婦癌婦女性生活滿意度及其相關因子研究

Sexual Satisfaction and Related Factors in Women Previously Treated for Gynecological Cancer

背景：研究顯示婦女接受婦癌治療後易產生長期性的健康問題，雖已有研究探討婦癌婦女性健康問題，但以性功能障礙為主，較少探究婦癌婦女的性滿意情形。目的：了解台灣北部地區接受婦癌治療後的女性，其性生活滿意度現況及其相關因素。方法：採橫斷式描述性及相關性研究設計，於台灣北部某醫學中心婦產科門診收案，共徵求158位個案參與，包含癌症分期為1-3期且距先前治療超過一年的婦癌女性83人；及75位沒有癌症病史規律行子宮頸抹片檢查的女性為對照組。以結構式問卷收集資料，分為兩部份，一為基本屬性，包含人口學資料及婦癌疾病特性；二為最近性生活滿意度評估，藉由Chi-square test、Mann-Whitney U test、Krauskal-Wallis test、Spearman rank correlation等統計方法進行分析。結果：㈠婦癌女性的性生活滿意度較一般女性為低；㈡與婦癌女性生活滿意相關的因子為「治療完成至今的年數」、「年齡」、「感情狀況」與「經濟狀況」。剛完成治療滿一年者的性生活滿意度較差；年齡愈低者、經濟狀況愈富裕者、感情狀況愈佳者，其最近性生活滿意度則愈好。結論／實務應用：本研究結果可以提供醫療相關人員瞭解婦癌女性的性生活，及衛教婦癌女性於癌症初期的性生活狀況，特別是針對在剛完成治療滿一年者、高年齡層者、情感狀況或經濟狀況不佳者。

Background: Recent studies have demonstrated that women treated for gynecological cancer experience long-term sexual problems. Although several studies have described physical sexual dysfunction among gynecological cancer survivors, there is a relative dearth of research related to sexual satisfaction in women treated for this disease.Purpose: This study explores sexual satisfaction and related factors in women who have undergone gynecological cancer therapy.Methods: This study used a cross-sectional and descriptive-correlational design. A total of 158 female participants were recruited from the gynecology and obstetrics department of a medical center in northern Taiwan. Eighty-three were women treated more than one year ago for stage 1 to 3 gynecological cancer; the remaining 75 had no history of cancer who had visited the medical center for routine cervical cancer screening. Structured questionnaires collected data on participant demographics, gynecological cancer characteristics, and sexual satisfaction. Data were analyzed using the Chi-Square test, Mann-Whitney U test, Krauskal-Wallis test, and Spearman rank correlation.Results: (1) Participants in the recent gynecological cancer group reported significantly less sexual satisfaction than their healthy control peers; (2) Level of sexual satisfaction reported by participants in the recent gynecological cancer group was significantly related to the following factors: number of years since treatment, participant age, relationship status, and financial condition. Those who received therapy one year ago reported low levels of sexual satisfaction; those who were younger, richer, or had a better relationship status reported better levels of sexual satisfaction.Conclusions / Implications for Practice: Study findings can help healthcare professionals understand and educate patients about the potential sexual health implications of gynecological cancer treatment. Healthcare professionals can focus particular attention on patients who are older, poorer, or have a relatively poor relationship status.