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乳腺癌患者的性健康指导

A guide for addressing sexual health in breast cancer patients.

机构信息

Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Gynecology Service, Department of Psychiatry, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

出版信息

J Surg Oncol. 2024 May;129(6):1034-1040. doi: 10.1002/jso.27602. Epub 2024 Feb 22.

DOI:10.1002/jso.27602
PMID:38385690
Abstract

PURPOSE

Sexual health concerns are common in breast cancer surgery but often overlooked. Yet, breast cancer patients want more sexual health information from their providers. We aimed to share ways for providers to address sexual health concerns with their breast cancer patients at different stages of the treatment process.

METHODS

Experts in breast cancer treatments, surgeries, and sexual health at Memorial Sloan Kettering Cancer Center assembled to review the literature and to develop the recommendations.

RESULTS

Providers should provide sexual health information for their breast cancer patients throughout the continuum of care. Conversations should be initiated by the providers and can be brief and informative. Whenever appropriate, patients should be referred to Sexual Medicine experts and/or psychosocial support. There are various recommendations and tools that can be utilized at diagnosis, endocrine and chemotherapy, and breast surgery to identify patients with sexual health concerns and to improve their sexual functioning.

CONCLUSION

In this paper, we sought to provide providers with some insights, suggestions, and tools to address sexual health concerns. We encourage healthcare providers to initiate the conversation throughout the continuum of care beginning as early as diagnosis and refer patients to additional services if available.

摘要

目的

性健康问题在乳腺癌手术中很常见,但往往被忽视。然而,乳腺癌患者希望从他们的医疗服务提供者那里获得更多的性健康信息。我们旨在分享提供者在治疗过程的不同阶段解决乳腺癌患者性健康问题的方法。

方法

纪念斯隆凯特琳癌症中心的乳腺癌治疗、手术和性健康专家聚集在一起,审查文献并制定建议。

结果

提供者应在整个护理连续体中为乳腺癌患者提供性健康信息。应由提供者发起对话,且可以简短而内容丰富。只要合适,就应将患者转介给性医学专家和/或社会心理支持。在诊断、内分泌和化疗以及乳房手术时,有各种建议和工具可用于识别有性健康问题的患者,并改善他们的性功能。

结论

在本文中,我们试图为提供者提供一些见解、建议和工具来解决性健康问题。我们鼓励医疗保健提供者在整个护理连续体中开始对话,最早从诊断开始,并在有条件的情况下将患者转介给其他服务。

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