关键词: cancer survivor fear mental health psychological distress quality of life recurrence sexual dysfunctions

Mesh : Humans Female Romania Quality of Life / psychology Middle Aged Surveys and Questionnaires Adult Fear / psychology Neoplasms / psychology Anxiety / psychology Aged Disease Progression Depression / psychology epidemiology Cancer Survivors / psychology statistics & numerical data Sexual Behavior / psychology

来  源:   DOI:10.3389/fpubh.2024.1417681   PDF(Pubmed)

Abstract:
UNASSIGNED: As cancer survival rates increase, it has become crucial to pay attention to the long-term quality of life of survivors, including sexual functioning. The quality of sexual life and fear of cancer progression are often unmet needs, significantly impacting cancer patients\' overall quality of life. In this study, we investigate these factors in Romanian female cancer patients and highlight their relationship with mental health and demographic variables.
UNASSIGNED: This study included 242 Romanian female cancer patients who completed questionnaires assessing sexual functioning (EORTC QLQ-SHQ22), fear of cancer progression (FoP-Q), depression (PHQ-9), and anxiety (GAD-7). We examined these relationships using descriptive, exploratory, and regression analyses.
UNASSIGNED: Around 50% of patients reported impairments in sexual satisfaction and pain during sex. Lower sexual satisfaction increased sexual dysfunction, and heightened fear of cancer progression (FCP) were associated with depression, anxiety, younger age, lower education, rural residence, and unmarried status.
UNASSIGNED: This study reveals a complex interplay between sexual health, fear of cancer progression, and psychological well-being among female cancer survivors in Romania. Addressing sexual concerns, providing psychoeducation, promoting coping with the fear of progression, and utilizing interdisciplinary interventions are essential to improving these patients\' overall quality of life. These findings underscore the need for integrated care approaches that consider both physical and psychological dimensions of cancer survivorship.
摘要:
随着癌症生存率的提高,关注幸存者的长期生活质量已经变得至关重要,包括性功能。性生活质量和对癌症进展的恐惧往往是未满足的需求,显著影响癌症患者的整体生活质量。在这项研究中,我们调查了罗马尼亚女性癌症患者的这些因素,并强调了这些因素与心理健康和人口统计学变量的关系.
这项研究包括242名罗马尼亚女性癌症患者,他们完成了评估性功能的问卷(EORTCQLQ-SHQ22)。对癌症进展的恐惧(FoP-Q),抑郁症(PHQ-9),和焦虑(GAD-7)。我们使用描述性的,探索性,和回归分析。
大约50%的患者报告性交时的性满意度和疼痛受损。性满意度降低,性功能障碍增加,对癌症进展(FCP)的恐惧加剧与抑郁症有关,焦虑,年龄较小,教育水平较低,农村住宅,未婚身份。
这项研究揭示了性健康之间复杂的相互作用,对癌症进展的恐惧,以及罗马尼亚女性癌症幸存者的心理健康。解决性问题,提供心理教育,促进应对对进步的恐惧,利用跨学科干预措施对改善这些患者的整体生活质量至关重要。这些发现强调了需要考虑癌症幸存者的生理和心理层面的综合护理方法。
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