Patient experiences with communication about sex during and after treatment for cancer.
Patient experiences with communication about sex during and after treatment for cancer.
复制标题
DOI：
10.1002/pon.1947
复制
发表时间：
2012-06
期刊：
影响因子：
3.6
通讯作者：
Weinfurt, Kevin P.
中科院分区：
文献类型：
--
作者：
Flynn, Kathryn E.;Reese, Jennifer Barsky;Jeffery, Diana D.;Abernethy, Amy P.;Lin, Li;Shelby, Rebecca A.;Porter, Laura S.;Dombeck, Carrie B.;Weinfurt, Kevin P.
关键词：
我们研究了患者在癌症治疗期间和之后与肿瘤提供者就性问题进行沟通的经验。在患者报告结果测量信息系统（PROMIS®）性功能测量的开发过程中，我们收集了与肿瘤学专业人员就性问题进行沟通的焦点小组和调查数据。我们进行了16个焦点小组与患者和幸存者（n = 109），并分析了主要主题的讨论，包括在肿瘤访问期间讨论性的经验。在PROMIS性功能测量的测试过程中，我们评估了与肿瘤专业人员讨论性问题的经验（n = 819），并测量了向临床医生询问信息与性功能和性生活满意度之间的双变量关联。大多数患者和幸存者（74%）认为与肿瘤专业人员讨论性问题很重要，但他们是否从提供者那里获得过有关性功能的信息因癌症类型而异（23%肺癌，29%乳腺癌，39%结直肠癌和79%前列腺癌）。那些向肿瘤学专业人士询问性问题的人对性活动的兴趣明显更大，性功能障碍也更多。性问题是患者和幸存者普遍关注的问题，但关于性问题的沟通经验存在很大差异，许多患者没有从肿瘤提供者那里获得所需的信息。有很大的差异，在性功能之间的病人谁做和不问提供者的性问题。性健康尚未完全纳入肿瘤治疗，即使是涉及性器官的癌症。
We studied patients’ experiences with oncology providers regarding communication about sexual issues during and after treatment for cancer. During development of the Patient-Reported Outcomes Measurement Information System (PROMIS®) Sexual Function measure, we collected focus group and survey data on communication with oncology professionals about sexual problems. We conducted 16 focus groups with patients and survivors (n = 109) and analyzed the discussions for major themes, including experiences discussing sex during oncology visits. During testing of the PROMIS Sexual Function measure, we assessed experiences discussing sexual problems with oncology professionals (n = 819) and measured bivariate associations between asking for information from clinicians and sexual function and satisfaction with sex life. Most patients and survivors (74%) thought discussions with oncology professionals about sexual problems were important, but whether they had ever received information about sexual function from a provider varied by cancer type (23% lung, 29% breast, 39% colorectal, and 79% prostate). Those who had asked an oncology professional about sexual problems had significantly greater interest in sexual activity as well as more sexual dysfunction. Sexual problems are a widespread concern among patients and survivors, but there is much variation in experiences of communication about sexual issues and many patients do not receive the information they need from their oncology providers. There are large differences in sexual function between patients who do and do not ask providers about sexual problems. Sexual health has yet to be fully integrated into oncology care, even for cancers involving sex organs.
登录
查看更多内容
影响因子：
1.9
作者：
Huber, Carole;Ramnarace, Teresita;McCaffrey, Ruth
通讯作者：
McCaffrey, Ruth
影响因子：
2.2
作者：
Gott, M;Galena, E;Elford, H
通讯作者：
Elford, H
影响因子：
3.1
作者：
Reese, Jennifer Barsky;Shelby, Rebecca A.;Keefe, Francis J.;Porter, Laura S.;Abernethy, Amy P.
通讯作者：
Abernethy, Amy P.
影响因子：
3.5
作者：
Fortune-Greeley, Alice K.;Flynn, Kathryn E.;Jeffery, Diana D.;Williams, Megan S.;Keefe, Francis J.;Reeve, Bryce B.;Willis, Gordon B.;Weinfurt, Kevin P.
通讯作者：
Weinfurt, Kevin P.
影响因子：
2.1
作者：
Rosen, RC;Riley, A;Mishra, A
通讯作者：
Mishra, A