诊断后2年乳腺癌患者的沟通和性功能和频率:来自VICAN 2研究的结果
Thierry Almont1,2,3,4, Prisca Ouowéné Sougué1, Rémi Houpert1,2
1RESEARCH on Cancer Unit UF3596, Oncology Department, Martinique University Hospital (CHU Martinique), 97261 Fort-de-France, Martinique.
乳腺癌幸存者在诊断后2年经历持续性功能障碍,与提供者讨论性健康的比例较低. 需要针对单身,老年人和糖尿病患者进行量身定制的干预措施.
科学领域:
- 在瘤学瘤学.
- 性医学性医学性医学性医学
- 公共卫生 公共卫生
背景情况:
- 乳腺癌治疗显著影响性健康的各个方面,包括心理,心理性,生理,身体和关系方面的维度.
- 了解长期性健康后果对于全面的患者护理至关重要.
研究的目的:
- 在诊断后两年,评估乳腺癌患者的性功能和性频率.
- 确定影响与医疗保健提供者关于性行为的沟通因素.
主要方法:
- 使用了法国国家Vie après le CANCER 2 (VICAN 2) 纵向研究的数据.
- 包括患者和医疗问卷以及1350名乳腺癌参与者的医疗行政数据库.
- 评估性功能,频率和沟通使用关系和性质量表.
主要成果:
- 超过60%的女性报告说,性欲和性交频率下降;近50%的女性经历了性高潮的能力下降.
- 尽管对亲密关系频率的满意度很高 (89.5%),但只有15%的人与医疗保健提供者讨论性问题.
- 年龄较小 (<50岁),伴侣关系,收入较高和没有糖尿病与性交流增加有关.
结论:
- 乳腺癌诊断后两年,性障碍普遍存在,这突显了有关性健康的重大沟通差距.
- 迫切需要进行瘤性病学教育和量身定制的性健康干预措施.
- 干预措施应采用整体方法,考虑年龄,治疗,关系状况和糖尿病等并发症.
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