Background: Patients with breast cancer have a great need for staged sexual health education. This study aimed to assess the impact of staged sexual health education on improving the sexual and mental health of patients with breast cancer.
Methods: This was a randomized controlled trial (RCT). 94 patients with breast cancer were assigned the control or intervention group, which received standard and staged sexual health education, respectively. The Quality of Sexual Life questionnaire (QSL), Female Sexual Function Index (FSFI), Self-rated Depression Scale (SDS), and Self-rated Anxiety Scale (SAS) were used to assess the sexual and mental health status of breast cancer patients before (T1) and after the intervention (T2, T3). Repeated-measures ANOVA was employed to compare the differences in outcome scale scores between the groups at each time point.
Results: The QSL scores in the intervention group were significantly higher than those in the control group at T3 (P<0.05). The FSFI scores in the intervention group were significantly higher than those in the control group at both T2 and T3 (P<0.05). Furthermore, the proportion of patients who resumed sexual activity in the intervention group (3%) was significantly greater than that in the control group (2%) (P < 0.001). However, there were no significant differences in the SDS and SAS scores between the intervention and control groups at T2 or T3 (P > 0.05).
Conclusions: Staged sexual health education can help patients with breast cancer to correctly understand sexual health related knowledge, restore normal sexual life, improve FSFI and QSL.