Sonia La Spina, Paolo Scollo, Basilio Pecorino, Valentina Lombardo, Annamaria Motta, Rosa Gioia Calderone, Stefania Calì, Helga Lipari, Giuseppa Scandurra
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引用次数: 0
Abstract
Background: The study of health-related quality of life in survivors of gynecologic cancers is becoming increasingly important as 1.5 million survivors of gynecologic cancer in the United States and more are expected due to advances in diagnosis and treatment. This project investigated the perceived needs and lived experiences of survivors of gynecological cancer to help design supportive activities to be implemented in clinical practice.
Methods: Patients were recruited in hospitals or through social media and responded to an online survey that was addressed to patients in Italy, specifically in Sicily, Puglia, and Campania. Patients with ovarian, endometrium, or cervix cancer were recruited among women attending Cannizzaro Hospital and Alleanza Contro il Tumore Ovarico (Alliance Against Ovarian Cancer) members.
Results: Body image perception was changed in 82.3% of respondents, whereas familial relationships were described as changed by 27.5% of women. In 69.6% of patients, sexual habits were hindered by changes in the body, depression, pain, and awkwardness. Physicians informed patients about sexuality changes related to cancer extensively in 16.7% of cases and briefly in 19.6% of cases. The advice of a clinical sexologist was considered potentially helpful by 31.4% of patients and not potentially helpful by 47.1%, whereas 21.6% of patients had no opinion.
Conclusions: Although sexual habits are often changed by cancer, women surviving gynecological cancer rarely seek medical advice in this area. Physicians should be trained to inform patients and to promote referrals to sexologists.
背景:美国有 150 万妇科癌症幸存者,随着诊断和治疗的进步,预计还会有更多的妇科癌症幸存者,因此研究妇科癌症幸存者与健康相关的生活质量变得越来越重要。本项目调查了妇科癌症幸存者的感知需求和生活经历,以帮助设计可在临床实践中实施的支持性活动:在医院或通过社交媒体招募患者,并对针对意大利(特别是西西里岛、普利亚和坎帕尼亚)患者的在线调查做出回复。卵巢癌、子宫内膜癌或宫颈癌患者是在Cannizzaro医院就诊的妇女和Alleanza Contro il Tumore Ovarico(卵巢癌防治联盟)成员中招募的:结果:82.3%的受访者对身体形象的看法发生了改变,27.5%的妇女认为家庭关系发生了改变。69.6%的患者的性生活习惯受到身体变化、抑郁、疼痛和尴尬的阻碍。16.7% 的病例中,医生向患者广泛介绍了与癌症有关的性变化,19.6% 的病例中,医生向患者简单介绍了性变化。31.4%的患者认为临床性学家的建议可能有帮助,47.1%的患者认为没有帮助,而21.6%的患者没有任何意见:结论:虽然性生活习惯常常会因癌症而改变,但患妇科癌症的妇女很少寻求这方面的医疗建议。应该对医生进行培训,使其能够告知患者并促进转诊至性学家。
期刊介绍:
Although laboratory and clinical cancer research need to be closely linked, observations at the basic level often remain removed from medical applications. This journal works to accelerate the translation of experimental results into the clinic, and back again into the laboratory for further investigation. The fundamental purpose of this effort is to advance clinically-relevant knowledge of cancer, and improve the outcome of prevention, diagnosis and treatment of malignant disease. The journal publishes significant clinical studies from cancer programs around the world, along with important translational laboratory findings, mini-reviews (invited and submitted) and in-depth discussions of evolving and controversial topics in the oncology arena. A unique feature of the journal is a new section which focuses on rapid peer-review and subsequent publication of short reports of phase 1 and phase 2 clinical cancer trials, with a goal of insuring that high-quality clinical cancer research quickly enters the public domain, regardless of the trial’s ultimate conclusions regarding efficacy or toxicity.