Article Text
Abstract
Introduction/Background Gynaecological cancer and its treatment may cause sexual difficulties in terms of physical and psychosocial health. Considering the essential role that nurses play in cancer care, they are well positioned to be ideal providers for addressing sexual health concerns in the follow-up phase of gynaecological cancer. The aim of this study was to gain in-depth knowledge of how gynaecological cancer survivors experience sexual health communication in nurse-led follow-up consultations.
Methodology We conducted 17 individual semi-structured interviews in 2022 of women participating in a Norwegian multicentre intervention study on follow-up after gynaecological cancer. The intervention included sexual health as one of several topics addressed by trained nurses in three consultations in the first year of follow-up A qualitative hermeneutic research method inspired by Gadamer’s philosophy was utilized for data collection and analysis.
Results We identified three themes: 1) the importance of nurses listening to the women’s own perceptions of sexuality, 2) post-treatment sexual challenges influence the women’s need to communicate about sexual health, and 3) nursing communication can help women regain their sexual health.
Conclusion Women who have undergone treatment for gynaecological cancer find communication with trained nurses regarding sexual health beneficial. We recommend integration of trained nurses in the follow-up team. The nurses should adjust communication according to each gynaecological cancer survivor’s unique understanding of sexuality and inform women with sexual health concerns at end of treatment, that sexual health can improve during follow-up.
Disclosures The authors have no conflict of interest. This study is part of the first authors Ph.D. project funded by the South-Eastern Norway Regional Health Authority December 19th, 2019 (project number 2020102).