Abstract：
OBJECTIVE: To investigate the psychological distress, sexual satisfaction, and quality of life of gynaecological cancer survivors and their spouses during cancer survivorship.
BACKGROUND: The survival rate of patients with cancer is increasing owing to advances in medical treatment technology. Spouses are the closest companions of gynaecological cancer survivors. Patients with gynaecological cancer and their spouses face different situations and challenges after experiencing cancer invasion.
METHODS: Questionnaire-based cross-sectional study.
METHODS: Convenience sampling was employed, and 180 participants, including patients with gynaecological cancer and their spouses, were enrolled. A structured questionnaire was used to investigate the psychological distress, sexual satisfaction, and quality of life of gynaecological cancer survivors and their spouses during acute, extended, and permanent survivorship. The STROBE checklist guided the study preparation.
RESULTS: For gynaecological cancer survivors and their spouses, (1) severe psychological distress was present during acute survivorship, with anxiety extending until permanent survivorship; (2) no significant differences were observed in pre- and post-treatment sexual satisfaction, although pre-treatment sexual satisfaction was higher than post-treatment sexual satisfaction in all three cancer survivorship stages and (3) quality of life decreased during acute survivorship and gradually improved with time.
CONCLUSIONS: Psychological distress, sexual satisfaction and quality of life of gynaecological cancer survivors and their spouses worsened during acute survivorship and improved over time until permanent survivorship.
CONCLUSIONS: Gynaecological cancer survivors and their spouses experience anxiety and depression from diagnosis confirmation until permanent survivorship (>5 years survival). Therefore, clinical nurses\' sensitivity to emotional distress in cancer survivors and their spouses can be improved and a consistent and routine evaluation method has been established for the early detection of such emotional distress. The results of this study can provide a reference for clinical healthcare professionals and contribute to a better quality of care.
BACKGROUND: The survival rate of patients with cancer is increasing owing to advances in medical treatment technology. Spouses are the closest companions of gynaecological cancer survivors. Patients with gynaecological cancer and their spouses face different situations and challenges after experiencing cancer invasion.
METHODS: Questionnaire-based cross-sectional study.
METHODS: Convenience sampling was employed, and 180 participants, including patients with gynaecological cancer and their spouses, were enrolled. A structured questionnaire was used to investigate the psychological distress, sexual satisfaction, and quality of life of gynaecological cancer survivors and their spouses during acute, extended, and permanent survivorship. The STROBE checklist guided the study preparation.
RESULTS: For gynaecological cancer survivors and their spouses, (1) severe psychological distress was present during acute survivorship, with anxiety extending until permanent survivorship; (2) no significant differences were observed in pre- and post-treatment sexual satisfaction, although pre-treatment sexual satisfaction was higher than post-treatment sexual satisfaction in all three cancer survivorship stages and (3) quality of life decreased during acute survivorship and gradually improved with time.
CONCLUSIONS: Psychological distress, sexual satisfaction and quality of life of gynaecological cancer survivors and their spouses worsened during acute survivorship and improved over time until permanent survivorship.
CONCLUSIONS: Gynaecological cancer survivors and their spouses experience anxiety and depression from diagnosis confirmation until permanent survivorship (>5 years survival). Therefore, clinical nurses\' sensitivity to emotional distress in cancer survivors and their spouses can be improved and a consistent and routine evaluation method has been established for the early detection of such emotional distress. The results of this study can provide a reference for clinical healthcare professionals and contribute to a better quality of care.
摘要：
目的：调查心理困扰，性满意度,妇科癌症幸存者及其配偶在癌症存活期间的生活质量。
背景：由于医疗技术的进步，癌症患者的生存率正在提高。配偶是妇科癌症幸存者最亲密的伴侣。妇科癌症患者及其配偶在经历癌症侵袭后面临不同的情况和挑战。
方法：基于问卷调查的横断面研究。
方法：采用方便抽样，180名参与者，包括妇科癌症患者和他们的配偶，已注册。使用结构化问卷调查心理困扰，性满意度,和生活质量的妇科癌症幸存者和他们的配偶在急性，扩展,和永久生存。STROBE检查表指导了研究准备工作。
结果：对于妇科癌症幸存者及其配偶，（1）在急性生存期间存在严重的心理困扰，焦虑持续到永久存活；（2）治疗前后的性满意度没有显着差异，尽管在所有三个癌症生存阶段，治疗前的性满意度均高于治疗后的性满意度，并且（3）在急性生存期间生活质量下降，并随时间逐渐改善。
结论：心理困扰，妇科癌症幸存者及其配偶的性满意度和生活质量在急性存活期间恶化，并随着时间的推移而改善，直到永久存活。
结论：妇科癌症幸存者和他们的配偶从诊断确认到永久生存（>5年生存）都会经历焦虑和抑郁。因此,临床护士对癌症幸存者及其配偶的情绪困扰的敏感性可以得到改善，并且已经建立了一致和常规的评估方法来早期发现这种情绪困扰。本研究结果可为临床医护人员提供参考,有助于提高医疗质量。
背景：由于医疗技术的进步，癌症患者的生存率正在提高。配偶是妇科癌症幸存者最亲密的伴侣。妇科癌症患者及其配偶在经历癌症侵袭后面临不同的情况和挑战。
方法：基于问卷调查的横断面研究。
方法：采用方便抽样，180名参与者，包括妇科癌症患者和他们的配偶，已注册。使用结构化问卷调查心理困扰，性满意度,和生活质量的妇科癌症幸存者和他们的配偶在急性，扩展,和永久生存。STROBE检查表指导了研究准备工作。
结果：对于妇科癌症幸存者及其配偶，（1）在急性生存期间存在严重的心理困扰，焦虑持续到永久存活；（2）治疗前后的性满意度没有显着差异，尽管在所有三个癌症生存阶段，治疗前的性满意度均高于治疗后的性满意度，并且（3）在急性生存期间生活质量下降，并随时间逐渐改善。
结论：心理困扰，妇科癌症幸存者及其配偶的性满意度和生活质量在急性存活期间恶化，并随着时间的推移而改善，直到永久存活。
结论：妇科癌症幸存者和他们的配偶从诊断确认到永久生存（>5年生存）都会经历焦虑和抑郁。因此,临床护士对癌症幸存者及其配偶的情绪困扰的敏感性可以得到改善，并且已经建立了一致和常规的评估方法来早期发现这种情绪困扰。本研究结果可为临床医护人员提供参考,有助于提高医疗质量。
