心理干预对阴道成形术患者性功能及生活质量的影响  

The effects of psychological intervention on sexual function and quality of patients treated with vaginoplasty

作　　者：李金芝[1,2] 王才智[2] 杨玉春[3] 郭琼[2] 孙雪芹[1] 

机构地区：[1]蚌埠医学院护理学系,安徽蚌埠233030 [2]蚌埠医学院第一附属医院妇产科,安徽蚌埠233004 [3]安徽省蚌埠市第三人民医院妇产科,233000

出　　处：《蚌埠医学院学报》2012年第10期1250-1252,共3页Journal of Bengbu Medical College

基　　金：安徽省高等学校省级自然科学研究资助项目(KJ2009B151Z)

摘　　要：目的:探讨心理干预对阴道成形术患者性功能及生活质量的影响。方法:将42例行阴道成形患者分为对照组和干预组,对照组20例给予常规的围手术期护理和出院指导,干预组22例在对照组的基础上给予综合心理行为干预12个月。采用《女性性生活质量问卷》和《生活质量测定量表简表》调查2组患者出院后3、6、12个月护理效果。结果:术后6、12个月各组性生活质量和生活质量评分均较3个月时提高,差异均有统计学意义(P<0.05～P<0.01);在术后3、6个月时2组间性生活质量评分差异均无统计学意义(P>0.05),术后12个月时干预组明显高于对照组(P<0.01);术后6、12个月时,干预组总体生活质量评分均高于对照组(P<0.01)。结论:综合心理行为干预对阴道成形术患者改善性生活状况和提高生活质量有极大促进作用。Objective：To investigate the effects of psychological intervention on sexual function and quality of patients treated withvaginoplasty. Methods： Forty-two cases with vaginoplasty were divided into the control group （ 20 cases ）, which was treated with the conventional perioperative care and discharge guidance, and the intervention group （22 cases）, which was treated with added 12 months of comprehensive psychological behavior intervention. At 3,6 and 12 months post-operation, the effects of nuring of all cases were investigated according to sexual Quality of Life Questionnaire for Women （SQLQ-W） and Quality of Live Brief Questionnaire （ QOL- BREF）. Results：The scores of the SQLQ-W and QOL-BREF of two groups were obviously enhanced at 6 and 12 months post-operation, and significant differences were found （ P 〈 0.05 - P 〈 O. 01 ）. The score difference of the SQLQ-W of two groups had no statistical significance at 3 and 6 months post-operation （ P 〉 0.05 ） , while at 12 months post-operation the scores of intervention group were significant higher that of the control group. At 6 and 12 months post-operation,the scores of QOL-BREF of intervention group were higher that of the control group （P 〈 0.01 ）. Conclusious ：The psychological intervention can improve the sexual function and quality of patients treated with vaginoplasty.

关 键 词：阴道 畸形 阴道成形术 心理护理 生活质量 性生活 

分 类 号：R711.1[医药卫生—妇产科学] R713.31[医药卫生—临床医学]