Aspek Seksualitas pada Pasien dengan Kanker Serviks

https://doi.org/10.22146/jkkk.36058

Ami Novianti Subagya(1*), Ni Nyoman Udiani(2), Suci Amalia Firdaus(3)

(1) Departemen Keperawatan Anak dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(2) STIKES Telogorejo Semarang, Jawa Tengah
(3) RSUD Undata Palu, Sulawesi Tengah
(*) Corresponding Author

Abstract


Background: Sexuality is an important aspect of life. Cancer and its treatment not only affect the physical and psychological wellbeing of patients but also can affect their sexual health.
Objective: The objective of this review is to conduct a review of the literature regarding sexuality in cervical cancer patients, after taking into consideration the principal changes produced by the disease and its treatment.
Method: This review considered references through a search of PubMed by use of the search terms “cervical cancer patients,” “therapy OR treatment,” in combination with “sexuality.”
Result: patients with cervical cancer mostly experience sexual problems, such as decreased interest and sexual activity, pain during intercourse, difficulty reaching orgasm, lack of lubrication, dyspareunia and vaginal shortness. Treatment with surgery, chemotherapy, radiotherapy, are factors that can affect sexuality and quality of life in patients with cancer.
Conclusion: Several sexuality problems found among majority of cervical cancer patients. The presence of sexual dysfunction in cervical cancer is caused by the disease and its treatment. Cervical cancer patients need nursing care intervention in sexuality aspect.

 

ABSTRAK

Latar Belakang: Seksualitas merupakan aspek penting dalam kehidupan. Kanker beserta pengobatannya tidak hanya berdampak pada kesejahteraan fisik dan psikologis pasien, namun juga dapat memengaruhi kesejahteraan seksualitas seorang individu.
Tujuan: Tinjauan literatur ini bertujuan untuk melihat aspek seksualitas pada pasien kanker serviks, berdasarkan perubahan utama yang disebabkan oleh penyakit dan pengobatannya.
Metode: pencarian literatur dilakukan pada 3 database yaitu PubMed, Science Direct dan Cochrane, menggunakan istilah pencarian “cervical cancer patients,” “therapy OR treatment,” dan "sexuality." Diperoleh sebanyak 7 orisinal artikel yang berkaitan dengan aspek seksualitas pada pasien dengan kanker serviks dalam Bahasa Inggris pada kurun tahun 2014 – 2019.
Hasil: Pasien dengan kanker serviks sebagian besar mengalami masalah seksualitas, antara lain penurunan minat dan aktivitas seksual, rasa sakit selama hubungan seksual, kesulitan untuk mencapai orgasme, kurangnya lubrikasi, dyspareunia, serta vaginal shortness. Pengobatan dengan pembedahan, kemoterapi, terapi hormon, radioterapi, dan obat-obatan menjadi faktor yang dapat memengaruhi seksualitas pada pasien dengan kanker.
Kesimpulan: Berbagai masalah seksualitas ditemukan pada sebagian besar pasien dengan kanker serviks. Adanya gangguan seksual pada pasien dengan kanker serviks disebabkan oleh penyakit dan pengobatannya. Diperlukan intervensi perawatan aspek seksualitas pada pasien kanker serviks.


Keywords


kanker serviks; pengobatan; seksualitas

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References

  1. Cain CL, Surbone A, Elk R, Kagawa-Singer M. Culture and Palliative Care: Preferences, Communication, Meaning, and Mutual Decision Making. J Pain Symptom Manage. 2018.
  2. Kittelson SM, Elie MC, Pennypacker L. Palliative Care Symptom Management. Crit Care Nurs Clin North Am. 2015;27(3):315–39.
  3. Bae H, Park H. Sexual function, depression, and quality of life in patients with cervical cancer. Support Care Cancer. 2016;24(3):1277–83.
  4. Grangé C, Bonal M, Huyghe É, Lèguevaque P, Cances-Lauwers V, Motton S. Qualité de vie sexuelle et cancer du col localement avancé. Gynecol Obstet Fertil. 2013;41(2):116–22.
  5. Aerts L, Enzlin P, Verhaeghe J, Poppe W, Vergote I, Amant F. Long-term sexual functioning in women after surgical treatment of cervical cancer stages IA to IB: A prospective controlled study. Int J Gynecol Cancer. 2014;24(8):1527–34.
  6. Falk SJ, Dizon DS. Sexual dysfunction in women with cancer. Fertil Steril. 2013;100(4):916–21.
  7. Ye S, Yang J, Cao D, Lang J, Shen K. A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. Int J Gynecol Cancer. 2014;24(7):1146–57.
  8. The American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, 2000.
  9. Cleary V, Hegarty J. Understanding sexuality in women with gynaecological cancer. Eur J Oncol Nurs. 2011;15(1):38–45.
  10. Froeding LP, Ottosen C, Rung-Hansen H, Svane D, Mosgaard BJ, Jensen PT. Sexual functioning and vaginal changes after radical vaginal trachelectomy in early stage cervical cancer patients: A longitudinal study. J Sex Med. 2014;11(2):595–604.
  11. Grion RC, Baccaro LF, Vaz AF, Costa-Paiva L, Conde DM, Pinto-Neto AM. Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study. Arch Gynecol Obstet. 2016 Apr;293(4):879-86.
  12. Vermeer WM, Bakker RM, Kenter GG, Stiggelbout AM, Ter Kuile MM. Cervical cancer survivors' and partners' experiences with sexual dysfunction and psychosexual support. Support Care Cancer. 2016 Apr;24(4):1679-87.
  13. 13 Xiao M, Gao H, Bai H, Zhang Z. Quality of life and sexuality in disease-free survivors of cervical cancer after radical hysterectomy alone: A comparison between total laparoscopy and laparotomy. Medicine (Baltimore). 2016;95(36):e4787.
  14. Zhou W, Yang X, Dai Y, Wu Q, He G, Yin G. Survey of cervical cancer survivors regarding quality of life and sexual function. J Cancer Res Ther [Internet]. 2016;12(2):938. Available from: http://www.cancerjournal.net/text.asp?2016/12/2/938/175427
  15. Lee Y, Lim MC, Kim SI, Joo J, Lee DO, Park SY. Comparison of Quality of Life and Sexuality between Cervical Cancer Survivors and Healthy Women. Cancer Res Treat. 2016;48(4):1321-1329.
  16. Fakunle, I. E., & Maree, J. E.. Sexual function in South African women treated for cervical cancer. International Journal of Africa Nursing Sciences. 2019. 10, 124–130.
  17. Corrêa CS, Leite IC, Andrade AP, de Souza Sérgio Ferreira A, Carvalho SM, Guerra MR. Sexual function of women surviving cervical cancer. Arch Gynecol Obstet. 2016 May;293(5):1053-63
  18. Lammerink EAG, De Bock GH, Pras E, Reyners AKL, Mourits MJE. Sexual functioning of cervical cancer survivors: A review with a female perspective. Maturitas [Internet]. 2012;72(4):296–304. Available from: http://dx.doi.org/10.1016/j.maturitas.2012.05.006
  19. Layzer C, Rosapep L, Barr S. A peer education program: Delivering highly reliable sexual health promotion messages in schools. J Adolesc Heal [Internet]. 2014;54(3 SUPPL.):S70–7. Available from: http://dx.doi.org/10.1016/j.jadohealth.2013.12.023
  20. Mercadante S, Vitrano V, Catania V. Sexual issues in early and late stage cancer: A review. Support Care Cancer. 2010;18(6):659–65.
  21. Greimel ER, Winter R, Kapp KS, Haas J. Quality of life and sexual functioning after cervical cancer treatment: A long-term follow-up study. Psychooncology. 2009;18(5):476–82.
  22. Ganz, P. A., & Greendale, G. A. (2007). Female Sexual Desire--Beyond Testosterone. JNCI Journal of the National Cancer Institute, 99(9), 659–661.
  23. Wang K, Ariello K, Choi M, Turner A, Wan BA, Yee C, et al. Sexual healthcare for cancer patients receiving palliative care: a narrative review. Ann Palliat Med [Internet]. 2017;6(2):1005–1005. Available from: http://apm.amegroups.com/article/view/17313



DOI: https://doi.org/10.22146/jkkk.36058

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