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肿瘤护理人员在为癌症患者提供性健康护理方面的态度、知识和实践:一项范围综述

Oncology Nurses' Attitudes, Knowledge, and Practices in Providing Sexuality Care to Cancer Patients: A Scoping Review.

作者信息

Alqaisi Omar, Subih Maha, Joseph Kurian, Yu Edward, Tai Patricia

机构信息

Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman 11733, Jordan.

Cross Cancer Center, Department of Oncology, University of Alberta, Edmonton, AB T6G 2R3, Canada.

出版信息

Curr Oncol. 2025 Jun 7;32(6):337. doi: 10.3390/curroncol32060337.

Abstract

Sexual health in cancer care is often overlooked. This study examines oncology nurses' knowledge and practices regarding sexuality care, identifying barriers and facilitators. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA)-guided search of Scopus, ScienceDirect, PubMed, and EBSCO focused on studies from 2014 to 2024. Of 1735 identified studies, only 11 met inclusion criteria. Findings revealed a lack of knowledge among nurses and dissatisfaction with sexual healthcare. Barriers include time constraints, cultural factors, and personal reservations. Routine discussions are often absent due to inadequate training. Education- and system-based strategies are needed to enhance nurses' competence in addressing sexual concerns. Implementing training programs, structured records, evaluation tools, concept maps, and system support would improve patient care and oncology nursing practices. Addressing these gaps with practical measures can enhance communication, patient satisfaction, and quality of life. This unique analysis was conducted by two experienced advanced nurses in the Middle East, where discussions about sex are often regarded as taboo.

摘要

癌症护理中的性健康问题常常被忽视。本研究调查了肿瘤护理人员在性健康护理方面的知识和实践情况,确定了其中的障碍和促进因素。以系统评价和Meta分析的首选报告项目(PRISMA)为指导,在Scopus、ScienceDirect、PubMed和EBSCO数据库中进行检索,重点关注2014年至2024年的研究。在1735项检索到的研究中,只有11项符合纳入标准。研究结果显示,护士们缺乏相关知识,对性健康护理也不满意。障碍包括时间限制、文化因素和个人顾虑。由于培训不足,常规讨论往往缺失。需要采取基于教育和系统的策略来提高护士处理性健康问题的能力。实施培训项目、结构化记录、评估工具、概念图和系统支持将改善患者护理和肿瘤护理实践。通过实际措施填补这些空白可以加强沟通、提高患者满意度并改善生活质量。这项独特的分析由中东地区两位经验丰富的资深护士进行,在该地区,关于性的讨论通常被视为禁忌。

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