ارتباط اختلال عملکرد جنسی با نوع درمان در زنان مبتلا به سرطان های دستگاه تناسلی و پستان

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، مرکز تحقیقات مراقبت های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

3 دانشجوی کارشناس مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

چکیده

مقدمه: اختلال عملکرد جنسی به مفهوم اختلال در تمایل جنسی و تغییرات روانی اجتماعی است که بر روی چرخه پاسخ جنسی تأثیر گذاشته و باعث ایجاد استرس و مشکلات بین فردی می شود. نوع درمان، یکی از مهمترین عوامل پیشگویی کننده اختلال عملکرد جنسی است که در سرطان های مختلف، متفاوت می باشد. مطالعه حاضر با هدف تعیین ارتباط اختلال عملکرد جنسی با نوع درمان در زنان مبتلا به سرطان های دستگاه تناسلی و پستان انجام شد.
روش کار: این مطالعه همبستگی در سال 1392 بر روی 150 زن مبتلا به سرطان های دستگاه تناسلی و پستان مراجعه کننده به بیمارستان های میلاد و سیدالشهداء شهر اصفهان انجام شد. واحد های پژوهش پرسشنامه های مشخصات فردی/ بیماری و پرسشنامه شاخص اختلال عملکرد جنسی و پرسشنامه اختلال عملکرد جنسی را تکمیل کردند. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 14) و آزمون های آماری تی دانشجویی و آنالیز واریانس یک طرفه انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافتهها: در این مطالعه 106 نفر (7/70%) از زنان سرطان پستان و 44 نفر (3/29%) سرطان ژنیکولوژیک داشتند. همچنین 71 نفر (3/47%) از بیماران، شیمی درمانی و رادیوترپی شده بودند. بر اساس آزمون آنالیز واریانس یک طرفه، اختلال عملکرد جنسی در گروه تحت درمان با رادیوتراپی و شیمی درمانی به طور معناداری بیشتر از بقیه گروه ها بود (002/0=p).
نتیجه گیری: در بیماران مبتلا به سرطان های پستان و دستگاه ژنیتال تحت درمان با رادیوتراپی و شیمی درمانی اختلال عملکرد جنسی بیشتر است.

کلیدواژه‌ها


عنوان مقاله [English]

Relationship between Sexual Dysfunction and Treatment Modality in Patients with Gynecologic and Breast Cancers

نویسندگان [English]

  • Fariba Fahami 1
  • Mitra Savabi 1
  • Soheila Mohamadirizi 2
  • Neyosha Shirani 3
1 M.Sc. in Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
2 M.Sc. in Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
3 B.Sc. Student of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: Sexual dysfunction refers to sexual desire disorders and psychosocial changes, which can impact one’s sexual response cycle and cause stress and interpersonal difficulties. Treatment modality is one of the most important predictive factors for sexual dysfunction and varies depending on the type of malignancy. The purpose of this study was to determine the relationship between sexual dysfunctions and treatment modality in gynecologic and breast cancer patients.
Methods: This correlational study was conducted on 150 women with gynecologic and breast cancers, referring to Seyedoshohada and Milad hospitals in Isfahan, Iran in 2011. The demographic/disease questionnaire, Female Sexual Function Index (FSFI), and Sexual function-Vaginal changes Questionnaire (SVQ) were completed by the subjects. Student’s t-test and one-way ANOVA were performed, using SPSS version 14. P-value less than 0.05 was considered statistically significant.
Results: As the results indicated, 106 (70.7%) and 44 (29.3%) women had breast and gynecologic cancers, respectively. Also, 71 (47.3%) patients had undergone radiotherapy and chemotherapy. According to ANOVA test results, Sexual dysfunction in patients treated with radiotherapy and chemotherapy was significantly greater than other groups (P=0.002).
Conclusion: Sexual dysfunction in patients with cancers of the breast and genital tract were treated with radiotherapy and chemotherapy was more.

کلیدواژه‌ها [English]

  • Cancer
  • Sexual function
  • Treatment
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