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解决妇科恶性肿瘤放射治疗后的性功能障碍问题。

Addressing sexual dysfunction following radiation therapy for a gynecologic malignancy.

作者信息

Cartwright-Alcarese F

机构信息

Long Island College Hospital Othmer Cancer Center, Brooklyn, NY, USA.

出版信息

Oncol Nurs Forum. 1995 Sep;22(8):1227-32.

PMID:8532547
Abstract

PURPOSE/OBJECTIVES: To review the aspects of normal sexual response, current incidence of sexual dysfunction following radiation therapy for a gynecologic malignancy, nursing interventions for each symptom that may occur, and nursing research priorities.

DATA SOURCES

Published articles, book chapters, American Cancer Society materials, healthcare professionals working in the field of radiation oncology, and patients.

DATA SYNTHESIS

Radiation therapy frequently is the treatment of choice for a gynecologic malignancy. High-dose radiation to the pelvis causes varying degrees of sexual dysfunction because of its effects on the ovaries and vagina.

CONCLUSIONS

Sexual dysfunction resulting from the effects of radiation therapy on the ovaries and vagina can be prevented, minimized, or managed when the nurse is aware of the needs, desires, and expectations of patients receiving this treatment.

IMPLICATIONS FOR NURSING PRACTICE

Sexuality is an important aspect of quality of life that most healthcare professionals do not address. Nursing assessment and practical care strategies for sexual dysfunction can be implemented. Additional nursing research on this subject is warranted.

摘要

目的/目标:回顾正常性反应的各个方面、妇科恶性肿瘤放射治疗后性功能障碍的当前发生率、可能出现的每种症状的护理干预措施以及护理研究重点。

资料来源

已发表的文章、书籍章节、美国癌症协会的资料、放射肿瘤学领域的医疗保健专业人员以及患者。

资料综合

放射治疗常常是妇科恶性肿瘤的首选治疗方法。盆腔的高剂量辐射因其对卵巢和阴道的影响而导致不同程度的性功能障碍。

结论

当护士了解接受这种治疗的患者的需求、愿望和期望时,由放射治疗对卵巢和阴道的影响导致的性功能障碍可以得到预防、最小化或得到处理。

对护理实践的启示

性是生活质量的一个重要方面,但大多数医疗保健专业人员并未涉及。可以实施性功能障碍的护理评估和实际护理策略。有必要对该主题进行更多的护理研究。

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