专业人员的性健康教育能力。此外，需要更多的支持来创造条件，鼓励患者揭示其性挑战。肿瘤护士和肿瘤医生有必要就乳腺癌患者的性健康进行沟通，并促进跨学科沟通和分担责任。
