Side Effects and Its Management in Adjuvant Endocrine Therapy for Breast Cancer: A Matter of Communication and Counseling.
Side Effects and Its Management in Adjuvant Endocrine Therapy for Breast Cancer: A Matter of Communication and Counseling.
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DOI：
10.1177/11782234221145440
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发表时间：
2023
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新诊断为激素受体阳性乳腺癌的妇女提供辅助内分泌治疗（AET）。虽然这种治疗降低了复发和死亡的风险，但并不是所有的妇女都坚持使用它。许多因素，包括治疗的更年期副作用，都会对治疗的依从性产生不利影响。本研究探讨了在何种程度上接受AET治疗的妇女认为，卫生保健提供者解决他们的副作用。设立了十个焦点小组，其中包括四至九名妇女。共有58名妇女参加了这项研究-45名来自斯德哥尔摩大都市地区，13名来自人口稀少的北博滕地区。访谈分析采用定性内容分析与归纳法。妇女通常对她们从保健提供者那里得到的护理感到满意。然而，当他们对治疗的更年期副作用，特别是性方面的护理感到满意时，他们的经历更加复杂。参与者报告说，他们的医疗保健提供者很少询问与性生活有关的治疗副作用。在乳腺癌诊断后和治疗期间，卫生保健提供者需要就与患者性生活有关的问题进行沟通和咨询。
Women with a newly diagnosed hormone receptor-positive breast cancer are offered adjuvant endocrine therapy (AET). Although the treatment reduces the risk of relapse and death not all women are adherent to it. Many factors, including the therapy’s menopausal side effects, can adversely affect adherence to the treatment. This study explores the extent to which women treated with AET perceived that health care providers addressed their side effects. Ten focus groups were set up, containing between four to nine women. In total, 58 women participated in the study—45 from the Stockholm metropolitan region and 13 from the scarcely populated Norrbotten region. The interviews were analyzed using qualitative content analysis with an inductive approach. The women were usually satisfied with the care they received from the health care providers. However, their experiences were more complex when it came to their satisfaction with the care in terms of the menopausal side effects of therapy, sexuality in particular. The participants reported that their healthcare providers rarely asked about sex life-related side effects of the treatment. Health care providers need to communicate and consult about issues related to their patients’ sex lives following their breast cancer diagnosis and during their treatment.