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患者的性生活质量——肿瘤临床实践中是否给予了足够的重视?

Patients' sexual quality of life - Is enough weightage being given to it in onco-clinical practice?

作者信息

Kumar Divyesh, Kiran Nali M

机构信息

Department of Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandīgarh, India.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):6619-6621. doi: 10.4103/jfmpc.jfmpc_368_22. Epub 2022 Dec 16.

DOI:10.4103/jfmpc.jfmpc_368_22
PMID:36993075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041295/
Abstract

Although quality of life (QOL) is an important endpoint of interest in most oncological treatments, sexual QOL of cancer patients is less emphasized upon. With an increase in the survival rates of cancer patients with time, besides other QOL-defining parameters, sexual QOL should also be taken into consideration. The article throws light upon this less talked about area in oncology, various reasons for its non-implementation, its need in routine practice, steps for improvement, and a multidisciplinary approach to provide better sexual QOL to our patients.

摘要

尽管生活质量(QOL)是大多数肿瘤治疗中一个重要的关注终点,但癌症患者的性生活质量却较少受到重视。随着癌症患者生存率随时间增加,除了其他定义生活质量的参数外,性生活质量也应得到考虑。本文阐述了肿瘤学中这个较少被提及的领域、其未得到落实的各种原因、在常规实践中的必要性、改善措施,以及采用多学科方法为患者提供更好的性生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/10041295/d0ad23c33abe/JFMPC-11-6619-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/10041295/d0ad23c33abe/JFMPC-11-6619-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/10041295/d0ad23c33abe/JFMPC-11-6619-g001.jpg

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本文引用的文献

1
Do radiation oncologists talk about sexual health and dysfunction with their cancer patients? Results of the igls-vienna-sexmed-survey.放射肿瘤学家会与癌症患者谈论性健康和性功能障碍吗?IGLS-维也纳-性医学调查结果。
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Quality of life evolution in elderly survivors with localized breast cancer treated with radiotherapy over a three-year follow-up.在三年随访期间,接受放疗的局限性乳腺癌老年幸存者的生活质量演变。
Breast. 2018 Oct;41:74-81. doi: 10.1016/j.breast.2018.06.010. Epub 2018 Jun 22.
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Sexual Problems of Patients With Breast Cancer After Treatment: A Systematic Review.
治疗后乳腺癌患者的性问题:系统评价。
Cancer Nurs. 2019 Sep/Oct;42(5):418-425. doi: 10.1097/NCC.0000000000000592.
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Head and Neck Cancer and Sexuality: A Review of the Literature.头颈癌与性征:文献综述
Cancer Nurs. 2016 Jul-Aug;39(4):313-20. doi: 10.1097/NCC.0000000000000289.
5
Management of sexual side effects in the surgical oncology practice: A nationwide survey of Dutch surgical oncologists.外科肿瘤学实践中性副作用的管理:荷兰外科肿瘤学家的全国性调查。
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Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight.乳腺癌手术和辅助治疗对性功能、认知功能和体重的影响。
J Sex Med. 2010 May;7(5):1891-900. doi: 10.1111/j.1743-6109.2010.01725.x. Epub 2010 Mar 2.
9
Breast cancer treatment in older women: does getting what you want improve your long-term body image and mental health?老年女性的乳腺癌治疗:得到你想要的治疗会改善你的长期身体形象和心理健康吗?
J Clin Oncol. 2004 Oct 1;22(19):4002-9. doi: 10.1200/JCO.2004.07.030.
10
Defining sexual health: a descriptive overview.定义性健康:描述性概述。
Arch Sex Behav. 2004 Jun;33(3):189-95. doi: 10.1023/B:ASEB.0000026619.95734.d5.