癌症倖存者女性性活動的動機：一項橫斷面研究 Motivators for sexual activity among women who are cancer survivors: a cross-sectional study ——《性醫學雜誌》第23卷，第1期，2026年1月—— <The Journal of Sexual Medicine > Volume 23, Issue 1, Jan 2026 【摘要】性健康是癌症倖存者女性生活質量 (QOL) 的關鍵組成部分。隨着癌症倖存者生存率的提高，解決性健康等生活質量問題變得日益重要。探索癌症倖存者進行性活動的動機有助於在治療期間和治療後，確定以患者為中心的性健康優先事項。 據我們所知，目前尚無定量研究探討癌症倖存者女性的性動機。本研究旨在了解乳腺癌和盆腔癌倖存者進行性活動的原因，從而為制定有效的、以患者為中心的干預措施提供信息，以預防和減輕性功能障礙，並改善癌症治療後的性健康和生活質量。 本研究以多階段優化策略 (MOSt) 框架的準備階段為指導，構建了一個基於性行為和性反應生物心理社會模型的概念模型，旨在改善癌症倖存者的性生活質量。準備階段包括確定以患者為中心的干預措施的基本要素和候選治療方案。研究參與者年齡均大於18歲，能說英語或西班牙語，且至少在一年前已完成乳腺癌或盆腔（肛門、直腸、子宮、宮頸、陰道、外陰）癌症的局部放射治療。參與者在其他癌症治療方面存在差異，包括全身治療或手術治療，但所有參與者均接受了局部放射治療。參與者由放射腫瘤科醫生在2022年至2024年的隨訪就診中前瞻性招募。研究人員收集了經臨床注釋的定量患者自述調查數據，並使用經驗證的問卷（包括經作者許可使用的“為何要性生活簡表問卷”（YSEX?-SF）評估癌症治療對性活動和性功能的影響。 【關鍵詞】性健康；生活質量；生存；癌症；女性健康 [Extract] Sexual health is a key component of quality of life (QOL) among women who are cancer survivors.1,2 With increasing survivorship rates, addressing QOL issues such as sexual health becomes increasingly important. Exploring motivations for sexual activity among cancer survivors may help define patient-centered priorities when addressing sexual health during and after treatment. To our knowledge, no quantitative study has examined motivations for sex in a sample of women who are cancer survivors. The objective of this study was to understand the reasons why survivors of breast and pelvic cancers engage in sexual activity to inform the development of effective, patient-centered interventions to prevent and mitigate sexual dysfunction and improve sexual health and QOL after cancer treatment. This study was guided by the preparation phase of the Multiphase Optimization Strategy (MOSt) 3 framework to develop a conceptual model of change to improve sexual QOL for cancer survivors anchored on biopsychosocial models of sexuality and sexual response.2 The preparation phase involves defining the basic elements and candidate treatment components of a patient-centered intervention. Study participants were > 18 years old, English or Spanish speaking, and had finished local radiation treatment for breast or pelvic (anal, rectal, uterine, cervical, vaginal, vulvar) cancers at least one year prior. Participants varied in other aspects of cancer treatment, including systemic or surgical therapies, but all received local radiation. Participants were recruited prospectively by radiation oncology clinicians at follow-up visits from 2022 to 2024. Clinically-annotated quantitative patient-reported survey data were collected to assess the impact of cancer treatments on sexual activity and function using validated questionnaires, including the Why Have Sex Short Form Questionnaire (YSEX?-SF) with permission from the authors. [Key words] sexual health; quality of life; survivorship; cancer; women’s health 論文原文：Melanie Besculides, Julia Brody-Barre, Lauren M Carney, et al (2026). Melanie Besculides, Julia Brody-Barre, Lauren M Carney, et al (2026). Motivators for sexual activity among women who are cancer survivors: a cross-sectional study. The Journal of Sexual Medicine, Volume 23, Issue 1, January 2026. https://doi.org/10.1093/jsxmed/qdaf293 （翻譯兼責任編輯：MARY） （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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