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接受放射線治療之婦癌病人使用陰道擴張器對陰道狹窄的實證照護
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並列篇名 | Use of Vagina Dilator to Prevent Stenosis for Gynecological Cancer Patients with Radiotherapy: An Evidenced-based Approach |
作者 | 郭曉莉、周曉梅、鄭韻如、江美鳳、李佩怡 |
中文摘要 | 陰道狹窄為接受放射線治療之婦癌病人常見的問題,使婦癌病人在恢復性生活時,常會面臨性交疼痛及性交出血的問題,進而影響其性生活及生活品質。在臨床上,多以病人主述及陰道指診做為陰道狹窄程度評估,且大多依據醫師個人經驗進行判斷,故於專業人員間之評估缺乏一致性。而為預防陰道狹窄,臨床上部分醫護人員會建議病人使用陰道擴張器,本文便為瞭解接受放射線治療之婦癌病人使用陰道擴張器對陰道狹窄是否具有成效,以護理實證方式進行相關病人使用陰道擴張器對陰道狹窄處置成效研究之文獻搜尋,範圍包含六個電子資料庫,並運用英國Oxford Center研究證據應用等級分類做為判讀之標準。結果共發現8篇文獻,證據等級1a等級有3篇,為1b等級有2篇,2c等級有2篇及1篇等級為4,其中有7篇文獻建議接受骨盆腔放射線治療後之病人可使用陰道擴張器來改善陰道狹窄的問題。故綜合各篇研究結果,建議醫護人員應建立評估陰道狹窄的方式,除可使用陰道擴張器外,尚可依據病人需求提供更多護理指導方式以改善病人陰道狹窄之現象。本文期望能藉由實證回顧,提供醫療團隊處理婦癌病人陰道狹窄的問題,進而提升病人生活品質及臨床照護品質。 |
英文摘要 | Vaginal stenosis is a common problem for gynecological cancer patients with radiotherapy treatment, resulting in sexual pain and bleeding, and further affecting their sexual life and quality of life. Clinically, vagina stenosis was mostly assessed with patients’ report and vaginal palpation, and mainly judged according to the doctor’s individual experience. Therefore, the assessment is lack of consistency among the professionals. However, some clinical staff recommended the use of vaginal dilators. In order to explore the effect of using the vaginal dilator to prevent the vagina stenosis for gynecological cancer patients with radiotherapy treatment, the author reviewed the literature of effectiveness on vaginal stenosis disposal from six electronic databases and applied the British Oxford Center classification for appraisal criterion. The results indicate there were 8 studies found. Among them, 7 papers recommended the patients receiving pelvic radiation therapy to use vaginal dilator for the improvement of vagina stenosis. Suggestions are made according to the results of the 8 studies: a method to assess vagina stenosis should be established and more care directing ways should be provided by the health care workers to improve vagina stenosis besides using vaginal dilator. The expectation of this study is to provide evidence from the review of empirical studies for the medical team to dispose better the problem of vagina stenosis, and further promote the patients quality of life and the quality of clinical care. |
起訖頁 | 001-019 |
關鍵詞 | 放射線治療、陰道狹窄、陰道擴張器、婦癌、實證護理、radiotherapy、vaginal stenosis、vagina dilation therapy、gynecological cancer、evidence-based nursing |
刊名 | 台灣性學學刊 |
期數 | 201304 (19:1期) |
出版單位 | 臺灣性教育學會 |
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