打破沉默:性沟通对宫颈癌女性生活质量的作用。
Breaking the silence: the role of sexual communication on quality of life in women with cervical cancer.
发表日期:2024 Jul 10
作者:
Magdalena Liberacka-Dwojak, Monika Wiłkość-Dębczyńska, Radosław Perkowski
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
宫颈癌 (CC) 及其治疗会影响生活质量 (QoL) 的各个方面,包括身体、心理和性功能。性健康是生活质量的一个重要方面,但常常受到损害,这凸显了开放性交流的必要性。这项研究涉及 60 名被诊断患有 IIb-IIIa 期 CC 的女性。 36 项简短调查 (SF-36) 用于测量生活质量的身体和心理部分,使用女性性功能指数 6 (FSFI-6) 来评估其性部分,以及性沟通自我效能量表 ( SCSES)来诊断沟通信心。自填问题评估了患者与提供者之间的性交流。结果包括参与者的引用,提供了额外的见解。性沟通自我效能和患者与提供者的沟通与生活质量组成部分显着相关。只有 23.33% 的人与医生讨论过性问题。参与者的经历强调了癌症对性的影响以及定制支持的必要性。诊断后性心理的变化强调了沟通在重新协商性认同和需求中的重要性。有效的沟通与提高生活质量相关,凸显了医疗保健专业人员在解决性心理问题方面的作用。整合 PLISSIT 和 BETTER 模型为癌症背景下的性沟通提供了一种全面的方法。该研究证明了性沟通自我效能感在 CC 患者生活质量中的重要性,并强调了医疗保健专业人员将性沟通教育纳入癌症护理的必要性。© 2024。作者。
Cervical cancer (CC) and its treatments impact various dimensions of quality of life (QoL), including physical, psychological, and sexual functioning. Sexual health, a crucial QoL aspect, is often compromised, highlighting the necessity for open sexual communication.This study involved 60 women diagnosed with stage IIb-IIIa CC. The 36-Item Short Form Survey (SF-36) was used to measure physical and psychological components of QoL, the Female Sexual Function Index-6 (FSFI-6) to assess its sexual component, and the Sexual Communication Self-Efficacy Scale (SCSES) to diagnose communication confidence. Self-administered questions gauged patient-provider sexual communication. The results include quotes from participants, providing additional insight.Sexual communication self-efficacy and patient-provider communication correlated significantly with QoL components. Only 23.33% discussed sexual issues with their doctors. Participants' experiences highlighted the impact of cancer on sexuality and the need for tailored support.Post-diagnosis psychosexual changes emphasize the importance of communication in renegotiating sexual identity and needs. Effective communication is associated with improved QoL, highlighting the role of healthcare professionals in addressing psychosexual issues. Integrating PLISSIT and BETTER models provides a comprehensive approach to sexual communication in the cancer context.The study demonstrates the importance of sexual communication self-efficacy in QoL of CC patients and highlights the need for healthcare professionals to include sexual communication education in cancer care.© 2024. The Author(s).