应用BETTER模型对宫颈癌妇女性行为、婚姻满意度及生活质量的护理咨询

Hanan Salim, Mervat Abdelmonem, A. Elsayed
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引用次数: 1

摘要

背景宫颈癌患者最常见的性功能障碍是性欲减退。目的探讨以BETTER模式为指导的护理咨询对宫颈癌妇女性行为、婚姻满意度和生活质量的影响。设计采用准实验设计。患者和方法在沙尔奇亚省扎加齐格大学医院和埃尔马贝拉医院肿瘤门诊招募了44名宫颈癌妇女作为目的样本。工具采用结构化访谈问卷、女性性功能指数(FSFI)和简短版生活质量享受与满意度问卷收集数据。结果干预后女性性功能各指标域平均得分较干预前有显著提高(P<0.001)。此外,应用BETTER模型指导的护理咨询后,与干预前相比,研究对象的生活享受质量和满意度均有极显著提高(P=0.0001)。采用护理指导后,总体女性性功能指数得分与生活质量呈正相关。结论宫颈癌患者的生活质量和性功能均有改善。建议在肿瘤科实施更好的性咨询模式来处理性功能障碍。为有需要的个人提供设施和决策辅助,以及促进有关子宫颈癌和性行为的妇女咨询活动,都是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing counseling utilizing BETTER model on sexuality, marital satisfaction and quality of life among cervical cancer women
Background The most common sexual dysfunction problem for women with cervical cancer is decreased sexual desire. Aim The aim of the present study was to evaluate the effect of nursing counseling guided by BETTER model on sexuality, marital satisfaction, and quality of life among cervical cancer women. Design A quasi-experimental design was used. Patients and methods A purposive sample of 44 women with cervical cancer who attended the oncology outpatient clinic at Zagazig University Hospital and Elmabera Hospital in the Sharkia Governorate was recruited. Tools A structured interviewing questionnaire, Female Sexual Function Index (FSFI), and a short version of the Quality of Life Enjoyment and Satisfaction Questionnaire were used to gather data. Results The mean score of all female sexual function index domains was improved significantly (P<0.001) after intervention as compared with before intervention. Moreover, following applying nursing counseling guided by the BETTER model compared with before intervention, there was a highly significant improvement (P=0.0001) in the quality of life enjoyment and satisfaction among study participants. Following the adoption of the nursing instructions, there was a positive association between the overall Female Sexual Function Index score and quality of life. Conclusion The quality of life and sexual function of women with cervical cancer have improved. Recommendation Implement a BETTER sexual counseling model to handle sexual dysfunction in oncology units. The availability of facilities and decision-making aids for individuals in need, as well as the promotion of women counseling activities about cervical cancer and sexuality, are all necessary.
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