探討膀胱腫瘤病人所關注的性問題

A Preliminary Study of Bladder Cancer Patients' Sexual Concerns

馬先芝(H. J. Ma) ； 駱麗華(L. H. Lo)

《護理研究》 1卷2期 (1993/06) Pp. 176-186

https://doi.org/10.7081/NR.199306.0176

摘要

本研究爲描述性、探索性研究，目的在探討膀胱腫瘤病人所關注的性問題，患病後性生活的改變及自我調適過程。研究對象爲南部某醫學中心泌尿科病房住院一週以上之膀胱腫瘤病人；不分性別、年齡，經病人或家屬口頭同意後，以半結構式會談指引，個別會談方式進行。會談地點安排在單人病房或護理長辦公室，由研究者親自訪談；訪談後隨即以描述方式記錄病人問題，事後再加以分類彙整。結果發現：(1)三分之二的病人最擔心的問題是面對死亡及疾病的再複發，(2)教育程度較低者，對於疾病的認知也較低，有近四分之一的病人表示膀胱腫瘤不會傳染，(3)十分之一的病人曾擔心過性問題，且擔心的是疾病治療是否會影響房事，大部份的病人在生病期間沒有性需要，認爲住院期間「性」不是重要的，(4)大多數病人因身體不適影響性欲，患病後已無性行爲發生；(5)一半以上的病人認爲醫護人員有必要主動與病人討論有關性方面的問題。因此，臨床護理人員應主動引發病人討論其所關注的問題，且以坦然，關懷的態度協助其解決，並宣導正確的性醫學知識。

關鍵字

性關注 ； 性 ； 膀胱腫瘤

並列摘要

The present study, essentially descriptive and exploratory, aims to investigate the sexual problems and change of sexual life of patients suffering from bladder tumor and the process of their self-adjustment. The subjects are bladder tumor patients hospitalized over a week in the urological ward. Disregarding sex and age, with permission from the patient him/herself or his/her family, the patient was then interviewed individually under the guide of semi-structural discoursal direction. The interviews were made by the author in person either in the single wardroom or in the head nurse’s office. Immediately after each interview, problemi of the individual patient were recorded descriptively to be classified and studied afterwards. Five significant findings were obtained: (1) the most worriome issue of two thirds of the patients was to face death and the reoccurrence of disease; (2) the worse-educated the patients, the less they know about the disease; almost one fourth of the patients regarded bladder tumor as non-infectious; (3) one out of ten patients had been greatly concered with the problem of sexual intercourse and were worried about whether the problem of sexual intercourse and were worried about whether the treatment would affect sexual intercourse; however, most of the patients did not feel sexual need during the hospitalized time; (4) most patients had not had sexual relations since having the disease because of physical discomfort; (5) more than half of the patients thought it necessary for the doctors and nurses to initiate the discussion of sex with them. The conclusion is that medical doctors and nurses should initiate the discussion of sex problems, which are encontered by the bladder tumor patients, try to help solve their problems in an easy and straightforward way, and, more importantly, promote accurate and precise sex knowledge and information.

並列關鍵字

sexual concerns ； sexuality ； bladder cancer