乳腺癌后的性健康:临床实践审查
Samantha K F Kennedy1, Selena Mekhaeil2, Elwyn Zhang1
1Sunnybrook Health Sciences Centre, Odette Cancer Centre, University of Toronto, Toronto, ON, Canada.
Annals of palliative medicine
|October 11, 2024
概括
乳腺癌 (BC) 幸存者由于身体和心理社会因素而面临性健康挑战. 解决这些问题需要一种超越疾病管理的整体方法,以改善福祉.
科学领域:
- 在瘤学瘤学.
- 心理社会健康 心理健康
- 性医学性医学性医学性医学
背景情况:
- 乳腺癌 (BC) 诊断影响幸存者的身体和心理社会福祉,往往导致性健康挑战.
- 幸存者报告的身体症状,如失足症和心理社会压力因素,如身体形象问题,影响性功能.
- 乳腺癌的治疗可以对性健康产生持久的影响,与身体和心理因素相互作用.
研究的目的:
- 审查有关乳腺癌幸存者的性健康挑战的当前文献.
- 识别BC后性健康的护理和前性监测方面的知识差距.
- 为未来的研究和临床实践提供建议.
主要方法:
- 系统的文献搜索和审查有关BC幸存者的性健康的当前研究.
- 将发现分类为促进因素,治疗方法,干预措施和实践建议.
- 分析证据以确定差距并提出建议.
主要成果:
- 幸存者经历的身体问题 (如疼痛) 和心理社会因素 (如抑郁症) 影响性福利.
- 治疗包括局部产品和各种心理治疗干预措施.
- 在性健康研究中,关于跨界问题 (种族,年龄,社会经济地位) 存在显著的差距.
结论:
- 需要向整体,以患者为中心的幸存者护理进行范式转变.
- 对BC幸存者来说,优先考虑性福利和舒适度至关重要.
- 未来的研究必须解决多样化的幸存者群体和交叉因素.
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