Cancer Patients’ Perceived Need for Information and Education on Sexuality Challenges in a Regional Oncology Center in South-Eastern Nigeria

Abstract

Background: Cancer patients in low and middle-income countries (LMIC) experience sexuality concerns most often un-disclosed by patients and unaddressed by oncologists. This study investigated adult cancer patients’ need for information and education on perceived sexuality challenges in Nigeria.
Materials and Methods: This descriptive, cross-sectional study enlisted 298 adult cancer survivors. A pre-tested researcher-developed questionnaire was used for data collection and analysis done with IBM SPSS, version 19.0 using descriptive and inferential statistics (at p<0.05).
Results: Findings showed that only 5.4% have tried discussing sexuality concerns with caregivers, (282=94.6%) had never even when the majority felt anxious about the sickness (3.66±1.12) and depressed about the loss of a body part (3.13±1.41); females had difficulties performing roles as mothers/wives (3.45±1.47), men reported having difficulties performing roles as fathers/husbands (3.53±1.52). The majority considered discussions on sexuality as important (4.17±1.36) and desired to a very high extent discussion/information on the impact of cancer and cancer treatment on sexuality and sexual life/behaviour (4.36±0.88) with nurses (67.1%) than doctors.
Conclusion: Cancer patients need information on cancer and sexuality. Health care providers should include such discussions during patient assessment and treatment. Sexuality discuss, although appreciated is a sensitive issue that requires skills and ongoing training for cancer care professionals.