Farklı kültürlerde jinekolojik ve meme kanserli kadın hastaların seksüaliteye bakış açıları ve yaşadıkları sorunlar

Abstract

İnsan sosyolojik, psikolojik, kültürel ve fizyolojik yönleriyle, birçok alt sistem ve yapıdan oluşan bütünleşik ve kompleks bir varlık olup değişen ve gelişen zaman içerisinde çevresel etkileşim dinamizmi altında, her geçen gün farklılaşmakta ve sahip olduğu bu biyo-psiko-sosyal yapısının devamlılığını sağlamaktadır. [1] Bu yaşam döngüsü içerisinde bireyin sosyokültürel olarak sağlık kavramına bakış açısı değişmekte ve kaliteli yaşam kavramı öne çıkmaktadır. Dolayısıyla kaliteli yaşamı olumsuz yönde etkileyen, beklenilen ömrü kısaltan kanser önemli bir halk sağlığı sorunu ABSTRACT Cancer is a public health problem that affects the individual as versatile in terms of biologically, psychologically and socially, and break downs the quality of life, increasingly on the world and in our country. Therefore, sexuality, which is an important indicator of quality of life, is also affected negatively. Sexuality, a subjective and complex phenomenon that depends on social environment, religious, cultural, personal experiences, can not be considered apart from culture. It is known how important roles women have in society. Women with cancer are not only affected by the negative aspects due to cancer and their treatment, but also have difficulties in socio-cultural terms. Starting from this point, this review article examines the perception, knowledge, attitudes and behaviors of different cultures related to cancer, their diagnosis, their approaches to the treatment process and the changes in the psychosocial status of individuals.

The Relationship Between Sexual Satisfaction and Marital Satisfaction in Women With Ovarian Cancer and Their Spouses

“…In previous studies, sexually active women experienced a decrease (41.0%-53.0%) in sexual interest in posttreatment month 3 and in sexual activity and sexual satisfaction in posttreatment months 6 and 12 compared with the pretreatment period 11,21,22 . Similar findings from previous studies indicated perceptions of impaired sexual function and resulting anxiety in 54.0% to 70.5% of study participants 12,23 . Additional reported experiences include communication problems between spouses, anxiety of not being liked by the spouse, fear of infecting/getting infected by the spouse, the belief that sexuality harms the wife, and sexual conflicts, which decrease sexual satisfaction and marital satisfaction 8,23 .…”

“…11,21,22 Similar findings from previous studies indicated perceptions of impaired sexual function and resulting anxiety in 54.0% to 70.5% of study participants. 12,23 Additional reported experiences include communication problems between spouses, anxiety of not being liked by the spouse, fear of infecting/ getting infected by the spouse, the belief that sexuality harms the wife, and sexual conflicts, which decrease sexual satisfaction and marital satisfaction. 8,23 These sexual and psychosocial problems experienced by couples threaten the emotional and physical contact between them and negatively affect their sexual satisfaction.…”

“…11 These problems mostly occur 6 to 12 weeks following treatment. [11][12][13] Previous studies of women with ovarian cancer found that approximately 57% of women at 2 years after treatment reported worsening sexual self-concept, sexual functioning, sexual satisfaction, marital satisfaction, and marital relationship as outcomes of their cancer and its treatment. 1,3,4 While sexuality is a significant component of the quality of relationship between spouses, sexual satisfaction is the level of bliss and enjoyment that spouses get from the sexual relationship.…”

“…In other studies, age and spousal support have been found to affect sexual satisfaction of women with ovarian cancer. 12,15,26 Findings related to age and duration of marriage may help to identify couples at greater likelihood of needing counseling by nurses regarding increasing sexual desire, intimacy, contact, and sharing among partners.…”

“…Sexual problems (including vaginal dryness, burning, epithelial thinning, vaginal stenosis, loss of sexual desire, decrease in sexual intercourse) develop in almost 80% of patients with gynecological cancer during cancer treatment 11 . These problems mostly occur 6 to 12 weeks following treatment 11–13 . Previous studies of women with ovarian cancer found that approximately 57% of women at 2 years after treatment reported worsening sexual self-concept, sexual functioning, sexual satisfaction, marital satisfaction, and marital relationship as outcomes of their cancer and its treatment 1,3,4 …”