关键词: 乳腺癌, 性健康, 性功能障碍, 性教育, 证据总结, 循证护理

Abstract: Objective To summarize the best evidence for sexual health management of breast cancer patients with an evidence-based method, to provide reference for clinical practice. Methods The clinical practice guidelines, expert consensus and systematic reviews  on the management of sexual problems in breast cancer patients were collected through computer retrieval of websites and databases such as Guidelines International Network, Network National Guideline Clearinghouse, National Comprehensive Cancer Network, the Cochrane Library, PubMed, and the CNKI academic literature database, searched from 1 January 2011 to 23 May 2021. The quality of the literature was evaluated by 2 researchers, and the evidence was extracted and summarized. Results A total of 15 articles were included, including 1 clinical practice guide, 6 expert consensus, and 8 systematic reviews/Meta?analysis. After refinement, 21 pieces of best evidence were summarized, in terms of  patient evaluation, education/training, treatment and rehabilitation exercises. Conclusions  The oncology medical staff should properly carry out sexual problem assessment and sexual health knowledge training for breast cancer patients, actively carry out sexual health education for patients and their partners, and select appropriate intervention methods to improve the sexual health problems of breast cancer patients.

Key words: Breast cancer, Sexual health, Sexual dysfunction, Sexual education, Evidence summary, Evidence?based nursing