Midwifery Counseling, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran.
Asian Pac J Cancer Prev. 2023 May 1;24(5):1621-1627. doi: 10.31557/APJCP.2023.24.5.1621.
Sexual quality of life (SQL), one of the essential issues of sexual and reproductive health, negatively affects the overall quality of life. This study aimed to investigate the SQL of breast cancer survivors.
In this cross-sectional study, 410 breast cancer survivors were recruited in a two-stage sampling process. The quota sampling method was employed in the first stage, and convenience sampling was used in the second stage between December 2020 and September 2021. The data were collected using the sexual Quality of Life-Female, Female Sexual Function Index, Revised Religious Attitude.
The mean age of the participants and the time since the disease diagnosis were 42.64 ± 6.02 years and 13.9 ± 4.80 months, respectively. The mean score of SQL was 66.65 ± 10.23 (95% Confidence Interval: 66.63-67.62). Multiple linear regression analysis showed that the SQL of breast cancer survivors was significantly correlated with their occupation (β=0.12, P<0.008), education (β=-0.23, P<0.001), their spouse's education (β=0.16, P<0.001), belief in the sex initiation by the spouse (β=0.23, P<0.001), fear of being hurt by sexual intercourse (β=0.21 P < 0.001), receiving training about sexual relations (β = 0.1, P < 0.049), lumpectomy (β = 0.11, P < 0.001), sexual function (β = 0.13 β = 0.001), and religious attitude (β = 0.27, P < 0.001). These factors explain 60% of the variance of the SQL score.
Considering the various factors contributing to the SQL of breast cancer survivors can inform interventions targeted at improving the health status of these women.
性健康是整体生活质量的重要组成部分,而性生活质量(SQL)是其中之一,会受到负面影响。本研究旨在调查乳腺癌幸存者的 SQL。
本横断面研究采用两阶段抽样方法,于 2020 年 12 月至 2021 年 9 月招募了 410 名乳腺癌幸存者。第一阶段采用配额抽样法,第二阶段采用方便抽样法。采用女性性生活质量量表、女性性功能指数和修订后的宗教态度量表收集数据。
参与者的平均年龄和疾病诊断后时间分别为 42.64 ± 6.02 岁和 13.9 ± 4.80 个月。SQL 的平均得分为 66.65 ± 10.23(95%置信区间:66.63-67.62)。多线性回归分析表明,乳腺癌幸存者的 SQL 与职业(β=0.12,P<0.008)、教育程度(β=-0.23,P<0.001)、配偶的教育程度(β=0.16,P<0.001)、对配偶发起性行为的信仰(β=0.23,P<0.001)、害怕被性行为伤害(β=0.21,P<0.001)、接受性关系培训(β=0.1,P<0.049)、乳房切除术(β=0.11,P<0.001)、性功能(β=0.13,P=0.001)和宗教态度(β=0.27,P<0.001)显著相关。这些因素可以解释 SQL 得分 60%的方差。
考虑到影响乳腺癌幸存者 SQL 的各种因素,可以为提高这些女性的健康状况提供干预措施。