بررسی ارتباط عملکرد جنسی با اضطراب سلامت و ترس از عود در زنان با سابقه سرطان پستان

زﻣﯿﻨﻪ و ﻫﺪف: ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﺷﺎﯾﻊ ﺗﺮﯾﻦ ﻧﻮع ﺳﺮﻃﺎن در زﻧﺎن اﺳﺖ ﮐﻪ در زﻧﺎن اﯾﺮاﻧﯽ، رﺗﺒﻪ اول ﻣﻮارد ﺟﺪﯾﺪ ﺳﺮﻃﺎن را ﺑﻪ ﺧﻮد اﺧﺘﺼﺎص ﻣﯽ دﻫﺪ. ﺳﺮﻃﺎن ﭘﺴﺘﺎن، ﻣﯽ ﺗﻮاﻧﺪ ﺑﺎ اﻓﺰاﯾﺶ اﺿﻄﺮاب ﺳﻼﻣﺖ و ﺗﺮس از ﻋﻮد ﺑﺮ ﺗﻤﺎﻣﯽ ﺟﻨﺒﻪ ﻫﺎی ﺳﻼﻣﺖ روان ﻓﺮد ﻣﺒﺘﻼ اﺛﺮﮔﺬار ﺑﻮده و ﻣﺘﻌﺎﻗﺐ آن، ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ ﻓﺮد را ﻧﯿﺰ ﺗﺤﺖ ﺷﻌﺎع ﻗﺮار دﻫﺪ. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ارﺗﺒﺎط ﺑﯿﻦ ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ ﺑﺎ اﺿﻄﺮاب ﺳﻼﻣﺖ و ﺗﺮس از ﻋﻮد در زﻧﺎن ﺑﺎ ﺳﺎﺑﻘﻪ ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﻃﺮاﺣﯽ و اﺟﺮا ﺷﺪ. روش ﺑﺮرﺳﯽ: اﯾﻦ ﭘﮋوﻫﺶ ﻣﻘﻄﻌﯽ ﺑﺮ روی 150 زن 24 ﺗﺎ 76 ﺳﺎﻟﻪ ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﭘﮋوﻫﺸﮑﺪه ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﺟﻬﺎد داﻧﺸﮕﺎﻫﯽ ﺷﻬﺮ ﺗﻬﺮان اﻧﺠﺎم ﺷﺪ. ﺟﻬﺖ ﺟﻤﻊ آوری اﻃﻼﻋﺎت از ﭘﺮﺳﺸﻨﺎﻣﻪ ﻫﺎی دﻣﻮﮔﺮاﻓﯿﮏ، اﺿﻄﺮاب ﺳﻼﻣﺖ 18- hai و ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ زﻧﺎن fsfi و ﺗﺮس از ﻋﻮد ﺳﺮﻃﺎن 7- fcr اﺳﺘﻔﺎده ﺷﺪ. ﭘﺮﺳﺸﻨﺎﻣﻪ ﻫﺎ ﺑﻪ ﺷﮑﻞ آﻧﻼﯾﻦ ﻃﺮاﺣﯽ و ﻟﯿﻨﮏ ﭘﺮﺳﺸﻨﺎﻣﻪ از ﻃﺮﯾﻖ ﺷﺒﮑﻪ اﺟﺘﻤﺎﻋﯽ واﺗﺴﺎپ در اﺧﺘﯿﺎر ﺷﺮﮐﺖ ﮐﻨﻨﺪﮔﺎن در ﭘﮋوﻫﺶ ﻗﺮار ﮔﺮﻓﺖ و ﭘﺲ از ﺗﮑﻤﯿﻞ ﺟﻤﻊ آوری ﺷﺪ. داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار 21-spss و آزﻣﻮن ﻫﺎی آﻣﺎری رﮔﺮﺳﯿﻮن، ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن و آﻧﺎﻟﯿﺰ وارﯾﺎﻧﺲ ﯾﮏ راﻫﻪ آﻧﺎﻟﯿﺰ ﺷﺪﻧﺪ.p ﮐﻤﺘﺮ از 0/05 ﺑﻪ ﻋﻨﻮان ﺳﻄﺢ ﻣﻌﻨﯽ داری در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﺑﺮاﺳﺎس ﯾﺎﻓﺘﻪ ﻫﺎی اﯾﻦ ﭘﮋوﻫﺶ ﺑﯿﻦ ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ ﺑﺎ اﺿﻄﺮاب ﺳﻼﻣﺖ 0/003 =p و ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ و ﺗﺮس از ﻋﻮد 0/012 =p راﺑﻄﻪ ﻣﻌﻨﺎدار و ﻣﻌﮑﻮﺳﯽ وﺟﻮد داﺷﺖ. ﻫﻤﭽﻨﯿﻦ راﺑﻄﻪ ﺑﯿﻦ ﺗﺮس از ﻋﻮد و اﺿﻄﺮاب ﺳﻼﻣﺖ 0/0001< p ﻣﻌﻨﺎدار و ﻣﺴﺘﻘﯿﻢ ﺑﻮد. ﻫﻤﭽﻨﯿﻦ در ﭘﺎﺳﺦ ﺑﻪ ﺳﻮال ﭘﮋوﻫﺶ، ﺑﯿﻦ ﺳﻄﺢ ﺗﺤﺼﯿﻼت و ﻧﻤﺮه ﮐﻞ ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ 0/024 =p و ﺧﺮده ﻣﻘﯿﺎس ﻫﺎی ﻣﯿﻞ 0/48 =p ، رﻃﻮﺑﺖ 0/001 =p و درد ﺟﻨﺴﯽ 0/026 =p راﺑﻄﻪ ﻣﻌﻨﺎدار و ﻣﺴﺘﻘﯿﻢ ﺑﺮﻗﺮار ﺑﻮده، وﻟﯽ در ﺧﺮده ﻣﻘﯿﺎس رﺿﺎﯾﺘﻤﻨﺪی و اوج ﻟﺬت ﺟﻨﺴﯽ و ﺗﺤﺮﯾﮏ رواﻧﯽ ارﺗﺒﺎط ﻣﻌﻨﺎداری ﻣﺸﺎﻫﺪه ﻧﺸﺪ. ﺳﻦ و ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ ﻧﯿﺰ راﺑﻄﻪ ﻣﻌﻨﺎدار و ﻣﻌﮑﻮﺳﯽ را ﻧﺸﺎن دادﻧﺪ p<0/001 . دﯾﮕﺮ ﯾﺎﻓﺘﻪ ﻫﺎی اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻮﯾﺪ وﺟﻮد راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑﯿﻦ ﺷﻐﻞ و ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ و ﺧﺮده ﻣﻘﯿﺎس ﻫﺎی آن p<0/05 ﺑﻪ ﻏﯿﺮ از ﻣﯿﻞ ﺟﻨﺴﯽ ﺑﻮد و ﻟﯿﮑﻦ ﺑﯿﻦ ﻣﺸﺨﺼﺎت ﻓﺮدی و اﺿﻄﺮاب ﺳﻼﻣﺖ راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑﺮﻗﺮار ﻧﺒﻮد. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ وﺟﻮد راﺑﻄﻪ ﻣﻌﻨﺎدار ﻣﻌﮑﻮس ﺑﯿﻦ ﻋﻤﻠﮑﺮد ﺟﻨﺴﯽ و اﺿﻄﺮاب ﺳﻼﻣﺖ و ﺗﺮس از ﻋﻮد و ﻫﻤﭽﻨﯿﻦ راﺑﻄﻪ ﻣﻌﻨﺎدار ﻣﺴﺘﻘﯿﻢ ﺑﯿﻦ ﺗﺮس از ﻋﻮد و اﺿﻄﺮاب ﺳﻼﻣﺖ، اﯾﻦ ﻃﻮر ﺑﻪ ﻧﻈﺮ ﻣﯽ رﺳﺪ ﮐﻪ ﺗﻮﺟﻪ ﺑﻪ ﻧﮕﺮاﻧﯽ ﻫﺎ و وﺿﻌﯿﺖ رواﻧﯽ اﯾﻦ زﻧﺎن ﺑﺎﯾﺴﺘﯽ در اوﻟﻮﯾﺖ ﻣﺮاﻗﺒﺖ ﻫﺎی ﺑﻬﺪاﺷﺘﯽ و درﻣﺎﻧﯽ آﻧﺎن ﻗﺮار ﮔﯿﺮد. ﻫﻤﭽﻨﯿﻦ در اراﺋﻪ ﻣﺮاﻗﺒﺖ ﻫﺎی درﻣﺎﻧﯽ، ﻻزم اﺳﺖ ﮐﻪ ﺗﯿﻢ درﻣﺎﻧﯽ ﺑﻪ ﻏﺮﺑﺎﻟﮕﺮی اﺧﺘﻼﻻت ﺟﻨﺴﯽ در اﯾﻦ زﻧﺎن و ﺷﻨﺎﺳﺎﯾﯽ ﻣﻮارد ﺑﺎ اﺿﻄﺮاب ﺳﻼﻣﺖ ﻧﯿﺎزﻣﻨﺪ درﻣﺎن، ﺗﻮﺟﻪ ﺑﯿﺸﺘﺮی ﻣﻌﻄﻮف ﻧﻤﺎﯾﻨﺪ.

the association between sexual function with health anxiety and fear of recurrence in women with breast cancer history

introduction: breast cancer is the most common cancer in women and has the highest incidence rate among iranian women. it can affect all aspects of mental health and subsequently affect a person’s sexual performance. the present study was conducted with the aim of determining the relationship between sexual function with health anxiety and fear of recurrence in women with breast cancer history.method: this cross-sectional study was conducted on 150 women aged 24-76 referring to the breast cancer institute of jihad university in tehran, 2021. three questionnaires, including the health anxiety inventory hai-18 , female sexual function index fsfi-6 , and fear of cancer recurrence fcr were used to collect data and completed online. the data were analyzed by pearson’s correlation coefficient, and one-way anova using spss 21.results: there was a significant inverse correlation between sexual performance and health anxiety and sexual performance and fear of recurrence. furthermore, the relationship between fear of relapse and health anxiety was significant. also, there was a significant association between the level of education with the total score and all sexual function subscales except satisfaction and orgasm. conclusion: based on this study, it is necessary to pay attention to the mental state and sexual function of women with breast cancer.