Mohadeseh Latifi, Mahtab Attarha, Mehran Shayganfard, Mohammad Reza Sharbafchi
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引用次数: 0
摘要
目的：乳腺癌是世界范围内女性最常见的恶性肿瘤。这可以暴露他们生活的方方面面，包括性功能。本研究旨在探讨认知行为咨询对乳腺癌患者性功能的影响。方法：本研究采用介入性试验前、试验后设计，并设对照组。在收集数据时，伊斯法罕Maxa中心的100名乳腺癌妇女是在2020年常规选择的。随机分为干预组和对照组（n=50），采用排列块。干预组接受10次认知行为咨询，每次1小时，每周两次。数据收集通过人口统计问卷，女性性功能指数（FSFI）问卷，由患者在干预前和干预后一个月填写。数据分析采用独立t检验、配对t检验和卡方检验。结果：认知行为咨询团体治疗显著改善了患者的总性功能及其各分量表。咨询4周后，两组总性功能平均分有显著性差异（P = 0.001）。在干预组中，润滑和性交困难的平均得分在测试后结果中没有显着差异（P = 0.129, P = 0.89）。结论：认知行为团体治疗在干预1个月后可改善干预组患者的总性功能及各分量表。因此，该方法可作为肿瘤病房除内科治疗外的一种辅助治疗方法。
The Effect of Cognitive-Behavioral Counseling on Sexual Function in Women with Breast Cancer: An Interventional Study.
Objective: Breast cancer is the most common malignancy in women worldwide. This can expose all aspect of their life including sexual function. The aim of this research was to investigate the effect of cognitive-behavioral counseling on sexual function in women with breast cancer.
Methods: This study was an interventional per-test, post-test design with control group. One hundred women with breast cancer referring to Maxa center in Esfahan at the time of data collection were conventionally selected in 2020. They were randomly divided into intervention and control groups (n=50), using permuted blocks. The intervention group receiving cognitive-behavioral counseling in 10 one-hour, sessions twice a week. Data were collected through a demographic questionnaire, the Female Sexual Function Index (FSFI) questionnaire, filled out by patients before and one month after intervention. Data analyzed using independent t-test, paired t-test, and chi-square. Significance level was considered P <0.05.
Results: The results showed that cognitive-behavioral counseling group therapy improved total sexual functioning and its subscales. Four weeks after the counseling, there was a significant difference in mean scores of total sexual functions between the two groups (P = 0.001). In the intervention group the mean scores for lubrication and dyspareunia did not show a significant difference in post-test results (P = 0.129, P = 0.89, respectively).
Conclusion: Cognitive - behavioral group therapy can be improved total sexual functioning and its subscales in the intervention group one month after the intervention. So, this method can be used besides with medical treatment as a complementary therapy in oncology wards.
期刊介绍：
Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation.
The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally.
The APJCP publishes original research results under the following categories:
-Epidemiology, detection and screening.
-Cellular research and bio-markers.
-Identification of bio-targets and agents with novel mechanisms of action.
-Optimal clinical use of existing anti-cancer agents, including combination therapies.
-Radiation and surgery.
-Palliative care.
-Patient adherence, quality of life, satisfaction.
-Health economic evaluations.
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