Alqaisi Omar, Al-Ghabeesh Suhair, Tai Patricia, Wong Kelvin, Joseph Kurian, Yu Edward
Faculty of Nursing, Al-Zaytoonah University of Jordon, Airport Street, 11118 Amman, Jordan.
Department of Radiation Oncology, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada.
Curr Oncol. 2025 Aug 14;32(8):457. doi: 10.3390/curroncol32080457.
Sexual dysfunction affects an estimated 50-70% of cancer survivors but remains underrecognized and undertreated, impacting quality of life and emotional well-being. This narrative review involves a comprehensive search of PubMed/MEDLINE, CINAHL, Scopus, Web of Science, and ScienceDirect for English-language publications (January 2010-May 2025), using combined MeSH and free-text terms for 'sexual health', 'cancer', 'nursing', 'roles of nurses', 'immunotherapy', 'targeted therapy', 'sexual health', 'sexual dysfunction', 'vaginal dryness', 'genitourinary syndrome of menopause', 'sexual desire', 'body image', 'erectile dysfunction', 'climacturia', 'ejaculatory disorders', 'dyspareunia', and 'oncology'. We used the IMRAD (Introduction, Methods, Results, and Discussion) approach to identify 1245 records and screen titles and abstracts. Fifty studies ultimately met the inclusion criteria (original research, reviews, and clinical guidelines on oncology nursing and sexual health). Results: All the treatments contributed to reduced libido, erectile dysfunction, dyspareunia, and body image concerns, with a prevalence of 57.5% across genders. Oncology nurses can provide sex education and counseling. Barriers (limited training, cultural stigma, and the absence of protocols) hinder effective intervention. Addressing these issues through sexual health curricula, formal referral systems, and policy reforms can enhance nursing care. Future research should assess the impact of targeted nurse education and the institutional integration of sexual health into cancer care.
性功能障碍影响着约50%-70%的癌症幸存者，但仍未得到充分认识和治疗，对生活质量和情绪健康产生影响。本叙述性综述全面检索了PubMed/MEDLINE、CINAHL、Scopus、科学网和ScienceDirect等数据库，查找2010年1月至2025年5月期间的英文出版物，使用“性健康”“癌症”“护理”“护士的角色”“免疫疗法”“靶向治疗”“性健康”“性功能障碍”“阴道干燥”“绝经后泌尿生殖综合征”“性欲”“身体形象”“勃起功能障碍”“遗尿症”“射精障碍”“性交困难”和“肿瘤学”等医学主题词和自由文本词进行组合检索。我们采用IMRAD（引言、方法、结果和讨论）方法识别了1245条记录，并筛选了标题和摘要。最终有50项研究符合纳入标准（关于肿瘤护理和性健康的原始研究、综述及临床指南）。结果：所有治疗方法都导致性欲减退、勃起功能障碍、性交困难和身体形象问题，两性患病率为57.5%。肿瘤护士可以提供性教育和咨询。障碍（培训有限、文化耻辱感以及缺乏相关方案）阻碍了有效干预。通过性健康课程、正式转诊系统和政策改革来解决这些问题，可以提高护理质量。未来的研究应评估针对性护士教育的影响以及将性健康纳入癌症护理的机构整合情况。
