前列腺癌相关的性功能障碍和寻求帮助的障碍:一个全面的审查
Megan Charlick1, Tenaw Tiruye1, Kerry Ettridge2
1Cancer Epidemiology and Population Health, University of South Australia, Adelaide, Australia.
Psycho-oncology
|August 13, 2024
概括
患有前列腺癌的男性往往有未满足的性需求,因为他们寻求帮助的次数较低. 这次审查确定了影响治疗后寻求性问题的个人,社会和文化因素.
科学领域:
- 在瘤学瘤学.
- 性健康 性的健康
- 健康心理学 心理健康心理学
背景情况:
- 性欲是前列腺癌患者经常无法满足的需求.
- 寻求帮助的低率有助于这些未得到满足的需求.
- 了解影响寻求帮助的因素对于改善患者护理至关重要.
研究的目的:
- 对影响男性前列腺癌治疗后性问题寻求帮助行为的因素进行文献范围审查.
- 利用生态系统框架来分析这些因素.
主要方法:
- 在多个数据库 (Medline,PsychInfo,Embase,Emcare,Scopus) 进行系统的文献搜索,遵循PRISMA指南.
- 包括专注于成年前列腺癌患者治疗后报告性健康寻求帮助的障碍/促进者的研究.
- 从30项纳入研究的结果进行了定性综合,并使用Joanna Briggs Institute工具进行了质量评估.
主要成果:
- 在"生态系统框架"的五个层面中确定了寻求性帮助的障碍和促进者.
- 个别因素包括年龄,治疗类型和以前寻求帮助的经验.
- 还确定了微系统 (沟通,合作伙伴支持), meso/exosystem (成本,可访问性) 和宏观系统 (尬,男性性,文化规范,性少数群体地位) 的因素.
结论:
- 解决障碍并加强寻求性帮助的促进者对于患者支持至关重要.
- 建议将性福利讨论纳入所有前列腺癌患者的标准护理.
- 讨论应该是包容性的,不管治疗,年龄,性取向,或伙伴关系状态.
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