PDF(Pubmed)
Abstract：
BACKGROUND: Cervical cancer (CC) and its treatments impact various dimensions of quality of life (QoL), including physical, psychological, and sexual functioning. Sexual health, a crucial QoL aspect, is often compromised, highlighting the necessity for open sexual communication.
METHODS: This study involved 60 women diagnosed with stage IIb-IIIa CC. The 36-Item Short Form Survey (SF-36) was used to measure physical and psychological components of QoL, the Female Sexual Function Index-6 (FSFI-6) to assess its sexual component, and the Sexual Communication Self-Efficacy Scale (SCSES) to diagnose communication confidence. Self-administered questions gauged patient-provider sexual communication. The results include quotes from participants, providing additional insight.
RESULTS: Sexual communication self-efficacy and patient-provider communication correlated significantly with QoL components. Only 23.33% discussed sexual issues with their doctors. Participants\' experiences highlighted the impact of cancer on sexuality and the need for tailored support.
CONCLUSIONS: Post-diagnosis psychosexual changes emphasize the importance of communication in renegotiating sexual identity and needs. Effective communication is associated with improved QoL, highlighting the role of healthcare professionals in addressing psychosexual issues. Integrating PLISSIT and BETTER models provides a comprehensive approach to sexual communication in the cancer context.
CONCLUSIONS: The study demonstrates the importance of sexual communication self-efficacy in QoL of CC patients and highlights the need for healthcare professionals to include sexual communication education in cancer care.
METHODS: This study involved 60 women diagnosed with stage IIb-IIIa CC. The 36-Item Short Form Survey (SF-36) was used to measure physical and psychological components of QoL, the Female Sexual Function Index-6 (FSFI-6) to assess its sexual component, and the Sexual Communication Self-Efficacy Scale (SCSES) to diagnose communication confidence. Self-administered questions gauged patient-provider sexual communication. The results include quotes from participants, providing additional insight.
RESULTS: Sexual communication self-efficacy and patient-provider communication correlated significantly with QoL components. Only 23.33% discussed sexual issues with their doctors. Participants\' experiences highlighted the impact of cancer on sexuality and the need for tailored support.
CONCLUSIONS: Post-diagnosis psychosexual changes emphasize the importance of communication in renegotiating sexual identity and needs. Effective communication is associated with improved QoL, highlighting the role of healthcare professionals in addressing psychosexual issues. Integrating PLISSIT and BETTER models provides a comprehensive approach to sexual communication in the cancer context.
CONCLUSIONS: The study demonstrates the importance of sexual communication self-efficacy in QoL of CC patients and highlights the need for healthcare professionals to include sexual communication education in cancer care.
摘要：
背景：宫颈癌（CC）及其治疗会影响生活质量（QoL）的各个方面，包括身体，心理,和性功能。性健康,一个关键的QoL方面，经常妥协，强调开放式沟通的必要性。
方法：本研究涉及60名诊断为IIb-IIaCC期的妇女。36项简表调查(SF-36)用于测量QoL的生理和心理成分，女性性功能指数-6（FSFI-6）来评估其性成分，和性沟通自我效能量表（SCSES）诊断沟通信心。自我管理的问题衡量了患者与提供者的性交流。结果包括参与者的报价，提供额外的见解。
结果：性沟通自我效能和患者-提供者沟通与QoL成分显著相关。只有23.33％的人与医生讨论了性问题。参与者的经验强调了癌症对性行为的影响以及对量身定制的支持的需求。
结论：诊断后的性心理变化强调了沟通在重新协商性认同和需求中的重要性。有效的沟通与改善的QoL相关，强调医疗保健专业人员在解决性心理问题方面的作用。整合PLISSIT和BETTER模型为癌症背景下的性交流提供了一种全面的方法。
结论：该研究证明了性沟通自我效能在CC患者QoL中的重要性，并强调了医疗保健专业人员在癌症护理中纳入性沟通教育的必要性。
方法：本研究涉及60名诊断为IIb-IIaCC期的妇女。36项简表调查(SF-36)用于测量QoL的生理和心理成分，女性性功能指数-6（FSFI-6）来评估其性成分，和性沟通自我效能量表（SCSES）诊断沟通信心。自我管理的问题衡量了患者与提供者的性交流。结果包括参与者的报价，提供额外的见解。
结果：性沟通自我效能和患者-提供者沟通与QoL成分显著相关。只有23.33％的人与医生讨论了性问题。参与者的经验强调了癌症对性行为的影响以及对量身定制的支持的需求。
结论：诊断后的性心理变化强调了沟通在重新协商性认同和需求中的重要性。有效的沟通与改善的QoL相关，强调医疗保健专业人员在解决性心理问题方面的作用。整合PLISSIT和BETTER模型为癌症背景下的性交流提供了一种全面的方法。
结论：该研究证明了性沟通自我效能在CC患者QoL中的重要性，并强调了医疗保健专业人员在癌症护理中纳入性沟通教育的必要性。
