Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care

Abstract

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse.Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training.Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices.Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse.

Enhancing healthcare professional‐led sexual support in cancer care: Acceptability and usability of an eLearning resource and its impact on attitudes towards providing sexual support

“…This is unlike many previous educational interventions seeking to enhance sexual support provision in cancer care, which adopted a face-to-face modality, resulting in localised reach. 14,15 Findings from the current study are similar to an evaluation of a prostate cancer specific eLearning resource, which showed an increase in SABS scores, 12 although findings from that study were not statistically significant. It is thought that the latter could be explained by HPs who worked in prostate cancer care being more familiar with patients' sexual concerns given the direct impact on erectile function.…”

“…Additionally, the freely available web‐based approach promoted a wide reach, with accessible content for HPs worldwide. This is unlike many previous educational interventions seeking to enhance sexual support provision in cancer care, which adopted a face‐to‐face modality, resulting in localised reach 14,15 …”

“…Furthermore, other educational intervention studies in the cancer care setting have reported gains in knowledge, yet little change in HPs attitudes relating to lack of time to provide sexual support, and the environmental barriers preventing the provision of sexual care. 15 This indicates the complex nature of behaviour change, and while supporting HP understanding and skill development to provide sexual support, there are other factors which need targeted, such as availability of referral pathways, clinical time, and privacy. 8,9 A further qualitative study is underway to explore the optimal implementation model for the MSW|CC and to gain an understanding of key implementation strategies promoted within the resource (goal setting and role play).…”

“…or genders, [11][12][13] largely adopting a face-to-face delivery mode which limits accessibility, relies on local expertise and delivery capacity. 11,[14][15][16] Previously, our team detailed the adaptation and optimisation of the novel evidence-based and theory-driven Maximising Sexual Wellbeing: Cancer Care eLearning resource (MSW|CC) 17 for use by HPs working across cancer care. This aim of this study was to assess the MSW|CC for acceptability and usability with HPs working across cancer care, alongside determining its potential impact on HPs sexual attitudes and beliefs to provide sexual support in routine clinical care.…”

“…Current educational interventions target specific tumour groups or genders, 11–13 largely adopting a face‐to‐face delivery mode which limits accessibility, relies on local expertise and delivery capacity 11,14–16 . Previously, our team detailed the adaptation and optimisation of the novel evidence‐based and theory‐driven Maximising Sexual Wellbeing: Cancer Care eLearning resource (MSW|CC) 17 for use by HPs working across cancer care.…”