Abstract
Purpose
The purpose of this study was to examine the level of sexual function, depression, and quality of life in cervical cancer patients.
Methods
This descriptive, correlational, cross-sectional study was conducted at E Hospital, Seoul. A total of 137 women diagnosed with cervical cancer completed a structured questionnaire. Sexual function was measured with the Female Sexual Function Index (FSFI), depression with the Hospital Anxiety and Depression Scale (HADS), and quality of life with the Functional Assessment of Cancer Therapy–General version 4 (FACT-G). Descriptive statistics, ANOVA, Scheffé’s tests, and Pearson correlations were computed with SPSS Win 21.0.
Results
The participants experienced sexual dysfunction (4.83 ± 4.16) and moderate to severe depression (11.08 ± 5.06). The mean score of quality of life was 57.33 ± 8.47. Sexual function had a negative relationship with depression, while having a positive one with quality of life (p < .001). Also, in relation with subcategories of quality of life, sexual function was positively correlated with physical well-being, social well-being, and functional well-being (p = .001), but not with psychological well-being (p = .223).
Conclusion
This study showed that cervical cancer patients with lower sexual function tended to have lower quality of life and higher levels of depression. Thus, clinical nurses should develop and implement interventions to enhance sexual function for patients diagnosed with cervical cancer.
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References
National Cancer Information Center (2013) National cancer information, http://www.cancer.go.kr/mbs/cancer/. Accessed 26 December 2013
National Cancer Information Center (2013) National cancer information, http://www.cancer.go.kr/mbs/cancer/jsp/cancer/. Accessed 28 December 2013
Korean Society of Gynecologic Oncology (2010) Gynecologic cancer medical treatment recommendation, http://www.sgo.or.kr/community/pdf/110214.pdf/. Accessed 28 December 2013
Byun J, Lee J, Park J, Kim Y, Lee E, Chang K, Ryu H (2006) Factors influencing quality of life of cervical cancer patients in Korea. Obstet Gynecol Sci 49:2363–2572
Nesrin R, Nezihe B, Anahit C (2010) Quality of life and sexual functioning in gynecological cancer patients: results from quantitative and qualitative data. Eur J Oncol Nurs 14:137–146
Vicki C, Josephine H, Geraldine M (2011) Sexuality in Irish women with gynecologic cancer. Oncol Nurs Forum 38:87–96
Kristen A, Kritine K (2012) A systematic review of sexual concerns reported by gynecological cancer survivors. Gynecol Oncol 124:477–489
Mariagrazia D, Silvia R, Giovanni C, Barbara C, Marco P, Caterina R, Giovanni S, Gabriella F (2008) Quality of life and psychological distress in locally advanced cervical cancer patients administered pre-operative chemoradiotherapy. Gynecol Oncol 111:144–150
Alex M, Melissa C, Henna B, Marie H, Luigi G, Christoffer J, Nicholas M (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative care settings: a meta analysis of 94 interview based studies. Lancet Oncol 12:160–174
Yi-Long Y, Li Liu Y, Hui W, Xiao-Shi Y, Jia-na W, Lei W (2013) The prevalence of depression and anxiety among Chinese adults with cancer: a systematic review and meta-analysis. BMC Cancer 13:393
Kathryn T (2008) Sexuality: a quality of life issue for cancer survivors. Semin Oncol Nurs 24:71–79
National Cancer Information Center (2013). National cancer information, http://www.cancer.go.kr/mbs/index.jsp/. Accessed 21 December 2013
Rosen R, Brown C, Heiman J et al (2000) The Female Sexual Function Index (FSFI): a multidimensional self-reported instrument for the assessment of female sexual function. J Sex Marital Ther 26:191–208
Kim H, So H, Park K et al (2002) Development of the Korean version of Female Sexual Function Index (FSFI). Kor J Androl 20:50–56
Zigmond AS, Snaith PR (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370
Cella D, Tulsky D, Gray G, Sarafian B, Linn E, Bonomi A et al (1993) The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 11:570–579
Chun N, Park Y (2006) Sexual functioning in women with gynecologic cancer. Kor J Women Health Nurs 12:308–315
Chun N (2010) Predictors of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. J Korean Acad Nurs 40:24–32
Park J, Jang S (2012) A study on the predictive factors of sexual function in women with gynecologic cancer. Asian Oncol Nurs 12:156–165
Kobayashi M, Ohno T, Noguchi W, Matsuda A, Matsushima E, Kato S, Tsujii H (2009) Psychological distress and quality of life in cervical cancer survivors after radiotherapy: do treatment modalities, disease stage, and self-esteem influence outcomes. Int J Gynecol Cancer 19:1264–1268
Jeong J, So H, Hong J, Chae M, Han G (2012) Related factors to quality of life among hospitalized cancer patients undergoing chemotherapy. Asian Oncol Nurs 12:84–91
Lee J, Choi S (2007) Quality of life in gynecological cancer patients during chemotherapy. Kor J women Health Nurs 13:290–298
Ruth M, Siew T, Howard G, Gwynne H, Mary L (2006) Factors related to depressive symptoms among long-term survivors of cervical cancer. Health Care Women Int 27:45–58
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Bae, H., Park, H. Sexual function, depression, and quality of life in patients with cervical cancer. Support Care Cancer 24, 1277–1283 (2016). https://doi.org/10.1007/s00520-015-2918-z
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DOI: https://doi.org/10.1007/s00520-015-2918-z