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异基因造血干细胞移植后的性健康相关心理和情感生活。

Sexual health-related psychological and emotional life after allogeneic haematopoietic stem-cell transplantation.

机构信息

Sorbonne University, Paris, France; Department of Hematology and Cellular Therapy, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; INSERM, Unité Mixte de Recherche 938, Paris, France.

INSERM, U1193, Hôpital Universitaire Paul-Brousse, Paris, France; Faculté de Médicine, Université Paris-Saclay, Paris, France.

出版信息

Lancet Haematol. 2024 Oct;11(10):e780-e791. doi: 10.1016/S2352-3026(24)00209-6. Epub 2024 Sep 20.

Abstract

Sexual health is important for the quality of life of patients who have received haematopoietic stem-cell transplantation (HSCT). Sexual dysfunction and couple dissatisfaction can seriously affect a patient's recovery and treatment process. However, this aspect of post-transplantation recovery is still usually neglected in clinical practice. In this Series paper, we aim to elucidate the emotional and psychosocial factors affecting the sexual function in these patients, with a special focus on the partner's role and the psychological consequences of some adverse effects of HSCT. Moreover, we provide an overview of the management approaches and assessment tools of psychological issues associated with sexual dysfunction reported in the literature. These tools can help clinicians in this field to plan essential lifestyle and clinical interventions to help their patients. In conclusion, screening for psychological issues is indispensable when approaching sexual dysfunction in patients with HSCT. Health-care teams in transplantation units should be trained to discuss this aspect of recovery and provide the required treatment and follow-up plan.

摘要

性健康是接受造血干细胞移植(HSCT)患者生活质量的重要组成部分。性功能障碍和夫妻关系不和谐会严重影响患者的康复和治疗过程。然而,在临床实践中,这一方面的移植后恢复通常被忽视。在本系列论文中,我们旨在阐明影响这些患者性功能的情绪和心理社会因素,特别关注伴侣的作用以及 HSCT 的一些不良反应的心理后果。此外,我们还概述了文献中报道的与性功能障碍相关的心理问题的管理方法和评估工具。这些工具可以帮助该领域的临床医生制定必要的生活方式和临床干预措施,以帮助他们的患者。总之,在处理 HSCT 患者的性功能障碍时,对心理问题进行筛查是必不可少的。移植单位的医疗保健团队应接受培训,以讨论这一方面的恢复,并提供必要的治疗和随访计划。

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