Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Onkoloji Hemşirelerinde Cinsel Bakıma İlişkin Tutum, İnanç ve Engeller: Tanımlayıcı Araştırma
Attitudes, Beliefs and Barriers Regarding Sexual Care in Oncology Nurses: Descriptive Research
Hatice KARABUĞA YAKARa , Sıdıka OĞUZa, Gizem ÖZMENa
aMarmara Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):463-72
doi: 10.5336/nurses.2022-94981
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, onkoloji hemşirelerinin cinsel bakıma ilişkin tutum, inanç ve engellerin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Gereç ve Yöntemler: Tanımlayıcı tipte olan araştırma, Ocak 2020-Haziran 2020 tarihleri arasında İstanbul Anadolu Yakası'nda bulunan toplam 4 farklı eğitim ve araştırma hastanelerinin onkoloji kliniklerinde çalışan 136 hemşire ile yürütüldü. Verilerin toplanmasında ''Hemşire Tanılama Formu'' ve ''Cinsel Tutum ve İnanç Ölçeği'' kullanıldı. Veriler yüz yüze görüşme yöntemiyle toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, bağımsız 2 grup t-testi ve tek yönlü varyans analizi testi kullanıldı. Bulgular: Hemşirelerin Cinsel Tutum ve İnanç Ölçeği ortalama toplam puanları 39±10'dur. Meslekte çalışma süresi 1-3 yıl olan erkek hemşirelerin, Cinsel Tutum ve İnanç Ölçeği puanları daha yüksek saptandı. Cinsel sağlık eğitimi alan, hastaların cinsel sorun yaşadığını düşünen, hastalarına cinsel sağlık konusunda danışmanlık veren, cinsel sağlık konusunda eğitim ihtiyacı olduğunu düşünen hemşirelerin Cinsel Tutum ve İnanç Ölçeği puanlarının daha düşük olduğu bulundu. Hasta, hemşire ve sağlık sistemi ile ilişkili faktörlerin hemşirelerin cinselliği sorgulamalarını engellediği belirlendi. Sonuç: Onkoloji hemşirelerinin cinsel bakıma ilişkin tutum ve inançlarının orta düzeyde olduğu bulundu. Hemşirelerin kanser hastalarının cinsel sorunlarıyla baş etmelerine yardımcı olma konusundaki engeller olarak ''eğitimli personelin, uygun görüşme ortamının, yeterli zamanın olmaması, hasta isteksizliği ve iş yükü fazlalığı'' belirlendi.

Anahtar Kelimeler: Cinsellik; engel; inanç; onkoloji hemşireliği; tutum
ABSTRACT
 Objective: This descriptive study was conducted to determine the attitudes, beliefs and barriers of oncology nurses towards sexual care. Material and Methods: The descriptive study was conducted with 136 nurses working in the oncology clinics of 4 different training and research hospitals on the Anatolian side of İstanbul between January 2020 and June 2020. ''Nurse identification form'' and ''Sexual Attitude and Belief Scale'' were used to collect data. Data were collected by face-to-face interview method. Descriptive statistics, two independent groups t-test and one-way analysis of variance test were used to evaluate the data. Results: The mean total score of the nurses'' Sexual Attitude and Belief Scale was 39±10. Sexual Attitude and Belief Scale scores were found to be higher in male nurses with 1-3 years of employment. It was found that the Sexual Attitude and Belief Scale scores of the nurses who received sexual health education, who thought that the patients had sexual problems, who counseled their patients on sexual health, and who thought that they needed education on sexual health, were lower. It was determined that factors related to patients, nurses and the health system prevented nurses from questioning sexuality. Conclusion: It was found that oncology nurses' attitudes and beliefs about sexual care were at a moderate level. Helping nurses cope with the sexual problems of cancer patients as barriers to being ''trained personnel, suitable interview environment, adequate lack of time, patient reluctance and excess workload'' were determined.

Keywords: Sexuality; disability; belief; oncology nursing; attitude
REFERENCES:
  1. Afiyanti Y. Attitudes, belief, and barriers of Indonesian Oncology Nurses on providing assistance to overcome sexuality problem. Nurse Media Journal of Nursing. 2017;7(1):15-23. [Link] 
  2. Julien JO, Thom B, Kline NE. Identification of barriers to sexual health assessment in oncology nursing practice. Oncol Nurs Forum. 2010;37(3):E186-90. [Crossref]  [PubMed] 
  3. Körükcü Ö, Arıkan F, Küçükçakal A, Coşkun HŞ. Kemoterapi tedavisi gören kanser hastalarının cinsellik algılarının ve cinsel bakım gereksinimlerinin belirlenmesi [Determination of sexual perceptions and sexual care needs of cancer patients receiving chemotherapy treatment]. Akd Med. 2018;4(1):25-34. [Link] 
  4. Papadopoulou C, Sime C, Rooney K, Kotronoulas G. Sexual health care provision in cancer nursing care: A systematic review on the state of evidence and deriving international competencies chart for cancer nurses. Int J Nurs Stud. 2019;100:103405. [Crossref]  [PubMed] 
  5. Dholakia K, Prakash G. Lets talk about sex to our cancer patients. Cancer Res Stat Treat. 2019;2(1):132-3. [Crossref] 
  6. Ahn SH, Kim JH. Healthcare professionals' attitudes and practice of sexual health care: preliminary study for developing training program. Front Public Health. 2020;8:559851. [Crossref]  [PubMed]  [PMC] 
  7. Vassao FV, Barbosa LR, Moraes GM, Domenico EBL. Approach to sexuality in the care of cancer patients: barriers and strategies. Acta Paul Enferm. 2018;31(5):564-71. [Crossref] 
  8. Higano CS, Zarowski C, Wassersug R, Elliott S. Sexual health after cancer therapy. J Oncol Pract. 2016;12(4):305-6. Erratum in: J Oncol Pract. 2016;12 (6):596. [Crossref]  [PubMed]  [PMC] 
  9. Katz A, Agrawal LS, Sirohi B. Sexuality After Cancer as an Unmet Need: Addressing Disparities, Achieving Equality. Am Soc Clin Oncol Educ Book. 2022;42:1-7. [Crossref]  [PubMed] 
  10. Albers LF, Van Ek GF, Krouwel EM, Oosterkamp-Borgelink CM, Liefers GJ, Den Ouden MEM, et al. Sexual health needs: how do breast cancer patients and their partners want information? J Sex Marital Ther. 2020;46(3):205-26. [Crossref]  [PubMed] 
  11. Oskay U, Can G, Basgol S. Discussing sexuality with cancer patients: oncology nurses attitudes and views. Asian Pac J Cancer Prev. 2014;15(17):7321-6. [Crossref]  [PubMed] 
  12. Krouwel EM, Nicolai MP, van Steijn-van Tol AQ, Putter H, Osanto S, Pelger RC, et al. Addressing changed sexual functioning in cancer patients: A cross-sectional survey among Dutch oncology nurses. Eur J Oncol Nurs. 2015;19(6):707-15. [Crossref]  [PubMed] 
  13. Korukcu O, Deliktaş A, Aydın R, Kukulu K. A confidential taboo under the shadow of Turkish culture for gynecological cancer patients: Sexuality. New Trends and Issues Proceedings on Humanities and Social Sciences. 2017;4(2):69-72. [Crossref] 
  14. Güven ŞD, Çelik GK. Evaluation of nursing students' attitudes and beliefs regarding sexual care. Androl Bul. 2021;23:7-12. [Crossref] 
  15. Reynolds KE, Magnan MA. Nursing attitudes and beliefs toward human sexuality: collaborative research promoting evidence-based practice. Clin Nurse Spec. 2005;19(5):255-9. [Crossref]  [PubMed] 
  16. Ayhan H, İyigün, Taştan S, Coşkun H. Turkish version of the reliability and validity study of the sexual attitudes and belief survey. Sex and Dis. 2010;28(4):287-96. [Crossref] 
  17. Saunamäki N, Andersson M, Engström M. Discussing sexuality with patients: nurses' attitudes and beliefs. J Adv Nurs. 2010;66(6):1308-16. [Crossref]  [PubMed] 
  18. Bal Demirgöz M. Hemşirelerin cinsel bakıma ilişkin tutum ve inançları [Nurses attitudes and beliefs about sexual health care]. HEAD. 2014;11(3):38-42. [Link] 
  19. Gültürk E, Akpınar A, Şen ŞR, Balcı H. Cinselliğin değerlendirilmesi: Hemşirelerin cinsellikle ilgili tutum ve inançları [Sexuality assessment: Nurses' attitudes and beliefs toward sexuality]. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2018;4(1):63-70. [Link] 
  20. Zeng YC, Li Q, Wang N, Ching SS, Loke AY. Chinese nurses' attitudes and beliefs toward sexuality care in cancer patients. Cancer Nurs. 2011;34(2):E14-20. [Crossref]  [PubMed] 
  21. Wang P, Ai J, Davidson PM, Slater T, Du R, Chen C. Nurses' attitudes, beliefs and practices on sexuality for cardiovascular care: A cross-sectional study. J Clin Nurs. 2019;28(5-6):980-6. [Crossref]  [PubMed] 
  22. Dorne ME, Kisley MA. Relationship between sexuality and gender. In: Shackelford TK, Weekes-Shackelford VA, eds. Encyclopedia of Evolutionary Psychological Science. 1st ed. Cham: Springer; 2021. p.6540-3. [Crossref] 
  23. Arıkan F, Meydanlıoğlu A, Özcan K, Özer ZC. Attitudes and beliefs of nurses regarding discussion of sexual concerns of patients during hospitalization. Sex Disabil. 2015;33:327-37. [Crossref] 
  24. Azar M, Kroll T, Bradbury-Jones C. How do nurses and midwives perceive their role in sexual healthcare? BMC Womens Health. 2022;22(1):330. [Crossref]  [PubMed]  [PMC] 
  25. Olsson C, Berglund AL, Larsson M, Athlin E. Patient's sexuality - a neglected area of cancer nursing? Eur J Oncol Nurs. 2012;16(4):426-31. [Crossref]  [PubMed] 
  26. Annerstedt CF, Glasdam S. Nurses' attitudes towards support for and communication about sexual health-A qualitative study from the perspectives of oncological nurses. J Clin Nurs. 2019;28(19-20):3556-66. [Crossref]  [PubMed] 
  27. Winterling J, Lampic C, Wettergren L. Fex-Talk: a Short Educational Intervention Intended to Enhance Nurses' Readiness to Discuss Fertility and Sexuality with Cancer Patients. J Cancer Educ. 2020;35(3):538-44. [Crossref]  [PubMed]  [PMC] 
  28. Mansour SE, Mohamed HE. Handling sexuality concerns in women with gynecological cancer: Egyptian nurse's knowledge and attitudes. Journal of Education and Practice. 2015;6(3):146-59. [Link] 
  29. Benton CP. Sexual health attitudes and beliefs among nursing faculty: A correlational study. Nurse Educ Today. 2021;98:104665. [Crossref]  [PubMed] 
  30. Leyva-Moral JM, Aguayo-Gonzalez M, Palmieri PA, Guevara-Vasquez G, Granel-Grimenez N, Dalfó-Pibernat A. Attitudes and beliefs of nurses and physicians about managing sexual health in primary care: A multi-site cross-sectional comparative study. Nurs Open. 2020;8(1):404-14. [Crossref]  [PubMed]  [PMC] 
  31. Wazqar DY. Sexual health care in cancer patients: A survey of healthcare providers' knowledge, attitudes and barriers. J Clin Nurs. 2020;29(21-22):4239-47. [Crossref]  [PubMed] 
  32. Kotronoulas G, Papadopoulou C, Patiraki E. Nurses' knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence. Support Care Cancer. 2009;17(5):479-501. [Crossref]  [PubMed] 
  33. Maree J, Fitch MI. Holding conversations with cancer patients about sexuality: Perspectives from Canadian and African healthcare professionals. Can Oncol Nurs J. 2019;29(1):64-9. [PubMed]  [PMC] 
  34. Flynn KE, Reese JB, Jeffery DD, Abernethy AP, Lin L, Shelby RA, et al. Patient experiences with communication about sex during and after treatment for cancer. Psychooncology. 2012;21(6):594-601. [Crossref]  [PubMed]  [PMC] 
  35. Reese JB, Sorice K, Lepore SJ, Daly MB, Tulsky JA, Beach MC. Patient-clinician communication about sexual health in breast cancer: A mixed-methods analysis of clinic dialogue. Patient Educ Couns. 2019;102(3):436-42. [Crossref]  [PubMed]  [PMC] 

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