Body Image, Sexuality, and Sexual Functioning in Women With Gynecologic Cancer: An Integrative Review of the Literature and Implications for Research.
Body Image, Sexuality, and Sexual Functioning in Women With Gynecologic Cancer: An Integrative Review of the Literature and Implications for Research.
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DOI：
10.1097/ncc.0000000000000818
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发表时间：
2021-09-01
期刊：
影响因子：
2.6
通讯作者：
Temkin SM
中科院分区：
文献类型：
--
作者：
Wilson CM;McGuire DB;Rodgers BL;Elswick RK Jr;Temkin SM
宫颈癌和子宫癌在女性中很常见。这些癌症的诊断和治疗可能会导致身体形象、性取向和性功能方面的重大问题。全面审查可以提高对这三个概念的理解，进而加强识别和管理。1)介绍关于子宫癌和子宫颈癌女性的身体形象、性取向和性功能的定性、描述性和相关性研究文献；2)找出文献中的差距；3)探索这些发现对未来研究的影响。通过使用预定的主题标题、关键字和爆炸主题搜索PubMed、CINAHL和SouthInfo，对文献进行全面搜索。在使用特定标准进行综合评估后，121篇文章被复习。定性研究提供了有关女性身体形象、性取向和性功能问题的信息，而定量研究主要侧重于性功能。这些文献缺乏对身体形象和性取向的相关研究。关于沟通和生活质量的重大问题被注意到，很少有研究基于明确的概念模型。从这篇综述中收集到的科学状况表明，尽管人们对性功能了解很多，但对身体形象和性行为却知之甚少。有必要进一步开展工作，建立概念模型，研究身体形象、性行为和性功能，作为改善生活质量的干预措施的基础。
Cervical and uterine cancers are common in women. Diagnosis and treatment of these cancers can lead to significant issues with body image, sexuality, and sexual functioning. A comprehensive review can improve understanding of these three concepts, in turn enhancing identification and management. To 1) present the qualitative, descriptive, and correlational research literature surrounding body image, sexuality, and sexual functioning in women with uterine and cervical cancer; 2) identify gaps in the literature; and 3) explore the implications of the findings for future research. A comprehensive search of the literature was undertaken by searching PubMed, CINAHL, and PsychInfo using predetermined subject headings, keywords, and exploded topics. After a comprehensive evaluation using specific criteria, 121 articles were reviewed. Qualitative studies provided information about women’s issues with body image, sexuality, and sexual functioning, while quantitative studies focused primarily on sexual functioning. The literature lacks correlational studies examining body image and sexuality. Significant issues regarding communication and quality of life were noted, and few studies were based on clear conceptual models. The state of the science gleaned from this review reveals that while much is known about sexual functioning, little is known about body image and sexuality. Further work is warranted to develop conceptual models and research on body image, sexuality, and sexual functioning as a foundation for interventions to improve quality of life.