Olcer Zeynep Ozkan, Oskay Umran
Department of Nursing, Faculty of Health Science, Ankara Medipol University, Altındag, Ankara.
Department of Women's Health and Diseases Nursing, Florence Nightingale Faculty of Nursing, İstanbul University-Cerrahpasa, Şişli-İstanbul, Turkey.
Int J Sex Health. 2021 Oct 22;34(1):41-54. doi: 10.1080/19317611.2021.1979161. eCollection 2022.
Breast cancer and side effects of its treatment cause many problems such as body image, impaired quality of life, and sexual dysfunction. The aim of this experimental study is to determine the effect of BETTER Model-based counseling programme on sexual problems of female patients with breast cancer.
This study was conducted with experimental and control group design. The data of the study were obtained between April 2016 and March 2018. The sample group consisted of 60 women who agreed to participate in the study. Information Form, "EORTC Quality of Life Questionnaire-BR23", "Female Sexual Function Index", and "Body Cathexis Scale" were used in order to collect the data. The "Better Model"-based counseling programme was applied in four sessions a week in the experimental group. The scales were applied again one month after the last session. The women in the control group were subjected to routine hospital control after the scales were applied. The scales were applied again in this group one month later.
After the "Better Model"-based counseling programme was applied,the women in the experimental group had higher scores from lubrication, orgasm, and pain subscales, and overall female sexual function index. Besides, the women in the experimental group had higher scores from body image subscale of functional scale of the quality of life questionnaire.
In the study, it was detected that the "Better Model"-based counseling was effective in raising and enhancing sexual health awareness and decreasing the existing sexual issues in women with breast cancer.
乳腺癌及其治疗的副作用会引发诸多问题，如身体形象、生活质量受损以及性功能障碍。本实验研究的目的是确定基于BETTER模型的咨询方案对乳腺癌女性患者性问题的影响。
本研究采用实验组和对照组设计。研究数据于2016年4月至2018年3月期间收集。样本组由60名同意参与研究的女性组成。为收集数据，使用了信息表、“欧洲癌症研究与治疗组织生活质量问卷-BR23”、“女性性功能指数”和“身体投入量表”。基于“更好模型”的咨询方案在实验组每周进行四次。在最后一次咨询后一个月再次应用这些量表。对照组女性在应用量表后接受常规医院检查。该组在一个月后再次应用量表。
应用基于“更好模型”的咨询方案后，实验组女性在润滑、性高潮和疼痛子量表以及总体女性性功能指数方面得分更高。此外，实验组女性在生活质量问卷功能量表的身体形象子量表上得分更高。
在本研究中，发现基于“更好模型”的咨询在提高和增强乳腺癌女性的性健康意识以及减少其现有性问题方面是有效的。
