Kanserli hastalarda cinsellik nasıl değerlendirilmeli?

Abstract

K anser, dünyada ve Türkiye'de morbidite ve mortalite oranlarını arttırması bakımından önemli bir sağlık sorunu haline gelmiştir. Kanser, kontrolsüz bir şekilde büyüyen hücrelerin primer odaktan uzak bölgelere de yayılması ile tüm vücudu etkileyen sistemik bir hastalıktır. [1,2] GLOBOCAN 2012 verilerine göre, dünya çapında 14,1 milyon kişiye yeni kanser tanısı konulduğu, 8,2 milyon kişinin kanserden öldüğü, 32,6 milyon kişinin kanserle yaşadığı (teşhisten sonra beş yıl içinde) belirtilmektedir. Ayrıca, dünyadaki tüm ölümlerin %13'ünün kanserden dolayı meydana geleceği tahmin edilmektedir. [3] Amerika Kanser Derneği'nin 2016 raporuna göre, Amerika'da 1.685.210 yeni vakaya kanser tanısı konulacağı ve 595.690 kişinin kanser sebebiyle öleceği tahmin edilmektedir. [4] Türkiye İstatistik Kurumu'nun 2015 verilerine göre, her yıl yaklaşık ABSTRACT Cancer is an increasingly important health problem in the World as well as our country. Cancer which is defined as the uncontrolled growth of cells, affects the lives of individuals in many ways. Sexuality which is an important aspect of life, is also greatly affected, but patients and health personnel both can not talk about sexuality due to various reasons. However, as a part of holistic care sexuality needs to be assessed, and it is a great deal of responsibility for healthcare personnel, especially nurses who spend more time with patients.

Effectiveness of a Nursing Intervention Based on Acceptance Commitment Therapy on Stress, Marital adjustment, Sleep quality, and Fatigue among Patients with Breast Cancer

“…Higher scores reflect emotional negativity. Normal (0-14), mild (15)(16)(17)(18), moderate (19)(20)(21)(22)(23)(24)(25), severe , and extremely severe (34+) stress levels are included in the scoring system. Tool 2: Marital adjustment Scale This is an Arabic scale adopted from [36].…”

“…This result was supported by [57]; concluded that women with breast cancer have been found to suffer lower levels of sexual satisfaction following their diagnosis, which is related to fatigue. Also, [19] study found that physical issues like fatigue, a lack of power and energy, pain, medical management, and body changes can have an impact on sexual wellbeing. Additionally, the research indicates that women with breast cancer who have surgical treatment experience sexual dysfunction as a result of the stress and tiredness they feel in the days and weeks following surgery.…”

“…The patient's connections with his family, friends, coworkers, and in his career and financial life change after being diagnosed with cancer [18]. Breast cancer patients may have problems like post-operative discomfort, exhaustion, baldness, sadness, fear, degradation in body image perception, social isolation, and anxiety about relapse [18] [19]. Breast cancer patients frequently experience sexual problems that have a negative impact on their relationships with their spouses [20].…”

“…According to a research of survival concerns, the patient and her husband frequently had decreased sexual desire prior to therapy. Unpleasant sexual sensations and lack of desire were also described, in addition to the usual side effects of cancer treatment, such as hair loss, body part loss, nausea, and weight loss or gain [19]. Inadequate marital adjustment not only results in unsatisfactory health outcomes but also raises the risk of death [21].…”