Brakiterapi Alan Serviks ve Endometium Kanserli Hastalarda Cinsel İşlevsellik ve Etkileyen Faktörler

Yıl 2020, Cilt: 7 Sayı: 2, 180 - 187, 30.06.2020

Sevda Özmen , Kader Mert

https://doi.org/10.34087/cbusbed.656915

Cited By: 1

Öz

Amaç: Bu araştırmanın amacı, brakiterapi alan serviks ve endometium kanserli hastalarda cinsel fonksiyonunu değerlendirmek ve cinsel fonksiyonu etkileyen faktörleri incelemektir.
Yöntem: Araştırma, miks bir çalışmadır. Bu araştırmaya bir Üniversite Uygulama ve Araştırma Hastanesi’nin Radyasyon Onkoloji Ünitesi’nde 26.10.2018-01.03.2019 tarihleri arasında serviks ve endometrium kanseri nedeniyle brakiterapi alan ve araştırma kritelerine uygun yirmi bir hasta katılmıştır.

Bulgular: Katılımcıların Kadın Cinsel İşlev Ölçeği (FSFI) puan ortalaması 19.28±22.72 olup, %66.7’sinde cinsel işlev bozukluğu olduğu belirlenmiştir. Cinsel fonksiyonu etkileyen faktörler; hastalığa verilen tepki, cinsellik ve eşlerin yaklaşımı olmak üzere üç ana tema altında incelenmiştir. Hastalığa verilen tepki temasının altında üzüntü, çaresizlik, hastalığı kabullenme alt temaları; cinsellik ana temasında; cinsel isteksizlik, cinsel ilişkiyi red etme alt temaları; eşlerin yaklaşımı ana temasında ise; hoşgörü ve anal seks alt temaları belirlenmiştir.

Sonuç: Brakiterapi alan servical ve endometrium kanserli hastalar cinsel fonksiyon bozukluğu yaşamakta ve buna yönelik yeterince danışmanlık hizmeti alamamaktadır.

Anahtar Kelimeler

kanser, cinsel fonksiyon, hemşirelik

Kaynakça

• 1. Aydogdu, S.G.M, Ozsoy, U, Cervical cancer and HPV, Andrology Bullen,2018, 20, 25-29.
• 2. Turkey Cancer Statistics. Accessed 1 February 2019. http://www.kanser.gov.tr/Dosya/ca_istatistik/ANA_rapor_20 12sooonn.pdf.
• 3. Siegel, R.L, Miller, D.K, Jemal, A, Cancer Statistics. CA, A Cancer Journal For Clinicians,2017, 67(1), 7-30.
• 4. Public Health Agency of Turkey, Accessed 22 February 2019. http://kanser.gov.tr/dairefaaliyetleri/ kanseristatistikleri. html.
• 5. Irmak, P,Oskay, U, The effect of pelvic radiotherapy on sexual life and the role of nursing approach in gynecologic cancers, Turkish Andrology Association, Andrology Bulletin, 2013, 15(55), 279-283.
• 6.Frumovitz, M, Sun, C.C, Schover, L.R, Munsell, M.F, Jhingran, A, Wharton, J.T, Eifel, P, Bevers, T.B, Levenback, C.F, Gershenseon, D.M, Bodurka, D.C, Quality of life and sexual functioning in cervical cancer survivors, Journal of Clinical Oncology.,2005, 23(30), 7428-36.
• 7. Taşkın, L, Maternity and Women's Health Nursing, Sistem Ofset Printing, 2016, Ankara, Turkey.
• 8. Kanbur, A, Capık, C, Cervical Cancer Prevention, Early Diagnosis-Screening Methods and Midwiwes/ Nurses Role, Hacettepe University Faculty of Health Sciences Nursing Journal, 2011, 61-72.
• 9. Rosen, R, Brown, C, Heiman, J, Leiblum, S, Meston, C, Shabsigh, R, Ferguson, D, D’agostino, R, The Female Sexual Function Index (FSFI): A Multidimensional self-report ınstrument for the assessment of female sexual function, Journal of Sex Marital Therapy, 2000, 26, 191-208.
• 10.Aygin, D, Eti Aslan, F, The Turkish Adaptation of female Sexual Function, Jornal of Medical Science, 2005, 25(3), 393-399.
• 11.Ege, E, Akın, B, Yaralı Arslan, S, Bilgili, N, Prevalence and risk factors of female sexual dysfunction among healthy women, Turkish Science-Research Foundation Science,2010, 3(1), 137-144.
• 12.Akkuzu, G, Ayhan, A, Sexual functions of turkish women with gynecologic cancer during the chemotherapy process, Asian Pacific Journal of Cancer Prevention, 2013, 14(6), 3561-3564.
• 13.Guner, O, Gumussoy, S, Celik, N, Saruhan, A, Kavlak, O, An examination of sexual functions of patients who underwent a gynecologic cancer operation and received brachyterapy, Pakistan Journal Medical Sciences,2018, 34(1), 15-19.
• 14. Maiorino, MI, Chiodini, P, Bellastella, G, Guigliano, D, Esposito, K, Sexual dysfunction in women with cancer: a systematic review with meta-analysis of studies using the Female Sexual Function Index, Endocrine,2016, 54, 329-341.
• 15.Damast, S, Alektiar, K, Eaton, A, Gerber, N.K, Goldfarb, S, Patil, S, Jia, R, Leitao, M, Carter, J, Basch, E, Comparative patient-centered outcomes (health state and adverse sexual symptoms) between adjuvant brachytherapy versus no adjuvant brachytherapy in early stage endometrial cancer, Annual Surgecal Oncology,2014, 21, 2740–2754.
• . Reis, N, Beji Kızılkaya, N, Coşkun, A, Quality of Life and Sexual Functioning in Gynaecological Cancer Patients: Results From Quantitative and Qualitative Data, European Journal of Oncology Nursing 2010, 14(2), 137-146.
• 17. Stead, M, Fallowfield, L, Selby, P, Brown, J.M, Psychosexual function and impact of gynaecological cancer, Best Practice & Research Clinical Obstetrics and Gynecology, 2007, 21(2), 309-320.
• 18. Mc Callum, M, Lefebvre, M, Jolicoeur, L, Maheu, C, Lebel, S, Sexual health and gynecological cancer: conceptualizing patient needs and overcoming barriers to seeking and accessing services, Journal of Psychosomatic Obstetrics & Gynecology, 2012, 33 (3), 135-142.
• 19.Hautamaki, K, Miettinen, M, Kellokumpu-Lehtinen, P.L, Aalto, P, Lehto, J, Opening communication with cancer patients about sexuality-related issues. Cancer Nursing, 2007, 30 (5), 399-404.
• 20. Southard, N.Z, Keller, J, The importance of assessing sexuality: A patient perspective, Clinical Journal of Oncology Nursing, 2009, 13 (2), 213-7.
• 21. Kavradim, S.T, Ozer, Z, Hope in patients with cancer, Current Approcahes in Psychiatry, 2014, 6(2), 154-164.
• 22.Ozkan, M, Akın, S, Evaluation of the effect of fatigue on functional Quality of Life in Cancer Patients, Florence Nightingale Journal of Nursing, 2017, 25(3), 177-192.
• 23. Laumann, E.O, Paik, A, Glasser, D.B, Kang, J.H, Wang, T, Levinson, B, Moreira, E.D, Jr, Nicolosi, A, Gingell, C, A cross-national study of subjective sexual well-being among older women and men: findings from the global study of sexual attitudes and behaviors, Archives Sexual Behavior. 2006, 35(2), 145-161.
• 24. Tangjitgamol, S, Manusirivithaya, S, Hanprasertpong, J, Kasemsarn, P, Soonthornthum, T, Leelahakorn, S, Thawaramara, T, Lapcharoen, O, Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy, International Journal of Gynecological Cancer, 2007, 17(5), 1104-12.
• 25. Reis, N, Coşkun, A, Beji, N.K, Quality of Life anf Effective Factors in Gynaecologic Cancers, Journal of Anatolia Nursing and Health Sciences, 2006, 9(2), 25-35.
• 26. Zomkowski, K, Machado Toryi, A, Sacomori, C, Dias, M.C, Fabiana Flores Sperandio, Sexual function and quality of life in gynecological cancer preand post-short-term brachytherapy: a prospective study.” Archives of Gynecology and Obstetrics. 2016, 294, 833–840.
• 27. Park, HS, Ratner, E.S, Lucarelli, L, Polizzi, S, Higgins, S.A, Damast, S, Predictors of vaginal stenosis after intravaginal high-dose-rate brachytherapy for endometrial carcinoma, Brachytherapy, 2015, 14, 464-470.
• 28.Turgut, A, Özler, A, Sak, M.E, Evsen, M.S, Ender Soydinç, H, Başaranoğlu, S, Retrospective Analysis of the patients with gynecological cancer, Journal of Clinical and Experimental Investigations, 2012, 3(2), 209-213.
• 29.Gershenson, D.M, Miller, A.M, Champion, V.L, Monahan, P.O, Zhao, Q, Wiliams, S.D, Gynecologic Oncology Group, Reproductive and sexual function after platinumbased chemotherapy in long-term ovarian germ cell tumor survivors, Journal of Clinical Oncology, 2007, 25(19), 2792-7.
• 30. Kvale, K, Bondevik, M, What is important for patient centred care? A qualitative study about the perceptions of patients with cancer, Scandinavian Journal of Caring Sciences, 2008, 22 (4), 582–589.
• 31. Oshima, S, Kisa, K, Terashita, T, Habara, M, Kawabata, H, Maezawa, E, A qualitative study of Japanese patients’ perspectives on post-treatment care for gynecological cancer, Asian Paific Journal of Cancer Prevention,2011, 12, 2255-61.
• 32.Akyuz, A, Guvenc, G, Ustunsoz, A, Kaya, T, Living with gynecologic cancer: experience of women and their partner, Journal of Nursing Scholarship,2008, 40, 241-247.
• 33. Mellon, S, Northouse, L, Weiss, L.A, Population-based study of quality of life cancer survivors and their family caregiver, Cancer Nursing, 2006, 29(2), 120-131.