ISSN: 2706-8870
Volume 8, Number 4 (2023)
Year Launched: 2016
Journal Menu
■ About The Journal
■ Aims & Scope
■ Editorial Board
■ Article Processing Charge
■ Archive

Quality of sexual life and subjective well-being after treatment of patients with cervical cancer: an exploration of the different stages

Volume 8, Issue 4, August 2023     |     PP. 223-239      |     PDF (1070 K)    |     Pub. Date: August 8, 2023
DOI: 10.54647/cm321152    63 Downloads     4526 Views  

Author(s)

Yan Shi, The Second Affiliated Hospital of Chongqing Medical University, China
Meijiao He, The Second Affiliated Hospital of Chongqing Medical University, China
Meichen Weng, The Second Affiliated Hospital of Chongqing Medical University, China
Xunjun Liao, The Second Affiliated Hospital of Chongqing Medical University, China
Jun Cai, The Second Affiliated Hospital of Chongqing Medical University, China

Abstract
Purpose: This study aimed to investigate the sexual function and subjective well-being of the CCSs in different stages, and to explore the relationship between sexual function and subjective well-being.
Methods: A cross-sectional study was used to investigate the sexual function and subjective well-being for CCSs(N=212). Basic demographic information about the CCSs was collected. Data were analyzed by a one-way analysis of variance and Pearson correlation analysis.
Results: The total scores of Female Sexual Function Index and Index of Well-being were different in different stages(P＜0.001). As the stage progressed, both the sexual function index and well-being index was decreased. The Female Sexual Function Index in stage I to IV scores ranged from was 19.86(SD=7.53) to 2.12(SD=0.44), and Index of Well-being scores ranged from 7.91(SD=2.04) to 3.97(SD=0.90). From sub-dimension of sexual function and subjective well-being analysis, CCSs had different symptoms in different stages. In the Pearson correlation analysis, there was a positive correlation between sexual function and subjective well-being(R2=0.5214,P＜0.001).
Conclusions: The quality of sexual life and subjective well-being of CCSs varied by stage, and the higher quality of sexual life, the higher subjective well-being. Health care workers should improve the awareness of sexual problems and provide personalized care according to different situations.

Keywords
Uterine cervical neoplasms, Sexual dysfunction, Quality of life, Subjective well-being, A cross-sectional study

Cite this paper
Yan Shi, Meijiao He, Meichen Weng, Xunjun Liao, Jun Cai, Quality of sexual life and subjective well-being after treatment of patients with cervical cancer: an exploration of the different stages , SCIREA Journal of Clinical Medicine. Volume 8, Issue 4, August 2023 | PP. 223-239. 10.54647/cm321152

References

[ 1 ] Adams, E., Hill, E. & Watson, E. (2013). Fertility preservation in cancer survivors: a national survey of oncologists' current knowledge, practice and attitudes. British journal of cancer, 108, 1602-1615. doi:10.1038/bjc.2013.139
[ 2 ] Bae, H. & Park, H. (2016). Sexual function, depression, and quality of life in patients with cervical cancer. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 24, 1277-1283. doi:10.1007/s00520-015-2918-z
[ 3 ] Bakker, R.M., Kenter, G.G., Creutzberg, C.L., Stiggelbout, A.M., Derks, M., Mingelen, W., ... Ter Kuile, M.M. (2017). Sexual distress and associated factors among cervical cancer survivors: A cross-sectional multicenter observational study. Psycho-oncology, 26, 1470-1477. doi:10.1002/pon.4317
[ 4 ] Bhatla, N., Aoki, D., Sharma, D.N. & Sankaranarayanan, R. (2018). Cancer of the cervix uteri. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 143 Suppl 2, 22-36. doi:10.1002/ijgo.12611
[ 5 ] Bhatla, N. & Denny, L. (2018). FIGO Cancer Report 2018. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 143 Suppl 2, 2-3. doi:10.1002/ijgo.12608
[ 6 ] Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R.L., Torre, L.A. & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, 68, 394-424. doi:10.3322/caac.21492
[ 7 ] Campbell, A. (1976). Subjective measures of well-being. The American psychologist, 31, 117-124. doi:10.1037//0003-066x.31.2.117
[ 8 ] Chen, W., Zheng, R., Baade, P.D., Zhang, S., Zeng, H., Bray, F., ... He, J. (2016). Cancer statistics in China, 2015. CA: a cancer journal for clinicians, 66, 115-132. doi:10.3322/caac.21338
[ 9 ] Corrêa, C.S., Leite, I.C., Andrade, A.P., de Souza Sérgio Ferreira, A., Carvalho, S.M. & Guerra, M.R. (2016). Sexual function of women surviving cervical cancer. Archives of gynecology and obstetrics, 293, 1053-1063. doi:10.1007/s00404-015-3857-0
[ 10 ] De Berardis, G., Franciosi, M., Belfiglio, M., Di Nardo, B., Greenfield, S., Kaplan, S.H., ... Quality of Care and Outcomes in Type 2 Diabetes (QuED) Study Group. (2002). Erectile dysfunction and quality of life in type 2 diabetic patients: a serious problem too often overlooked. Diabetes care, 25, 284-291. doi:10.2337/diacare.25.2.284
[ 11 ] Fleming, N.D., Ramirez, P.T., Soliman, P.T., Schmeler, K.M., Chisholm, G.B., Nick, A.M., ... Frumovitz, M. (2016). Quality of life after radical trachelectomy for early-stage cervical cancer: A 5-year prospective evaluation. Gynecologic oncology, 143, 596-603. doi:10.1016/j.ygyno.2016.10.012
[ 12 ] Froeding, L.P., Ottosen, C., Rung-Hansen, H., Svane, D., Mosgaard, B.J. & Jensen, P.T. (2014). Sexual functioning and vaginal changes after radical vaginal trachelectomy in early stage cervical cancer patients: a longitudinal study. The journal of sexual medicine, 11, 595-604. doi:10.1111/jsm.12399
[ 13 ] Grangé, C., Bonal, M., Huyghe, É., Lèguevaque, P., Cances-Lauwers, V. & Motton, S. (2013). [Sexual function and quality of life in locally advanced cervical cancer]. Gynécologie, obstétrique & fertilité, 41, 116-122. doi:10.1016/j.gyobfe.2012.12.011
[ 14 ] Graugaard, C. (2017). Sexuality as a health-promoting factor - theoretical and clinical considerations. Nature reviews. Urology, 14, 577-578. doi:10.1038/nrurol.2017.117
[ 15 ] Harding, Y., Ooyama, T., Nakamoto, T., Wakayama, A., Kudaka, W., Inamine, M., ... Aoki, Y. (2014). Radiotherapy- or radical surgery-induced female sexual morbidity in stages IB and II cervical cancer. International journal of gynecological cancer: official journal of the International Gynecological Cancer Society, 24, 800-805. doi:10.1097/IGC.0000000000000112
[ 16 ] Heresi Milad, E., Rivera Ottenberger, D. & Huepe Artigas, D. (2014). Associations among attachment, sexuality, and marital satisfaction in adult Chilean couples: a linear hierarchical models analysis. Journal of sex & marital therapy, 40, 259-274. doi:10.1080/0092623X.2012.756840
[ 17 ] Hofsjö, A., Bohm-Starke, N., Blomgren, B., Jahren, H., Steineck, G. & Bergmark, K. (2017). Radiotherapy-induced vaginal fibrosis in cervical cancer survivors. Acta oncologica, 56, 661-666. doi:10.1080/0284186X.2016.1275778
[ 18 ] Katz, A. (2005). The sounds of silence: sexuality information for cancer patients. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 23, 238-241. doi:10.1200/JCO.2005.05.101
[ 19 ] Le Borgne, G., Mercier, M., Woronoff, A.S., Guizard, A.V., Abeilard, E., Caravati-Jouvenceaux, A., ... Joly, F. (2013). Quality of life in long-term cervical cancer survivors: a population-based study. Gynecologic oncology, 129, 222-228. doi:10.1016/j.ygyno.2012.12.033
[ 20 ] Oldertrøen Solli, K., de Boer, M., Nyheim Solbraekke, K. & Thoresen, L. (2019). Male partners' experiences of caregiving for women with cervical cancer-a qualitative study. Journal of clinical nursing, 28, 987-996. doi:10.1111/jocn.14688
[ 21 ] Pfaendler, K.S., Wenzel, L., Mechanic, M.B. & Penner, K.R. (2015). Cervical cancer survivorship: long-term quality of life and social support. Clinical therapeutics, 37, 39-48. doi:10.1016/j.clinthera.2014.11.013
[ 22 ] Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., ... D'Agostino, R. Jr. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of sex & marital therapy, 26, 191-208. doi:10.1080/009262300278597
[ 23 ] Sun, L., Gao, Y., Yang, J., Zang, X. & Wang, Y. (2016). The impact of professional identity on role stress in nursing students: A cross-sectional study. International journal of nursing studies, 63, 1-8. doi:10.1016/j.ijnurstu.2016.08.010
[ 24 ] Tian, J. (2013). Sexual well-being of cervical cancer survivors under 50 years old and the factors affecting their libido. Gynecologic and obstetric investigation, 76, 177-181. doi:10.1159/000355104
[ 25 ] Ussher, J.J.E. (2014). Women’s Sexuality after Cancer A Qualitative Analysis of Sexual Changes and Renegotiation , 205-221. doi:10.1080/02703149.2014.897547
[ 26 ] Vermeer, W.M., Bakker, R.M., Kenter, G.G., Stiggelbout, A.M. & Kuile, M.M.t. (2016). Cervical cancer survivors’ and partners’ experiences with sexual dysfunction and psychosexual support. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 24.
[ 27 ] Wright, J.D., Matsuo, K., Huang, Y., Tergas, A.I., Hou, J.Y., Khoury-Collado, F., ... Hershman, D.L. (2019). Prognostic Performance of the 2018 International Federation of Gynecology and Obstetrics Cervical Cancer Staging Guidelines. Obstetrics and gynecology, 134, 49-57. doi:10.1097/AOG.0000000000003311
[ 28 ] Ye, S., Yang, J., Cao, D., Lang, J. & Shen, K. (2014). A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. International journal of gynecological cancer: official journal of the International Gynecological Cancer Society, 24, 1146-1157. doi:10.1097/IGC.0000000000000207
[ 29 ] Zeng, Y.C., Ching, S.S. & Loke, A.Y. (2011). Quality of life in cervical cancer survivors: a review of the literature and directions for future research. Oncology nursing forum, 38, E107-117. doi:10.1188/11.ONF.E107-E117