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Perceptions and Behaviors of Healthcare Providers Regarding Sexuality in Cervical Cancer Care: A Qualitative Study
Ida Ayu Md Vera Susiladewi1,2, Yati Afiyanti3, Allenidekania Allenidekania4
1Master of Nursing Program, Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia.
Abstract:
Sexuality is a fundamental aspect of human well-being, yet it is often disrupted in women diagnosed with cervical cancer. Although healthcare providers play a crucial role in supporting patients' sexual health, the topic remains largely unaddressed in oncology settings. This study aimed to explore how healthcare providers perceive and respond to sexual health concerns among women with cervical cancer. A qualitative approach was conducted between August and November 2024 at Dharmais Cancer Hospital, Indonesia. Eighteen healthcare workers experienced in cancer care were selected through purposive sampling. Semi-structured interviews were conducted and analyzed thematically using Braun and Clarke's six-phase framework with Nvivo 12 Plus software. The analysis revealed three main themes: (1) diverse perceptions of sexuality; (2) unmet sexual health needs; and (3) challenges to address sexual health. This study highlights that healthcare providers acknowledge the importance of addressing sexuality in cancer care but face numerous challenges that hinder open discussions in Indonesia. Integrating sexual health into routine oncology care and enhancing provider training are essential steps toward delivering more holistic and patient-centered care. These findings can improve sexual health care in cancer patients.
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