Sexual Health and Quality of Life in Cancer Survivors With Pelvic Radiation Injuries.

IF 2.4 3区医学 Q1 NURSING Cancer Nursing Pub Date : 2024-09-01 Epub Date: 2023-07-14 DOI:10.1097/NCC.0000000000001259

May Aasebø Hauken, Grete Kalleklev Velure, Bernd Müller, Ragnhild Johanne Tveit Sekse

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Abstract

Background: Little knowledge exists on how late radiation tissue injuries (LRTIs) affect sexual health and health-related quality of life (HRQOL) in pelvic cancer survivors.

Objective: To explore sexual health and HRQOL in cancer survivors with pelvic LRTI.

Method: A descriptive cross-sectional study was conducted, including 83 pelvic cancer survivors with LRTI. Data on sexual health, LTRIs, and HRQOL were collected by validated questionnaires, whereas medical variables were collected from medical records.

Results: Participants' sexual health was severely impaired. Bowel and urinary LRTIs correlated with most of the symptoms of impaired sexual health (Pearson r = -0.241 to -0.376, P < .05-.01). Men and women reported different sexual challenges related to functional and symptomatic variables but not on the gender-neutral aspects of sexual health. Younger survivors, gynecological cancer survivors, or those who received external and internal radiation or additional chemotherapy reported significantly ( P < .05-.001) higher levels of sexual impairment. Participants' HRQOL was impaired. Several dimensions of sexual health correlated significantly ( P < .05-.001) with the functional dimensions of reduced HRQOL.

Conclusion: Cancer survivors with pelvic LRTIs experience severely impaired sexual health across genders, with negative consequences for their HRQOL.

Implications for practice: Healthcare professionals should include sexual health as an important part of individual patients' health and HRQOL throughout their treatment trajectory and follow-up, by screening sexual health, implementing measures and interventions to promote sexual health, and supporting survivors' coping and health-promoting strategies.

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盆腔放射损伤癌症幸存者的性健康和生活质量。

背景：关于晚期放射组织损伤（LRTIs）如何影响盆腔癌症幸存者的性健康和与健康相关的生活质量（HRQOL），人们知之甚少：探讨盆腔 LRTI 癌症幸存者的性健康和 HRQOL：方法：对 83 名患有 LRTI 的盆腔癌症幸存者进行了描述性横断面研究。性健康、LTRIs 和 HRQOL 数据通过有效问卷收集，而医疗变量则通过病历收集：结果：参与者的性健康严重受损。肠道和泌尿道 LRTI 与大多数性健康受损症状相关（Pearson r = -0.241 至 -0.376，P < .05-.01）。男性和女性在功能性和症状性变量方面报告了不同的性挑战，但在性健康的性别中性方面却没有差异。较年轻的幸存者、妇科癌症幸存者或接受过外部和内部放射治疗或额外化疗的幸存者报告的性功能障碍程度明显更高（P < .05-.001 ）。参与者的 HRQOL 受到损害。性健康的几个维度与HRQOL下降的功能维度显著相关（P < .05-.001）：结论：患有盆腔 LRTI 的癌症幸存者的性健康在不同性别中都会受到严重损害，并对其 HRQOL 造成负面影响：医护人员应通过筛查性健康、实施促进性健康的措施和干预、支持幸存者的应对策略和促进健康的策略，将性健康作为患者整个治疗过程和随访期间健康和 HRQOL 的重要组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.