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題名:婦癌婦女性生活滿意度及其相關因子研究
書刊名:護理雜誌
作者:陳靖苹黃寬仁萬國華涂儷燕李絳桃
作者(外文):Chen, Ching-pingHuang, Kuan-genWan, Gwo-hwaTu, Li-yenLee, Jian-tao
出版日期:2013
卷期:60:2
頁次:頁61-70
主題關鍵詞:婦癌性生活性滿意Gynecological cancerSexual lifeSexual satisfaction
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:7
  • 點閱點閱:46
背景:研究顯示婦女接受婦癌治療後易產生長期性的健康問題,雖已有研究探討婦癌婦女性健康問題,但以性功能障礙為主,較少探究婦癌婦女的性滿意情形。目的:了解台灣北部地區接受婦癌治療後的女性,其性生活滿意度現況及其相關因素。方法:採橫斷式描述性及相關性研究設計,於台灣北部某醫學中心婦產科門診收案,共徵求158位個案參與,包含癌症分期為1-3期且距先前治療超過一年的婦癌女性83人;及75位沒有癌症病史規律行子宮頸抹片檢查的女性為對照組。以結構式問卷收集資料,分為兩部份,一為基本屬性,包含人口學資料及婦癌疾病特性;二為最近性生活滿意度評估,藉由Chi-square test、Mann-Whitney U test、Krauskal-Wallis test、Spearman rank correlation等統計方法進行分析。結果:㈠婦癌女性的性生活滿意度較一般女性為低;㈡與婦癌女性生活滿意相關的因子為「治療完成至今的年數」、「年齡」、「感情狀況」與「經濟狀況」。剛完成治療滿一年者的性生活滿意度較差;年齡愈低者、經濟狀況愈富裕者、感情狀況愈佳者,其最近性生活滿意度則愈好。結論/實務應用:本研究結果可以提供醫療相關人員瞭解婦癌女性的性生活,及衛教婦癌女性於癌症初期的性生活狀況,特別是針對在剛完成治療滿一年者、高年齡層者、情感狀況或經濟狀況不佳者。
Background: Recent studies have demonstrated that women treated for gynecological cancer experience long-term sexual problems. Although several studies have described physical sexual dysfunction among gynecological cancer survivors, there is a relative dearth of research related to sexual satisfaction in women treated for this disease.Purpose: This study explores sexual satisfaction and related factors in women who have undergone gynecological cancer therapy.Methods: This study used a cross-sectional and descriptive-correlational design. A total of 158 female participants were recruited from the gynecology and obstetrics department of a medical center in northern Taiwan. Eighty-three were women treated more than one year ago for stage 1 to 3 gynecological cancer; the remaining 75 had no history of cancer who had visited the medical center for routine cervical cancer screening. Structured questionnaires collected data on participant demographics, gynecological cancer characteristics, and sexual satisfaction. Data were analyzed using the Chi-Square test, Mann-Whitney U test, Krauskal-Wallis test, and Spearman rank correlation.Results: (1) Participants in the recent gynecological cancer group reported significantly less sexual satisfaction than their healthy control peers; (2) Level of sexual satisfaction reported by participants in the recent gynecological cancer group was significantly related to the following factors: number of years since treatment, participant age, relationship status, and financial condition. Those who received therapy one year ago reported low levels of sexual satisfaction; those who were younger, richer, or had a better relationship status reported better levels of sexual satisfaction.Conclusions / Implications for Practice: Study findings can help healthcare professionals understand and educate patients about the potential sexual health implications of gynecological cancer treatment. Healthcare professionals can focus particular attention on patients who are older, poorer, or have a relatively poor relationship status.
期刊論文
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2.張瑛瑛、劉雪娥(20001200)。子宮根除術後婦女生活品質之初探。長庚護理,11(4)=32,1-10。new window  延伸查詢new window
3.許維中、詹淑卿、鍾娜娜、陳宇嘉、丁禮莉、陳斯榮、蔡崇煌、王博民、謝保群、林高德(20050900)。第一期下期與第二期上期之子宮頸癌經不同治療模式後的長期生活品質比較。放射治療與腫瘤學,12(3),181-189。  延伸查詢new window
4.陳雲絹、張遠萍、許玲女(19980300)。某醫學中心婦女做子宮頸抹片檢查與其影響因素之探討。長庚護理,9(1)=21,22-32。new window  延伸查詢new window
5.蔡宗益、陳淑怡、蔡美惠、何志明、蘇億玲(20091200)。子宮頸癌病人性功能障礙之相關因素探討。護理雜誌,56(6),37-46。new window  延伸查詢new window
6.Abitbol, M. M.、Davenport, J. H.(1974)。The irradiated vagina。Obestetrics & Gynecology,44(2),249-256。  new window
7.Ashing-Giwa, K. T.、Lim, J. W.、Tang, J.(2010)。Surviving cervical cancer: Does health-related quality of life influence survival?。Gynecologic Oncology,118(1),35-42。  new window
8.Ashing-Giwa, K. T.、Padilla, G. V.、Bohorquez, D. E.、Tejero, J. S.、Garcia, M.、Meyers, E. A.(2006)。Survivorship: A qualitative investigation of Latinas diagnosed with cervical cancer。Journal of Psychosocial Oncology,24(4),53-88。  new window
9.Bergmark, K.、Avall-Lundqvist, E.、Dickman, P. W.、Hen-ningsohn, L.、Steineck, G.(1999)。Vaginal changes and sexuality in women with a history of cervical cancer。New England Journal of Medicine,340(18),1383-1389。  new window
10.Bourgeois-Law, G.、Lotocki, R.(1999)。Sexuality and gynaecological cancer: A needs assessment。Canadian Journal of Hitman Sexuality,8(4),231-240。  new window
11.Brotto, L. A.、Heiman, J. R.、Goff, B.、Greer, B.、Lentz, G. M.、Swisher, E.、Blaricom, A. V.(2008)。A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer。Archives of Sexual Behavior,37(2),317-329。  new window
12.Frumovitz, M.、Sun, C. C.、Schover, L. R.、Munsell, M. F.、Jhin-gran, A.、Wharton, J. T.、Bodurka, D. C.(2005)。Quality of life and sexual functioning in cervical cancer survivors。Journal of Clinical Oncology,23(30),7428-7436。  new window
13.Gilbert, E.、Ussher, J. M.、Perz, J.(2011)。Sexuality after gynaecological cancer: A review of the material, intra-psychic, and discursive aspects of treatment on women’s sexual-wellbeing。Maturitas,70(1),42-57。  new window
14.Greenwald, H. P.、McCorkle, R.(2010)。Sexuality and sexual function in long-term survivors of cervical cancer。Journal of Women'€™s Health,77(6),955-963。  new window
15.Haavio-Mannila, E.、Kontula, O.(1997)。Correlates of in-creased sexual satisfaction。Archives of Sexual Behavior,26(4),339-419。  new window
16.Hawkins, Y.、Ussher, J.、Gilbert, E.、Perz, J.、Sandoval, M.、Sundquist, K.(2009)。Changes in sexuality and intimacy after the diagnosis and treatment of cancer: The experience of partners in a sexual relationship with a person with cancer。Cancer Nursing,32(4),271-280。  new window
17.Hill, E. K.、Sandbo, S.、Abramsohn, E.、Makelarski, J.、Wro-blewski, K.、Wenrich, E. R.、Lindau, S. T.(2011)。Assessing gynecologic and breast cancer survivors' sexual health care needs。Cancer,117(12),2643-2651。  new window
18.Hislop, T. G.、Teh, C.、Lai, A.、Ralston, J. D.、Shu, J.、Taylor, V. M.(2004)。Pap screening and knowledge of risk factors for cervical cancer in Chinese women in British Columbia, Canada。Ethnicity & Health,9(3),267-281。  new window
19.Juraskova, I.、Butow, P.、Robertson, R.、Sharpe, L.、McLeod, C.、Hacker, N.(2003)。Post-treatment sexual adjustment following cervical and endometrial cancer: A qualitative insight。Psycho-Oncology,12(3),267-279。  new window
20.Kritcharoen, S.、Suwan, K.、Jirojwong, S.(2005)。Perceptions of gender roles, gender power relationships, and sexuality in Thai women following diagnosis and treatment for cervical cancer。Oncology Nursing Forum,32(3),682-688。  new window
21.Lawrance, K.-A.、Byers, E. S.(1995)。Sexual satisfaction in long-term heterosexual relationships: The interpersonal exchange model of sexual satisfaction。Personal Relationships,2(4),267-285。  new window
22.Leenhouts, G. H.、Kylstra, W. A.、Everaerd, W.、Hahn, D. E.、Weijmar Schultz, W. C. M.、van de Wiel, H. B. M.、Heintz, A. P. M.(2002)。Sexual outcomes following treatment for early-stage gynecological cancer: A prospective and cross-sectional multi-center study。Journal of Psycho-somatic Obstetrics Gynecology,23(2),123-132。  new window
23.Maughan, K.、Heyman, B.、Matthews, M.(2002)。In the shadow of risk. How men cope with a partner’s gynaeco-logical cancer。International Journal of Nursing Studies,39(1),27-34。  new window
24.Peterson, N. B.、Murff, H. J.、Cui, Y.、Hargreaves, M.(2008)。Papanicolaou testing among women in the southern United States。Journal of Women'€™s Health,17(6),939-946。  new window
25.Tierney, D. K.(2008)。Sexuality: A quality-of-life issue for cancer survivors。Seminars in Oncology Nursing,24(2),71-79。  new window
26.Vincent, C. E.、Vincent, B.、Greiss, F. C.、Linton, E. B.(1975)。Some marital-sexual concomitants of carcinoma of cervix。Southern Medical Journal,68(5),552-558。  new window
27.Young, M.、Denny, G.、Luquis, R.、Young, T.(1998)。Correlates of sexual satisfaction in marriage。Canadian Journal of Human Sexuality,7(2),115-127。  new window
28.Young, M.、Denny, G.、Young, T.、Luquis, R.(2000)。Sexual satisfaction among married women age 50 and older。Psychological Reports,86(3, Pt. 2),1107-1022。  new window
29.Donovan, K. A.、Taliaferro, L. A.、Alvarez, E. M.、Jacobsen, P. B.、Roetzheim, R. G.、Wenham, R. M.(2007)。Sexual health in women treated for cervical cancer: Characteristics and correlates。Gynecologic Oncology,104(2),428-434。  new window
學位論文
1.李麗燕(2002)。化學治療後乳癌婦女的性功能影響因素探討(碩士論文)。台北醫學院。  延伸查詢new window
2.林昭伶(2008)。孕婦性生活之研究(碩士論文)。長庚大學。  延伸查詢new window
3.廖紀華(2005)。女性憂鬱症患者性生活滿意度相關性研究分析(碩士論文)。樹德科技大學,高雄市。  延伸查詢new window
圖書
1.國家衛生研究院婦癌研究委員會(2010)。婦癌臨床診療指引。台北市:國家衛生研究院。  延伸查詢new window
2.American Nurses Association(2010)。Nursing: Scope and standards of practice。Washington, DC:American Nurses Association。  new window
3.Andrews, G.、Studd, J.(2001)。Women's sexual health。New York, NY:Bailliere Tindall。  new window
4.Rosner, B.(1990)。Fundamentals of biostatistics。Thousand Oaks, CA:Sage。  new window
其他
1.American Cancer Society(2013)。Chemotherapy for cervical cancer,http://www.cancer.org/cancer/cer-vicalcancer/detailedguide/cervical-cancer-treating-chemo-therapy。  new window
2.American Cancer Society(2013)。Radiation therapy for cervical cancer,http://www.cancer.org/can-cer/cervicalcancer/detailedguide/cervical-cancer-treating-radiation。  new window
3.American Cancer Society(2013)。Surgery for cervical cancers and pre-cancers,http://www.cancer.org/cancer/cervicalcancer/detailedguide/cervical-cancer-treating-surgery。  new window
4.National Cancer Institute(2013)。Definition of gynecological cancer,http://www.cancer.gov/dictionary?cdrid=45982。  new window
 
 
 
 
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