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

Giriş ve Amaç: Bu araştırmanın amacı, brakiterapi alan serviks ve endometium kanserli hastalarda cinsel fonksiyonunu değerlendirmek ve cinsel fonksiyonu etkileyen faktörleri incelemektir. Gereç ve Yöntemler: Araştırma, katitatif ve kantitatif araştırma tekniğinin kullanıldığı 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 ile yürütülmüştür. 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 servikal ve endometrium kanserli hastalar cinsel fonksiyon bozukluğu yaşamakta ve buna yönelik danışmanlık hizmeti alamamaktadır.

Sexual Function and Influencing Factors in Individuals Receiving Brachytherapy for Cervical and Endometrial Cancers

Introduction: The aim of this study was to assess sexual function in individuals receiving brachytherapy for cervical and endometrial cancer and to examine influencing factors. Materials and Methods: Qualitative and quantitative tecniques are used in this study. It was conducted at a University Research and Application Hospital Radiation Oncology Unit. Twenty-one brachytherapy patients with cervical and endometrial cancer were included in the research in accordance with inclusion and exclusion criteria during the period October 26, 2018- March 1, 2019. Results: The mean score of the participants on the Female Sexual Function Index was 19.28±22.72; 66.7% were found to be experiencing sexual dysfunction. The factors influencing sexual function were examined under the three main themes of the reaction given to the illness, sexuality, and the approach of the spouse. The subthemes of the reaction theme were sadness, hopelessness and acceptance of the illness. Subthemes of the sexuality main theme were lack of sexual desire, rejection of sex. Grouped under the main theme of the approach of the spouse were the subthemes of tolerance and anal sex. Conclusion: Patients with cervical and endometrial cance receiving brachytherapy experience sexual function problems and do not receive conseling.

Kaynakça

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