- 期刊
探討性教育對乳癌患者親密關係的改善
Exploring the effect of sex education on the improvement of intimate relationships among breast cancer patients
摘要
以乳癌患者為研究對象，先說明乳癌患者雖非全然能通過身心障礙檢定而成為身心障礙者，但其因為全乳房切除術或腋下淋巴結清除術所造成的上肢失能、姿勢異常和骨骼肌無力等後遺症，確實有可能符合身心障礙之定義。以系統性回顧方式，於NCBI電子資料庫進行檢索，繪製出PRISMA流程圖，但未執行統合分析。一共篩選出10篇文獻，發現性功能障礙在乳癌患者中存在普遍性，以及各種治療方法對於性健康的不利影響，發現性功能障礙主要體現在性慾缺乏和陰道環境改變這兩個部分，間接使乳癌患者的性生活出現惡性循環。另外，本文採納PAIR量表對親密關係的定義，區分為情緒、社會、性、認知、休閒等五個層次，並鑒於乳癌患者的特殊性，將乳癌患者期望最高的親密關係鎖定為情緒親密關係、性親密關係和認知親密關係等三個層次。而在性教育方面，基於和癌症治療的密接性，文中將性教育的主體定為醫療團隊，藉過往文獻歸納出乳癌患者在性教育方面的問題和需求，並發現目前乳癌患者主要關注的是性親密關係，但局限於身體型態改變所造成的性吸引力減退，而非追求性功能完整性和性愉悅。情緒親密關係和認知親密關係則難以期待醫療團隊所提供的內容能夠貼合需求，又因夫妻介入措施未發展成熟，而適合將性教育內容融入團體親密關係諮商來加以改善。團體親密關係諮商與醫療團隊的性教育恰好互補，但未來仍須在改善醫療團隊性教育職能和醫療院所導入團體親密關係諮商服務上做出努力。
並列摘要
Taking breast cancer patients as the research subjects, it is first explained that although breast cancer patients are not completely able to pass the disability test and become physically and mentally disabled, their upper limb disability, abnormal posture and skeletal muscles caused by total mastectomy or axillary lymph node dissection can It is indeed possible that sequelae such as weakness may meet the definition of a physical or mental disability.Using a systematic review method, the NCBI electronic database was searched and a PRISMA flow chart was drawn, but no integrated analysis was performed.A total of 10 documents were screened out, and it was found that sexual dysfunction is common among breast cancer patients, as well as the adverse effects of various treatments on sexual health. It was found that sexual dysfunction is mainly reflected in the lack of sexual desire and changes in the vaginal environment, indirectly. This creates a vicious cycle in the sexual life of breast cancer patients. In addition, this article adopts the PAIR scale's definition of intimacy, which is divided into five levels: emotional, social, sexual, cognitive, and leisure. In view of the particularity of breast cancer patients, the intimate relationship that breast cancer patients have the highest expectations for is emotional intimacy. Three levels: relationship, sexual intimacy and cognitive intimacy. In terms of sex education, based on the close connection with cancer treatment, the article defines the main body of sex education as the medical team. It uses past literature to summarize the problems and needs of breast cancer patients in sex education, and finds that the current main concerns of breast cancer patients are Sexual intimacy, but limited to the loss of sexual attraction caused by body shape changes, rather than the pursuit of sexual function integrity and sexual pleasure.For emotional intimacy and cognitive intimacy, it is difficult to expect that the content provided by the medical team can meet the needs, and because couple intervention measures are not yet mature, it is suitable to integrate sex education content into group intimacy consultation to improve it. Group intimacy counseling and the medical team's sex education complement each other perfectly, but in the future, efforts still need to be made to improve the sex education function of the medical team and to introduce group intimacy counseling services in medical institutions.