Semra TUNCAY, Zehra CAN, Sena KAPLAN, Sevil ŞAHİN

Over Kanseri Tanısı Alan Bir Olguda Cinsel Sağlığın Değerlendirilmesi

Amaç: Günümüzde kanser dünya genelinde ölümlerin en önemli ikinci nedeni olup, küresel olarak yaklaşık altı ölümden biri kanserlere bağlı olarak ortaya çıkmaktadır. Kadınlarda kanserden kaynaklanan ölümlerde, jinekolojik kanserler, meme kanserinden sonra ilk sırada yer almaktadır. Jinekolojik kanserlerde cerrahi, radyoterapi ve kemoterapi gibi tedavilere bağlı olarak ortaya çıkan sorunlar, kadının fiziksel, psikolojik ve cinsel sağlığını olumsuz yönde etkilemektedir. Bunun yanı sıra jinekolojik kanserlerin tedavisinde uygulanan cerrahi girişimlerden sonra kadınlar; kendilerini cinsel eş olarak çekici bulmamakta ve doğurganlıklarını kaybettikleri için kadınlıklarını da kaybettiklerini düşünmektedirler. Bu bakımdan, jinekolojik kanser deneyimi yaşayan kadınların ve eşlerinin cinsel danışmanlık konusunda profesyonel desteğe ihtiyacı artmaktadır. Bu çalışmada, jinekolojik kanser sürecinde olan olgularda cinsel sağlığın değerlendirilmesi ve uygun yaklaşımın geliştirilmesi ve hemşirelik hizmetlerine katkı sağlaması amaçlanmıştır.Yöntem: Çalışmada over kanseri tanısı alan bir olguda, yazılı onam alındıktan sonra; sağlığın cinsel alanı değerlendirilmiş olup, bu kapsamda hemşirelik yaklaşımları tartışılmıştır.Bulgular: Over kanseri tanısı alan bu olguda; kanser ve tedavisinin beden imajı, cinsiyet rolü, cinsel fonksiyonlar ve üreme yeteneği olmak üzere cinsel sağlığın dört temel alanının etkilendiği tespit edilmiştir.Sonuç: Jinekolojik kanser tanısı alan her hastada beden imajı, cinsiyet rolü, cinsel fonksiyonlar ve üreme yeteneği olmak üzere cinsel sağlığın dört temel alanının değerlendirilmesi, sorun alanlarına göre danışmanlık verilerek, ihtiyaçlarına göre yönlendirilmeleri önem taşımaktadır.

Anahtar Kelimeler:

cinsel sağlık, hemşirelik, jinekolojik kanserler

Assessment Of Sexual Health in A Case Diagnosed with Ovarian Cancer

Aim: In today’s world, cancer is the second most important cause of death worldwide, and one of six deaths is caused by cancer on the global scale. With regards to the mortality rate for woman with cancer, gynecologic cancers are the first right after the breast cancer. The complications arising out of such treatment procedures of gynecologic cancers like radiotherapy and chemotherapy, lead to negative impacts on the physical, psychological and sexual health of women. Besides, women do not find themselves attractive as a sexual partner, while also thinking to have lost their femininity for losing fertility potential, following the surgical interventions applied in the treatment processes of gynecologic cancers. In this regard, the need for a professional support in sexual counselling starts to increase in women suffering from gynecologic cancer and their partners. In this study, it is aimed at carrying out an assessment on the sexual health of cases diagnosed with gynecologic cancer, developing a proper approach, as well as providing contribution to the nursing services. Method: In the study, the sexual health of the case, who was diagnosed with ovarian cancer, was subjected to an assessment, while discussing the nursing approaches within this scope, after receiving the respective written confirmation. Results: In this case, who was diagnosed with ovarian cancer, it was established that four main areas of sexual health, as the body image, gender role, sexual functions and fertility, were affected by cancer and its treatment process. Conclusion: It is of great importance to carry out an assessment on four main areas of sexual health as the body image, gender role, sexual functions and fertility for every patient, who is diagnosed with gynecologic cancer, as well as providing consultancy services based on the problems, while directing them as per their needs.

Keywords:

Gynecological cancers, sexual health, nursing,

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