Assessment of sexuality in elderly patients with cancer-specific treatments
Keywords:
AGED, SEXUALITY, NEOPLASMS, THERAPEUTICS, PSYCHOTHERAPEUTIC PROCESSESAbstract
Background: sexuality is inherent and accompanies human beings throughout life. In senior citizens it is determined by states of mind, it is a component of the quality of life.
Objective: to characterize sexuality in elderly patients diagnosed with cancer, who underwent surgical treatment, chemotherapy and radiotherapy at the “María Curie” Provincial Teaching Oncology Hospital of Camagüey, from February 2019 to January 2021.
Methods: a quasi-experimental study was carried out for a single group in 687 oncological patients aged 60 years and over, out of those referred to in the objective. They underwent a medical and psychological interview in a preoperative assessment consultation and one year after the cancer-specific treatments had been completed. The presence or absence of sexual activity and frequency of intercourse was taken by declaration of each patient.
ConclusionsResults: more than three quarters of the patients were between 60 and 69 years old (94.6%), with a greater presence of women (52.6%). 73% were married. It was shown that sexual activity after cancer-specific treatments is three times more likely to be negatively affected (odds ratio 3.879). There was a decrease in the frequency of sexual activity in both sexes, especially in those who, prior to treatment, showed a fortnightly and monthly frequency. According to the Hamilton Depression Rating Scale, mild depression is twice as likely after cancer-specific treatments (odds ratio 2.725).
Conclusions: after the treatments, sexual activity and frequency were affected, in both sexes, for indefinite periods.
Downloads
References
WHO. World Atlas of Aging, World Health Organization Center for Health development, WHO Press. [en línea]. Luxemburgo: OMS; 2019 [citado 5 de febrero 2021]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf;jsessionid=5597C7530E01691E612D811FAE3D6878?sequence=1.
Robledo Marín C, Cardona Arango D, Cardona Jiménez J, Lizcano Cardona D, Quintero Echeverri A. Percepción de la sexualidad en personas mayores de 60 años. Revista Colombiana de Ciencias Sociales [revista en internet]. 2020 [citado 5 de febrero 2021]; 11(1): 56-77. Disponible en: https://doi.org/10.21501/22161201.3286.
López Ramos H, Medina Rico M, Hernández P, Silva JM. Sexualidad en el adulto mayor, conductas y retos-revisión de la literatura. Urol Colomb. [revista en internet]. 2019 [citado 5 de febrero 2021]; 28(2): 121-129. Disponible en: https://doi.org/10.1055/s-0038-1645849.
Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton N. Sexual Health and Well-being Among Older Men and Women in England: Findings from the English Longitudinal Study of Ageing. Arch Sex. Behav. [revista en internet]. 2016 [citado 5 de febrero 2021]; 45(1): 133-144. Disponible en: http://dx.doi.org/10.1007%2Fs10508-014-0465-1.
Wang V, Depp CA, Ceglowski J, Thompson WK, Rock D, Jeste DV. Sexual health and function in later life: a population-based study of 606 older adults with a partner. Am J Geriatr Psychiatry [revista en internet]. 2015 [citado 5 de febrero 2021]; 23(3): 227-233. Disponible en: https://doi.org/10.1016/j.jagp.2014.03.006.
Purriños MJ. Escala de Hamilton-Hamilton Depresion Rating Scale (HDRS). Servizo de Epidemioloxía. Dirección Xeral de Saúde Pública. Servicio Gallego de Saúde. [revista en internet]. 2020 [citado 5 de febrero 2021]; 2. Disponible en: https://meiga.info/escalas/depresion-escala-hamilton.PDF.
OMS: Organización mundial de la salud. Envejecimiento y ciclo de vida. [en línea]. Luxemburgo: OMS; 2012 [citado 5 de febrero 2021]. Disponible en: https://www.who.int/ageing/about/facts/es/.
MINSAP. Anuario Estadístico de Salud 2019 [en línea]. La Habana: CEDISAP UEB Producciones Gráficas; 2020 [citado 7 de fabrero 2021]. Disponible en: http://files.sld.cu/bvscuba/files/2020/05/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2019-ed-2020.pdf.
Preeti M, Solway E. Let’s Talk About Sex. National Poll on Healthy Aging [internet]. University of Michigan. C2021 [actualizada 15 de mayo 2018; citada 27 de junio 2020]. Disponible en: https://www.healthyagingpoll.org/sites/default/files/2018-05/NPHA-Sexual-Health-Report_050118_final2.pdf.
Mahieu L, Casterlé BD, Acke J, Vandermarlie H, Elssen KV, Fieuws S, Gastmans C. Nurses’ knowledge and attitudes toward aged sexuality in Flemish nursing homes. Nursing Ethics. [revista en internet]. 2016 [citado 9 de febrero 2021]; 23(6): 605-23. Disponible en: https://doi.org/10.1177/0969733015580813.
Uchôa YS, Costa DCA, Silva-Júnior IAP, Silva STSE, Freitas WMTM, Soares CSS. A Sexuality through the eyes of the elderly. Revista Brasileira de Geriatria e Gerontologia [revista en internet]. 2016 [citado 9 de febrero 2021]; 19(6): 939-49. Disponible en: http://dx.doi.org/10.1590/1981-22562016019.150189.
da Silva FG, Pelzer MT, Neutzling BRS. Attitudes of Elderly Women Regarding the Expression of Their Sexuality. Aquichan [revista en internet]. 2019 [citado 9 de febrero 2021]; 19(3): e1934. Disponible en: https://doi.org/10.5294/aqui.2019.19.3.4.
Menéndez Pérez R. La sexualidad en el paciente oncológico. Revista NPunto [revista en internet]. 2019 [citado 9 de febrero 2021]; III(33): 15-34. Disponible en: https://www.npuntos.es/21/la-sexualidad-en-el-paciente-oncologico&dowload=bibtext.
Torres González EC. Sexualidad en la vejez [tesis]. Valladolid: Universidad de Valladolid, Facultad de Enfermería; 2015 [citado 27 de junio 2020]. Disponible en: https://uvadoc.uva.es/bitstream/10324/18041/1/TFG-H514.pdf.
Melguizo Herrera E. Actitud hacia la sexualidad en los adultos mayores de centros de vida de la ciudad de Cartagena, 2018. [tesis]. Cartagena de Indias: Universidad de Cartagena, Facultad de Enfermería; 2018 [citado 27 de junio 2020]. Disponible en: http://190.242.62.234:8080/jspui/bitstream/11227/7005/1/IN FORME-FINAL-4-7-2018-PDF.pdf.
Downloads
Published
How to Cite
Issue
Section
License
This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.
Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.