Abstract：
OBJECTIVE: This systematic literature review aimed to explore the effects of head and neck cancer (HNC) on relationship intimacy in adults and identify the current support available to patients with HNC and their partners in relation to relationship intimacy.
METHODS: Seven databases (CINAHL, Pubmed, Scopus, Web of Science, SocINDEX, PsycARTICLES, Psychology, and Behavioural Science Collection) were searched using grouped terms \"head and neck cancer and intimacy\" and \"head and neck cancer and support.\" Studies written in English to assess adult patients with HNC and its effects on relationship intimacy and studies assessing the use of intimacy-specific support tools/methods were included. The review protocol was registered in June 2022 with PROSPERO ID: CRD42022329614.
RESULTS: Thirty publications were included within the review. Six topics emerged: relationships, communication, sexual interest, barriers, couples-based communication intervention strategies, and assessment tools. While there were positive dyadic changes observed, many patients reported negative experiences relating to changes in relationship roles, sexual issues, and poor communication with partners and health care professionals that affected intimacy. There were 5 interventions identified; of those, the results varied, with some improvements noted in psychological well-being but not necessarily sexual interest and enjoyment.
CONCLUSIONS: HNC profoundly affects relationship intimacy. However, both patients and health care professionals find it challenging to discuss these issues, often leaving it an unmet need. Appropriate training and development for health care professionals that facilitate communication between clinician and patient are necessary to support conversations on intimacy needs.
CONCLUSIONS: There exists a need for patients to receive support in relation to intimacy following diagnosis and treatment, and the evidence suggests that this may be more effective post-treatment and from health care professionals who are appropriately trained. Couples\' communication interventions may prove useful, but further research is required on the efficacy of combining both psychological and sexual support together.
METHODS: Seven databases (CINAHL, Pubmed, Scopus, Web of Science, SocINDEX, PsycARTICLES, Psychology, and Behavioural Science Collection) were searched using grouped terms \"head and neck cancer and intimacy\" and \"head and neck cancer and support.\" Studies written in English to assess adult patients with HNC and its effects on relationship intimacy and studies assessing the use of intimacy-specific support tools/methods were included. The review protocol was registered in June 2022 with PROSPERO ID: CRD42022329614.
RESULTS: Thirty publications were included within the review. Six topics emerged: relationships, communication, sexual interest, barriers, couples-based communication intervention strategies, and assessment tools. While there were positive dyadic changes observed, many patients reported negative experiences relating to changes in relationship roles, sexual issues, and poor communication with partners and health care professionals that affected intimacy. There were 5 interventions identified; of those, the results varied, with some improvements noted in psychological well-being but not necessarily sexual interest and enjoyment.
CONCLUSIONS: HNC profoundly affects relationship intimacy. However, both patients and health care professionals find it challenging to discuss these issues, often leaving it an unmet need. Appropriate training and development for health care professionals that facilitate communication between clinician and patient are necessary to support conversations on intimacy needs.
CONCLUSIONS: There exists a need for patients to receive support in relation to intimacy following diagnosis and treatment, and the evidence suggests that this may be more effective post-treatment and from health care professionals who are appropriately trained. Couples\' communication interventions may prove useful, but further research is required on the efficacy of combining both psychological and sexual support together.
摘要：
目的：本系统文献综述旨在探讨头颈癌（HNC）对成人关系亲密关系的影响，并确定目前对HNC患者及其伴侣在关系亲密关系方面的支持。
方法：七个数据库(CINAHL，Pubmed,Scopus,WebofScience,Socindex,心术,心理学,和行为科学收藏）使用分组术语“头颈癌和亲密关系”和“头颈癌和支持”进行搜索。包括以英语编写的评估成人HNC患者及其对亲密关系的影响的研究，以及评估亲密关系特定支持工具/方法使用的研究。审查协议于2022年6月注册，PROSPEROID：CRD42022329614。
结果：本综述包括30篇出版物。出现了六个主题：关系，通信,性兴趣,障碍,基于夫妻的沟通干预策略，和评估工具。虽然观察到了积极的二进变化，许多患者报告了与关系角色变化有关的负面经历，性问题,以及与影响亲密关系的合作伙伴和医疗保健专业人员的沟通不畅。确定了5种干预措施；其中，结果各不相同，在心理健康方面有一些改善，但不一定是性兴趣和享受。
结论：HNC深刻影响亲密关系。然而,患者和医疗保健专业人员都发现讨论这些问题具有挑战性，经常让它成为未满足的需求。对卫生保健专业人员进行适当的培训和发展，以促进临床医生和患者之间的沟通是必要的，以支持有关亲密需求的对话。
结论：在诊断和治疗后，患者需要获得与亲密关系有关的支持，和证据表明，这可能是更有效的治疗后，从卫生保健专业人员适当培训。夫妻交流干预可能被证明是有用的，但是需要进一步研究将心理和性支持结合在一起的功效。
方法：七个数据库(CINAHL，Pubmed,Scopus,WebofScience,Socindex,心术,心理学,和行为科学收藏）使用分组术语“头颈癌和亲密关系”和“头颈癌和支持”进行搜索。包括以英语编写的评估成人HNC患者及其对亲密关系的影响的研究，以及评估亲密关系特定支持工具/方法使用的研究。审查协议于2022年6月注册，PROSPEROID：CRD42022329614。
结果：本综述包括30篇出版物。出现了六个主题：关系，通信,性兴趣,障碍,基于夫妻的沟通干预策略，和评估工具。虽然观察到了积极的二进变化，许多患者报告了与关系角色变化有关的负面经历，性问题,以及与影响亲密关系的合作伙伴和医疗保健专业人员的沟通不畅。确定了5种干预措施；其中，结果各不相同，在心理健康方面有一些改善，但不一定是性兴趣和享受。
结论：HNC深刻影响亲密关系。然而,患者和医疗保健专业人员都发现讨论这些问题具有挑战性，经常让它成为未满足的需求。对卫生保健专业人员进行适当的培训和发展，以促进临床医生和患者之间的沟通是必要的，以支持有关亲密需求的对话。
结论：在诊断和治疗后，患者需要获得与亲密关系有关的支持，和证据表明，这可能是更有效的治疗后，从卫生保健专业人员适当培训。夫妻交流干预可能被证明是有用的，但是需要进一步研究将心理和性支持结合在一起的功效。
