提高癌症幸存者的性健康 癌症幸存者的性健康
Laila S Agrawal1, Liz O'Riordan2, Caleb Natale3
1Norton Cancer Institute, Louisville, KY.
概括
癌症治疗经常导致幸存者的性功能障碍. 瘤专业人员必须解决性健康问题,提供各种治疗方法以改善患者的生活质量.
科学领域:
- 在瘤学瘤学.
- 性健康 性的健康
- 患者护理 患者护理
背景情况:
- 性功能障碍在癌症幸存者中非常普遍,影响高达90%的女性和40%-85%的男性.
- 担忧包括性欲下降,更年期的生殖尿路综合征,失恋症,勃起功能障碍,阴道腺症,身体形象问题和关系影响.
- 性健康是生活质量的关键组成部分,应纳入常规瘤治疗.
研究的目的:
- 突出癌症治疗后性功能障碍的患病率和影响.
- 概述癌症幸存者的各种性健康问题的管理策略.
- 强调综合性,以患者为中心的性健康方法在瘤学中的重要性.
主要方法:
- 审查常见的性健康问题及其在癌症患者的管理.
- 讨论治疗方式,包括荷尔蒙和非荷尔蒙疗法,物理治疗和手术干预.
- 探索心理社会干预措施,如咨询和性疗法.
主要成果:
- 更年期的尿生殖综合征可以通过非荷尔蒙和低剂量的局部荷尔蒙选择来管理.
- 盆地功能障碍和阴道狭窄可以通过物理治疗和扩张器治疗来治疗.
- 勃起功能障碍有多种治疗选择,包括药物,注射,设备和手术.
- 男性的阴性腺缺陷症可以用丸激素治疗来治疗.
- 心理社会咨询和性疗法解决性反应,身体形象和关系问题.
结论:
- 性功能障碍是所有患者人口统计数据中癌症治疗的常见和重大副作用.
- 生物心理社会框架对于理解和管理与癌症相关的性健康问题至关重要.
- 将性健康讨论和干预措施纳入常规瘤治疗中,对于改善患者的治疗结果和幸福感至关重要.
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