Jinekolojik Kanserli Hastalarda Cinsellik

Cinsellik çok boyutlu bir kavram olup, jinekolojik kanser tanısı alma ile negatif etkilenmektedir. Jinekolojik kanser tanısı alma ve uygulanan tedaviler kadınlarda çeşitli cinsel sorunlara neden olmaktadır. Buna karşılık cinselliğe yönelik konuların tabu olarak düşünülüp, konuşulmaktan kaçınılması, personelin bu konuda yeterli bilgiye sahip olmaması gibi nedenlerle hastalar bu sorunlar ile baş etmede yalnız kalmakta, sağlık personelinden bekledikleri desteği görememektedir. Bu makalenin amacı, jinekolojik kanser tanısı alan kadınların cinselliğe yönelik yaşadıkları sorunların tanımlanması ve hemşirelik uygulamaları için önerilerin tartışılmasıdır. Hemşirelerin jinekolojik kanserli hastaların cinselliğe yönelik yaşadıkları sıkıntıların bilincinde olması, hastaları bütüncül bir yaklaşım ile ele alıp, yeterli bakımı sunabilmeleri için önemlidir.

Women Diagnosed with Gynecologic Cancer Sexuality Problems and Nursing Applications

Sexuality is a multidimensional construct and negatively affected by diagnosed with gynecologic cancer. Diagnosed with gynecologic cancer and the treatment cause a variety of sexual problems. This might be considered as taboo for reasons such as issues for provision of sexuality, be avoided speaking, healthcare professionals’ lack of sufficient knowledge in this regard patients alone in dealing with these problems, cannot see the support they expect from health personnel. The purpose of this article is to identify the sexuality problems experienced by the women diagnosed with gynecological cancer and to discuss the proposal for nursing practice. It is important to be able to provide adequate care that healthcare professionals could use holistic approach when be aware of sexuality problems of patients with gynecological cancer

___

  • Abbott-Anderson, K., & Kwekkeboom, K.L. (2012). A systematic review of sexual concerns reported by gynecological cancer survivors. Gynecologic Oncology, 124 (3), 477–489.
  • Amsterdam, A., & Krychman, M.L. (2006). Sexual dysfunction in patients with gynecologic neoplasms: A retrospective pilot study. Journal of Sexual Medicine, 3 (4), 646–649.
  • Akkuzu, G., & Ayhan, A. (2013). Sexual functions of turkish women with gynecologic cancer during the chemotherapy process. Asian Pacific Journal of Cancer Prevention, 14 (6), 3561-3564.
  • Akkuzu, G., Talas, M.S., & Ortac, F. (2014). Functional status in turkish women with gynecological cancer. Asian Pacific Journal of Cancer Prevention, 15 (5), 2045-2049.
  • Audette, C., & Waterman, J. (2010). The sexual health of women after gynecological malignancy. Journal of Midwifery & Women’s Health, 55, 357–62.
  • Cleary, V., & Hegarty, J. (2011). Understanding sexuality in women with gynaecological cancer. European Journal of Oncology Nursing, 15 (1), 38-45.
  • Hautamaki, K., Miettinen, M., Kellokumpu-Lehtinen,P.L., Aalto, P., & Lehto, J. (2007). Opening communication with cancer patients about sexuality-related issues. Cancer Nursing, 30 (5), 399-404.
  • Kvale, K., & Bondevik, M. (2008). What is important for patient centred care? A qualitative study about the perceptions of patients with cancer. Scandinavian Journal of Caring Sciences, 22 (4), 582–589.
  • Liu, J.E., Mok, E., & Wong, T. (2005). Perceptions of supportive communication in chinese patients with cancer: experiences and expectations. Journal of Advanced Nursing, 52 (3), 262- 270.
  • McCallum, M., Lefebvre, M., Jolicoeur, L., Maheu, C., & Lebel, S. (2012). Sexual health and gynecological cancer: conceptualizing patient needs and overcoming barriers to seeking and accessing services. Journal of Psychosomatic Obstetrics & Gynecology, 33 (3), 135–142.
  • Penar-Zadarko, B., Binkowska-Bury, M., Wolan, M., Gawelko, J., & Urbanski, K. (2013). Longitudinal assessment of quality of life in ovarian cancer patients. European Journal of Oncology Nursing, 17 (3), 381-385.
  • Reis, N., Beji, N.K., & Coskun, A. (2010). Quality of life and sexual functioning in gynecological cancer patients: results from quantitative and qualitative data. European Journal of Oncology Nursing,14 (2),137–146.
  • Schmid-Büchi, S., Halfens, R.J.G., Dassen, T., & Borne, B. (2008). A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing, 17, 2895–2909.
  • Sekse, R.J., Gjengedal, E., & Raheim, M. (2013). Living in a changed female body after gynecological cancer. Health Care for Women International, 34 (1), 14-33.
  • Stead, M.L., Brown, J.M., Fallowfield, L., & Selby, P. (2003). Lack of communication between health care professionals and women with ovarian cancer about sexual issues. British Journal of Cancer, 88 (5), 666-71.
  • Stead, M.L., Fallowfield, L., Selby, P., & Brown, J.M. (2007). Psychosexual function and impact of gynaecological cancer. Best Practice & Research Clinical Obstetrics & Gynaecology, 21 (2), 309-320.
  • Southard, N.Z., & Keller J. (2009). The importance of assessing sexuality: A patient perspective. Clinical Journal of Oncology Nursing, 13 (2), 213–7.
  • T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. (2014). Türkiye Kanser İstatistikleri. Erişim: 21.11.2014. http://kanser.gov.tr/Dosya/ca_istatistik/2009kanseraporu.pdf.
  • Zeng, Y.C., Li, Q., Li, X., & Loke, A.Y. (2012). Chinese women's sexuality concerns after gynecologic cancer. Cancer Nursing, 35 (4), 257-264.