Disfunção sexual em mulheres com câncer de mama
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2015-06-29
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Universidade Federal de Goiás
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INTRODUCTION: Sexual dysfunctions are changes that often affect women with
breast cancer as a result of multiple factors, particularly physical changes,
treatment and course of the disease, but they can also be associated with cases
of anxiety and depression. PURPOSE: Evaluate sexual dysfunction in women
with breast cancer and associated factors. METHODS: Cross-sectional study
with 167 women being treated for breast cancer at an oncology reference hospital
in Goiânia-GO, from August to November 2014. Factors associated with sexual
dysfunction in this group were assessed using a semi-structured script prepared
by the researcher, the field of sexuality: desire, arousal, lubrication, orgasm,
satisfaction and pain / discomfort were analyzed by applying the "Female Sexual
Function Index (IFSF)" and anxiety and depression were checked using the
Hospital Anxiety and Depression Scale (HADS ). The project was approved by
the ethics committee of Hospital das Clinicas of research at the Federal University
of Goiás and the Association Against Cancer in Goiás. Data analysis was
performed using the chi-square test, Student's t test and Pearson's correlation
considering the significance level of p <0.05. RESULTS: It was found that 79.0%
of the sample had sexual dysfunction and of these, 86.8% and 86.3% had anxiety
and depression, respectively. There was an association between various
treatments for breast cancer as mastectomy, quadrantectomy, chemotherapy,
chemo / radiotherapy (p <0.05) and the decline in scores in all areas of sexuality
(desire, arousal, lubrication, orgasm, satisfaction and pain / discomfort) in women
with sexual dysfunction. Other factors such as comorbidities (p = 0.042) and nonexistent
menstrual cycle (p = 0.014) showed a significant association with sexual
dysfunction in this group. There was a significant association between the
presence of sexual dysfunction and anxiety in women with breast cancer (p =
0.038). Regarding the fields of sexuality it found that women with sexual
dysfunction had a positive and significant correlation between anxiety and sexual
arousal and a significant correlation, but inversely, between depression and
sexual desire. CONCLUSION: Sexual dysfunction has affected 79% of women
with breast cancer, causing decline in scores in all areas of sexuality. Factors
such as comorbidity, non-existent menstrual cycle and anxiety were significantly
associated with sexual dysfunction. Depression has an inverse correlation to the
domain desire in this group.
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LOPES, J. S. O. C. Disfunção sexual em mulheres com câncer de mama. 2015. 86 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2015.