Sexual health in women treated for cervical cancer: Characteristics and correlates
Sexual health in women treated for cervical cancer: Characteristics and correlates
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DOI：
10.1016/j.ygyno.2006.08.009
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发表时间：
2007-02-01
影响因子：
4.7
通讯作者：
Wenham, Robert M.
中科院分区：
文献类型：
--
作者：
Donovan, Kristine A.;Taliaferro, Lindsay A.;Wenham, Robert M.
目标。有宫颈癌病史的女性中，有很大比例的人在接受治疗后会出现性问题。本研究调查了宫颈癌幸存者和无宫颈癌病史的妇女在性健康方面的差异是否可以用选定的人口统计学、临床、心理社会和生理因素来解释。以前接受过0至II期宫颈癌治疗的1至5年的妇女，以及接受常规宫颈癌筛查的年龄和教育程度匹配、没有癌症病史的妇女都被招募参加。所有参与者都有一位曾与其发生过性行为的伴侣。女性完成了性健康、阴道变化、伴侣关系质量、感觉到的外貌和性自我概念的测量。宫颈癌幸存者报告的性兴趣显著减少(P<；0.05)，性功能障碍增多，性满意度降低。在幸存者中，最一致的预测治疗后性健康的因素是确诊后的时间、接受放射治疗的时间、伴侣关系、感觉到的外貌以及阴道的变化。这些变量可以解释约50%的性健康结果的差异。这些发现表明，改善有宫颈癌病史的女性的性健康状况的努力，必须超越癌症治疗对阴道解剖和生理的直接影响。性康复干预除了考虑阴道的变化外，还应该考虑伴侣关系、感知的外貌和女性对自己作为性存在者的态度。未来的研究应采用前瞻性纵向研究设计，纳入适当的比较组，以进一步探讨这一问题。(C)2006 Elsevier Inc.保留所有权利。
Objective. A large proportion of women with a history of cervical cancer experience sexual problems as a result of treatment. The present study examined whether differences in sexual health between cervical cancer survivors and women with no history of cervical cancer could be explained by selected demographic, clinical, and psychosocial and physical factors..Methods. Women treated between 1 and 5 years previously for stage 0 to II cervical cancer and age- and education-matched women with no history of cancer undergoing routine cervical cancer screening were recruited to participate. All participants had a partner with whom they had ever been sexually active. Women completed measures of sexual health, vaginal changes, partner relationship quality, perceived physical appearance, and sexual self-concept.Results. Cervical cancer survivors reported significantly (p < .05) less sexual interest, more sexual dysfunction, and lower sexual satisfaction. The most consistent predictors of sexual health after treatment among survivors were time since diagnosis, receipt of radiotherapy, partner relations, and perceived physical appearance, as well as vaginal changes. These variables accounted for about 50% of the variance in sexual health outcomes.Conclusion. The findings suggest that efforts to improve sexual health in women with a history of cervical cancer must move beyond the direct effects of cancer treatment on vaginal anatomy and physiology. Sexual rehabilitation interventions should consider partner relationships, perceived physical appearance, and women's attitudes toward themselves as sexual beings, in addition to vaginal changes. Future research should use prospective longitudinal research designs incorporating appropriate comparison groups to further explore this issue. (c) 2006 Elsevier Inc. All rights reserved.