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首页> 外文期刊>Journal of psychosomatic obstetrics and gynaecology >Sexual health and gynecological cancer: Conceptualizing patient needs and overcoming barriers to seeking and accessing services
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Sexual health and gynecological cancer: Conceptualizing patient needs and overcoming barriers to seeking and accessing services

机译：性健康和妇科癌症：概念化患者需求和克服寻求和获取服务的障碍

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Objective: The current study explored the subjective experiences of women treated for a gynecological cancer, with a focus on filling gaps in the current literature. Topics explored were: (1) women's own definitions of healthy sexuality; (2) services desired to meet needs; and (3) barriers to participation in sexual health-related services. Methods: Fifteen women participated in a one-on-one, semistructured interview. Data collection and analysis were based on guidelines of interpretive description. Results: Definitions of healthy sexuality included emotional intimacy, body image, sexual self-schema, and sexual response. Unmet sexual needs were reported when women's current sexual experiences did not correspond with their subjective perceptions of healthy sexuality. Most women desired informational services, delivered one-on-one or through written material. Younger women often did not utilize services due to practical barriers and emotional avoidance, while older women reported that shyness and stigma discouraged them from discussing sexuality with their health care team. Conclusions: In order to understand patient needs and desire for help, health care providers should assess current sexual health and patient perceptions of healthy sexuality. To increase effectiveness of distress screening and treatment interventions, potential barriers must be evaluated and addressed.
机译：目的：目前的研究探讨了对妇科癌症治疗的妇女的主观经验，重点是填补当前文献中的差距。探索的主题是：（1）女性自身对健康性的定义; （2）所需服务以满足需求; （3）参与性健康有关的服务的障碍。方法：十五名妇女参加一对一，半系统的面试。数据收集和分析基于解释性描述的指导。结果：健康性欲的定义包括情绪亲密，身体形象，性自我模式和性反应。当妇女目前的性经历与他们对健康性行为的主观看法不相符时，报告了未满足的性需求。大多数女性所需的信息服务，交付一对一或书面材料。年轻的女性往往没有通过实际障碍和情感避免使用服务，而老年妇女则报告说，羞怯和耻辱令他们讨论与他们的医疗保健团队进行性行为。结论：为了了解患者需求和渴望帮助，医疗保健提供者应评估当前的性健康和对健康性行为的看法。为了提高遇险筛查和治疗干预的有效性，必须对潜在的障碍进行评估和解决。

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