Sexual relationship between female cancer patients and their partners

该项目首先对癌症患者的性行为和生育问题的研究进行文献综述。从国际文献中选择了一些衡量人类性行为不同方面的尺度，并开发了适合日本人口的语言和文化。使用这些量表，我们然后进行了以下调查。2004年10月，在日本乳房护理护士协会的一次会议上进行了一项自我管理的调查，以揭示他们对患者性行为的信息需求。在178名答复者中，约有三分之一的人回答说，病人曾向他们咨询性问题。受访者表示，他们希望了解各种治疗对性的影响，如何提出与性有关的话题等。2005年3月，与日本血液学家进行了一项自我管理的邮件调查， 关于我们 日本造血细胞移植学会的成员，揭示了他们关于患者生育问题的信息提供行为。在144名受访者中，向所有接受化疗的育龄患者提供不孕风险信息的医生比例仅为37.5%。医生根据其背景向部分育龄患者提供信息的比例也为60.4%。（1）2005年4月，在九州癌症中心的门诊部，以乳腺癌患者为对象，进行了自填式的邮件调查。在92名术前性活跃的女性中，85.9%的人在手术后恢复了性活动。所有恢复性生活的妇女都报告了某种性变化，如性交疼痛和性欲下降。对日本女性乳腺癌患者的调查（2）在2005年9月至2006年3月期间，对千叶县癌症中心门诊部的乳腺癌患者进行了自我管理的邮件调查。中期分析显示，患者的性功能与患者与伴侣的性交流水平以及他们对与伴侣的性关系重要性的看法相关。少

This project commenced by conducting literature review of the research in relation to sexuality and fertility issues after having cancer. From the international literature a number of scales to measure different aspects of human sexuality were selected and developed to be linguistically and culturally appropriate for Japanese populations. Using those scales, we then conducted following surveys.1. A survey with Japanese oncology nursesIn October 2004, a self-administered survey was conducted at a meeting of the Japanese Association of Breast Care Nurses to reveal their information needs regarding patients' sexuality. Of 178 respondents, approximately one third answered that they had been consulted about sexual issues by patients. Respondents indicated that they wanted information on the sexual influences of various treatments, how to bring up sexuality related topics and so on.2. A survey with Japanese hematologistsIn March 2005, a self-administered mail survey was conducted with physic … More ians belonging to the Japan Society for Hematopoietic Cell Transplantation to reveal their information giving behaviors regarding patients' fertility issues. Of 144 respondents, the percentage of physicians who provided all patients in reproductive age undergoing chemotherapy with information on the risk of becoming infertile was only 37.5%. Physicians who provided the information to some patients of reproductive age based on their backgrounds also remained 60.4%.3. A survey with Japanese women with breast cancer (1)In April 2005, a self-administered mail survey was conducted with breast cancer patients of an out-patient clinic at the Kyushu Cancer Center. Of 92 women who were sexually active before surgery, 85.9% resumed sexual activity after surgery. All the women who resumed sex reported some kinds of sexual change such as painful intercourse and decreased sexual desire.4. A survey with Japanese women with breast cancer (2)During September 2005 and March 2006, a self-administered mail survey was conducted with breast cancer patients who of an out-patient clinic at the Chiba Prefectural Cancer Center. Interim analysis revealed that patients' sexual function was correlated with the level of patients' sexual communication with partners and their perception of the importance of the sexual bond with partners. Less