性功能障碍干预在宫颈癌患者中应用的范围综述及护理启示  

The scope of application of sexual dysfunction intervention in cervical cancer patients and nursing inspira-tion

作　　者：周楠 智诗涵 王萌 张惠 张丽红 罗茂语 何瑛[4] 顾炜 ZHOU Nan;ZHI Shihan;WANG Meng;ZHANG Hui;ZHANG Lihong;LUO Maoyu;HE Ying;GU Wei

机构地区：[1]西安交通大学医学部护理学系,西安市710061 [2]陕西省肿瘤医院妇瘤病区 [3]西安医学院护理与康复学院 [4]西藏民族大学医学院

出　　处：《中华护理杂志》2025年第7期890-896,F0003,共8页Chinese Journal of Nursing

基　　金：基金资助:陕西省重点研发计划项目(2022SF-438);西藏文化传承发展协同创新中心2024年度课题(XT-ZB202408)。

摘　　要：目的对性功能障碍干预在宫颈癌患者中的应用进行范围综述,提炼干预要素,为制订个性化的干预措施提供参考。方法以2021年澳大利亚乔安娜布里格斯研究所更新的范围综述方法学指南为指导,系统检索CINAHL、PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据库和维普数据库,检索时限为建库至2024年2月29日,对纳入文献进行分析、总结。结果共纳入17篇文献,包括9篇随机对照试验、7篇类实验研究和1篇预实验。干预的理论依据包括PLISSIT模式、BETTER模型、FOCUS计划、PERMA心盛理论、赋能理论、跨理论模型和叙事疗法;干预内容涉及性问题表露、性科学宣教、性生理康复和性心理康复4个主题;干预形式包括线下和线上独立或相结合的方式进行;评价指标包括性健康功能、社会功能、心理状态及自我管理。结论性功能障碍干预对宫颈癌患者有积极影响。未来研究应在深入理解理论内涵的基础上,探索内容更全面、形式更丰富、评价更精准的干预模式,发挥以护士为主导的多学科团队的作用,长期维护宫颈癌患者的性与生殖健康。Objective To review the application of sexual dysfunction intervention in cervical cancer patients,and refine the intervention elements,so as to provide ideas and methods for the development of personalized intervention measures.Methods Guided by the 2021 updated methodological guidelines for scoping reviews from the Joanna Briggs Institute in Australia,CINAHL,PubMed,Web of Science,Embase,Cochrane Library,CNKI,Wanfang and VIP databases were systematically searched from inception to February 29,2024,and the included literature were analyzed and summarized.Results A total of 17 studies were included,involving 9 randomized controlled trials,7 quasi-experimental studies and 1 pilot study.The theoretical basis of the intervention includes PLISSIT model,BETTER model,FOCUS program,PERMA flourish theory,empowerment theory,the trans-theoretical model and narrative therapy.The intervention content involves 4 themes:sexual problem disclosing,sexual science education,sexual physiological rehabilitation and sexual psychological rehabilitation.The main forms are offline and online independent or combined intervention.The outcomes include sexual health function,social function,psychological status and self-management.Conclusion Sexual dysfunction interventions have a positive impact on cervical cancer patients.Future research should develop sexual dysfunction interventions with more comprehensive content,richer forms and more accurate evaluation based on the in-depth understanding of the theoretical connotation,and play the role of nurse-led multidisciplinary teams to maintain the long-term sexual and reproductive health of cervical cancer patients.

关 键 词：宫颈癌 性功能障碍 干预 范围综述 肿瘤护理 

分 类 号：R473.73[医药卫生—护理学]