护理干预对子宫全切术后病人性生活的影响  

The Effect of Nursing Intervention on the Sex Life of Patients after Total Hysterectomy

作　　者：常俊丽[1] 王爱云[1] 梁金梅[1] 

机构地区：[1]焦作市第二人民医院妇科,河南焦作454000

出　　处：《护理学报》2008年第4期56-58,共3页Journal of Nursing（China）

摘　　要：目的探讨护理干预对子宫全切术后病人性生活的影响。方法将2005年3月—2006年2月行子宫全切术者62例作为对照组,将2006年3月—2007年3月59例同类病人作为干预组,对照组进行妇科常规护理及宣教,如入院宣教,手术后护理配合,指导恢复性生活时间和随访时间等;干预组由经培训的专科主管护师在病人入院后第1-第2天、术前一天、出院前1～2 d、术后第1个月、第3个月、第4个月、第5个月、第6个月对病人夫妻双方进行护理干预,包括疾病和手术知识教育、性生理知识教育、术后性生活技巧、性生活频率指导、饮食指导。自行设计问卷调查两组病人在术后第4、第5、第6个月性生活满意情况,性交疼痛、阴道干涩发生情况。结果干预组术后第4个月、第5个月病人的性生活满意率高于对照组,阴道干涩发生率低于对照组(P<0.05);术后第4个月性交疼痛发生率低于对照组(P<0.05),差异有统计学意义。各指标第6个月比较差异无统计学意义。结论护理干预可提高子宫全切术病人术后性生活满意率,降低性交疼痛、阴道干涩发生率。Objective To study the effect of nursing intervention on the sex fife of patients after total hysterectomy. Methods 62 patients undergoing total hysterectomy between Mar. 2005 and Feb. 2006 were included in the control group, and 59 undergoing the same operation between Mar. 2006 and Mar. 2007, in the intervention group. The control group were offered routine gynaecol0gical nursing, publicity and education on hospitalization, postoperative nursing cooperation, time to begin sex life, follow-up visit time, etc. For the intervention group, nursing intervention was made to the patients and their spouse on 1st or 2nd day after hospitalization, 1 day before the operation, 1 or 2 days before leaving hospital and in the 1st, 3rd, 4th, 5th and 6th months after leaving hospital by trained specialized charge nurse. The contents included knowledge on the disease and operation, sex physiology, key points about post-operative sex and dieting. Self-made questionnaires were filled in to learn about the sex satisfaction and the incidence of dyspareunia and colpoxerosis in the 4th, 5th and 6th months after the operation. Results The satisfaction of the sexual life of the intervention group in the 4th and 5th months after the operation were higher than those of the control group, the incidence rate of colpoxerosis of the former was lower than that of the latter （P〈0.05）, and the incidence rate of dyspareunia of the former in the 4th month was lower than that of the latter （P〈0.05）. These data were statistically significant; however, the differences in the various indexes in the 6th month between the two groups were not. Conclusion Nursing intervention could increase the sex satsifaction and lower the incidence rate of dyspareunia and colpoxerosis after total hysterectomy.

关 键 词：子宫全切术 性生活 护理干预 

分 类 号：R473.71[医药卫生—护理学]