Document Type : Original Article
Authors
- Masoud Bahrami 1
- Masoumeh Masoumi 2
- Ali Toghiani 3
- Narges Hashemi 4, 5
- Zahra Boroumandfar 6
- Ali Norouzi 7
1 Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. National Agency for Strategic Research in Medical Sciences Education, Tehran, Iran
2 Assistance Professor, Department of Operation Room, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran
3 Department of Curriculum Planning, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran. National Agency for Strategic Research in Medical Sciences Education, Tehran, Iran
4 Nursing and Midwifery Care Research Centre, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
5 National Agency for Strategic Research in Medical Sciences Education; Tehran, Iran
6 Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. National Agency for Strategic Research in Medical Sciences Education, Tehran, Iran
7 Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. National Agency for Strategic Research in Medical Sciences Education, Tehran, Iran
Abstract
Background: Cancer not only threatens the physical health of patients but also leads to significant problems in their sexual and emotional relationships. Given the taboo surrounding discussions about sexual issues in Iranian society, there is a perceived need for a deeper exploration of the experiences of cancer patients in this area. This study aimed to identify the sexual challenges of cancer patients in the context of Iran.
Methods: This qualitative research was conducted using conventional content analysis at selected centers in the city of Isfahan in 2024. Participants included cancer patients, their spouses, and members of the healthcare team, who were selected through purposive and snowball sampling with maximum variation. Data were collected and analyzed through 20 in-depth semi-structured interviews. Data were analyzed using the Graneheim and Lundman method through MAXQDA 2020 software.
Results: Data analysis revealed four main categories: functional dimensions (changes in sexual desire and sexual dysfunctions), identity-existential dimensions (gender identity crisis, psychological concerns, and attitudes toward sexual relationships), supportive dimensions (role of the life partner, role of the family, and role of the social network), and adaptive dimensions (seeking information and education, and adjusting sexual performance).
Conclusion: The findings emphasize the necessity of addressing sexual health as an integral component of comprehensive cancer care, highlighting the importance of training healthcare teams, implementing cultural policy-making, and creating supportive environments for patients.
Keywords
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