Effectiveness of sexual counseling on the quality of life of cancer patients
DOI:
https://doi.org/10.51326/ec.8.7850293Keywords:
Cancer Survivors, Nursing, Quality of Life, Sex Education, Sexual Counseling, Sexual HealthAbstract
Introduction: Emotional The sexual health of individuals with cancer can be impacted by the symptoms of the disease and treatment side effects, as well as the emotional burden from physical changes and fear of death. These factors can undermine interpersonal relationships. Sexual health issues remain problematic for individuals undergoing treatments that alter their physiology even years later.
Aim: To analyze the impact of sexual counseling as a nursing intervention on the quality of life of oncology patients.
Methods: A bibliographic review was conducted, identifying articles published between 2019 and 2024 in English and Spanish from PubMed, Scopus, and Embase databases. Epistemonikos was used as a metasearch engine, and Cochrane as a source for systematic reviews. The studies were evaluated independently.
Results: Five out of seven reviewed articles were included, all of which were randomized controlled trials. The total population included 193 men and 934 women, showing a correlation between treatment side effects, sexual health, and quality of life. Three studies confirmed that sexual counseling by nursing staff improved interpersonal relationships, reduced anxiety levels, and increased sexual satisfaction. However, two studies did not show significant evidence regarding the impact of sexual counseling on quality of life compared to the control group.
Conclusions: Scientific evidence suggests that nursing should take responsibility for guiding and advising oncology patients on sexual issues that may arise during or after their illness.
Downloads
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49. https://doi.org/10.3322/caac.21660
The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551-8. https://doi.org/10.1017/S0033291798006667
Gilbert E, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397-407. https://doi.org/10.1016/j.maturitas.2010.03.027
López Ramírez E, González Flores E. Sexualidad y cáncer: toxidicidad y tratamientos de soporte. Oncología (Barc.) 2005;28(3):58-63. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0378-48352005000300010&lng=es&nrm=iso&tlng=es [Consultado 15-05-2024]
Córdoba-de Juan C, Arranz-Martín B. Torres-Lacomba M. Disfunción sexual en mujeres diagnosticadas y tratadas de cáncer de mama. Estudio descriptivo longitudinal. Fisioterapia. 2019;41(2):73-82. https://doi.org/10.1016/j.ft.2019.02.002
Lane JA, Donovan JL, Young GJ, Davis M, Walsh EI, Avery KNL, et al. Prostate Testing for Cancer and Treatment (ProtecT) Study Group. Functional and quality of life outcomes of localised prostate cancer treatments (Prostate Testing for Cancer and Treatment [ProtecT] study). BJU Int. 2022;130(3):370-80. https://doi.org/10.1111/bju.15739
Escobar Delgado GR, Zambrano Zambrano GM, Cevallos Vera LM. El cáncer y su repercusión en la personalidad de quienes lo padecen. Rev Caribeña Cienc Soc. 2019. Disponible en: https://www.eumed.net/rev/caribe/2019/07/cancer-repercusion-personalidad.html [15-05-2024]
American Cancer Society. Control de efectos secundarios relacionados con el cáncer. Atlanta: American Cancer Society; [Fecha desconocida]. Disponible en: https://www.cancer.org/es/cancer/como-sobrellevar-el-cancer/efectos-secundarios [Consultado 15-05-2024]
Figueroa-Varela MR, Rivera-Heredia ME, Navarro-Hernández MR. «No importa»: sexualidad femenina y cáncer de mama. Gac Mex Oncol. 2016;15(5):278-84. https://www.elsevier.es/es-revista-gaceta-mexicana-oncologia-305-articulo-no-importa-sexualidad-femenina-cancer-S1665920116300773
Dai Y, Cook OY, Yeganeh L, Huang C, Ding J, Johnson CE. Patient-Reported Barriers and Facilitators to Seeking and Accessing Support in Gynecologic and Breast Cancer Survivors With Sexual Problems: A Systematic Review of Qualitative and Quantitative Studies. J Sex Med. 2020;17(7):1326-58. https://doi.org/10.1016/j.jsxm.2020.03.004
Condorelli M, Lambertini M, Del Mastro L, Boccardo F, Demeestere I, Bober SL. Fertility, sexuality and cancer in young adult women. Curr Opin Oncol. 2019;31(4):259-67. https://doi.org/10.1097/cco.0000000000000540
Alananzeh I, Green H, Meedya S, Chan A, Chang HCR, Yan Z, et al. Sexual activity and cancer: A systematic review of prevalence, predictors and information needs among female Arab cancer survivors. Eur J Cancer Care (Engl). 2022;31(6):e13644. https://doi.org/10.1111/ecc.13644
Chan A, Chang HR, Alananzeh I, Meedya S, Green H, Yan Z, et al. A systematic review: Sexual well-being and perceived barriers to seeking professional help among Chinese adults living with cancer. Eur J Cancer Care (Engl). 2021;30(6):e13519. https://doi.org/10.1111/ecc.13519
Buñuel Asín E, Mené Lombardo L, Moreno Fernández V, Sarroca San Pedro C, Sancho Giménez A, López Martín P. Trastornos de la conducta sexual. Disfunciones sexuales: tipos, tratamiento y plan de Enfermería. Ocronos. 2021;IV(12):67. Disponible en: https://revistamedica.com/disfunciones-sexuales-plan-enfermeria/ [Consultado 15-05-2024]
Organización Mundial de la Salud. Ginebra: Organización Mundial de la Salud; [Fecha desconocida]. Salud sexual; [Fecha desconocida]. Disponible en: https://www.who.int/es/health-topics/sexual-health#tab=tab_1 [Consultado 10-04-2024]
Menéndez Pérez R. La sexualidad en el paciente oncológico. Npunto. 2020;III(33):15-34. Disponible en: https://www.npunto.es/revista/33/la-sexualidad-en-el-paciente-oncologico-33 [Consultado 15-05-2024]
Zhang J, Guo L, Mao J, Qi X, Chen L, Huang H, et al. The effects of nursing of Roy adaptation model on the elderly hypertensive: a randomised control study. Ann Palliat Med. 2021;10(12):12149-58. https://doi.org/10.21037/apm-21-2803
Elsevier. NNNConsult. Amsterdam: Elsevier; 2024. Disponible en: https://www.nnnconsult.com [Consultado 21-05-2024]
Vázquer Hachero G. Salud sexual y consulta de enfermería. Index Enferm. 2009;18(3). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962009000300015&lng=es [Consultado 15-05-2024]
Molero Rodríguez F. Counseling en sexualidad femenina y masculina. Barcelona: Ediciones Mayo; 2014. Disponible en: https://academiasexologia.com/wp-content/uploads/2020/06/Counseling-en-sexualidad-humana.pdf [Consultado 15-05-2024]
Farnam F, Khakbazan Z, Nedjat S, Razavi Dizaji S, Barjasteh S. The Effect of Good Enough Sex (GES) Model-Based Sexual Counseling Intervention on the Body Image in Women Surviving Breast Cancer: A Randomized Clinical Trial. Asian Pac J Cancer Prev. 2021;22(7):2303-10. https://doi.org/10.31557/apjcp.2021.22.7.2303
Seib C, Anderson D, McGuire A, Porter-Steele J, McDonald N, Balaam S, et al. Improving health-related quality of life in women with breast, blood, and gynaecological Cancer with an eHealth-enabled 12-week lifestyle intervention: the women's wellness after Cancer program randomised controlled trial. BMC Cancer. 2022;22(1):747. https://doi.org/10.1186/s12885-022-09797-6
Schofield P, Gough K, Pascoe M, Bergin R, White K, Mileshkin L, et al. A nurse- and peer-led psycho-educational intervention to support women with gynaecological cancers receiving curative radiotherapy: The PeNTAGOn randomised controlled trial - ANZGOG 1102. Gynecol Oncol. 2020;159(3):785-793. https://doi.org/10.1016/j.ygyno.2020.09.016
Fagerkvist K, Jahnukainen K, Ljungman L, Lampic C, Wettergren L. Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial. Internet Interv. 2024;36:100739. https://doi.org/10.1016/j.invent.2024.100739
Bayat R, Shahsavari H, Faghihzadeh S, Amaniyan S, Vaismoradi M. Effect of the Nurse-Led Sexual Health Discharge Program on the Sexual Function of Older Patients Undergoing Transurethral Resection of Prostate: A Randomized Controlled Trial. Geriatrics (Basel). 2020;5(1):13. https://doi.org/10.3390/
