目的:通过混合方法系统评价(MMSR)分析医疗保健提供者(HCP)在性保健方面的经验。
背景:乳腺癌幸存者(BCS)的性健康变得越来越重要,因为幸存者的寿命更长。HCP在提供性保健方面至关重要。
方法:混合方法系统综述。
方法:文献检索在MEDLINE数据库中进行,CINAHL,心理学与行为科学合集,WebofScience,科克伦图书馆,Scopus,从开始到2022年12月30日,搜索了ClinicalTrials.gov和参考列表。两名独立审阅者使用JBIMMSR指南提取并分析了数据。
结果:在筛选2849篇引文后,19项研究符合MMSR的条件,涉及2068个HCP。大多数HCP认为性保健是他们的责任。然而,性健康没有得到充分解决。缺乏知识是提供性保健的最大障碍。此外,HCP希望获得更多知识,并认为当前的性保健培训不足。
结论:研究结果表明,HCP并不经常解决BCS中的性健康问题,缺乏知识是最常见的障碍。医疗保健会议管理员应为提供多种格式的性医疗保健培训分配资源,可访问的内容和便利。他们也应该是多方面的,积极主动的,满足BCS在不同阶段的多样化需求,注重有效沟通。
结论:这项研究强调了在BCS中解决性健康问题的重要性,以及HCP接受这方面培训的必要性。培训应该是多方面的,积极主动,满足不同阶段BCS的多样化需求,注重有效沟通。通过解决这个问题,HCP将更好地支持BCS的性健康需求,最终改善他们的整体福祉和生活质量。PROSPERO注册号:CRD42022327018(https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=327018)。
OBJECTIVE: To analyse healthcare providers\' (HCPs) experiences in sexual health care through the mixed-methods systematic
review (MMSR).
BACKGROUND: Sexual health for breast cancer survivors (BCSs) is becoming increasingly important as survivors live longer. HCPs are critical in providing sexual health care.
METHODS: A mixed-methods systematic
review.
METHODS: Literature searches were conducted in databases MEDLINE, CINAHL, Psychology & Behavioral Sciences Collection, Web of Science, Cochrane Library, Scopus, ClinicalTrials.gov and reference lists were searched from inception to 30 December 2022. Two independent reviewers extracted and analysed the data using the JBI guidelines for MMSR.
RESULTS: After screening for 2849 citations, 19 studies were eligible for MMSR, involving 2068 HCPs. Most HCPs believe that sexual health care is their responsibility. However, sexual health was not adequately addressed. A lack of knowledge was the most significant barrier to providing sexual health care. Moreover, HCPs would like to acquire more knowledge and felt that current sexual healthcare training was inadequate.
CONCLUSIONS: Findings suggest that HCPs did not frequently address sexual health in BCSs and that lack of knowledge was the most common barrier. Healthcare session administrators should allocate resources for sexual healthcare training that offer multiple formats, accessible content and convenience. They should also be multifaceted and proactive, meet the diverse needs of BCS at different stages and focus on effective communication.
CONCLUSIONS: This study highlights the importance of addressing sexual health in BCSs and the need for HCPs to receive training in this area. Training should be multifaceted, proactive and meet the diverse needs of BCSs at different stages, with a focus on effective communication. By addressing this issue, HCPs will be better equipped to support the sexual health needs of BCSs, ultimately improving their overall well-being and quality of life. PROSPERO Registration Number: CRD42022327018 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=327018).