经皮冠状动脉介入术后性咨询状况调查  

A survey of sexual counseling among post-PCI patients.

作　　者：金元哲[1] 韩硕[1] 任秀君[1] 韩昌林 王萌[1] 张晓红[1] 段志英[1] 林英子[1] 柳兢[1] 周东晖[1] 

机构地区：[1]中国医科大学附属第四医院心血管内科,沈阳110032

出　　处：《中国实用内科杂志》2014年第1期69-71,共3页Chinese Journal of Practical Internal Medicine

基　　金：辽宁省科技厅基金资助项目(200-225010-8)

摘　　要：目的探讨经皮冠状动脉介入术(PCI)术后患者性生活咨询的现状,为改善医生、患者及其伴侣对性生活相关问题的沟通提供依据。方法对PCI术后患者共198例进行电话随访,询问其术前及术后性生活状态,与伴侣、医生的沟通,参与临床研究的意愿等性咨询相关问题。结果 PCI术后患者没有与伴侣及医生讨论性生活相关问题的比例分别为76.8%及97.5%,72.1%的患者认为医生询问其性生活是合适的,74%的患者认为提供性咨询的时机在住院期间及随访期间均可以,51.3%的患者认为与医生讨论性问题完全没有不便,电话随访(43%)及单独谈话(40.3%)为患者普遍接受的形式,60.1%的患者不愿意参加与性生活相关的临床研究。结论医生可以在住院期间及随访时以电话或单独谈话的形式询问患者性生活相关问题,以改善PCI术后患者与其伴侣及医生对性问题的沟通。Objective To investigate the status of sexual counseling among post-PCI patients, and to offer rationale for es- tablishing reasonable strategies to improve communication between doctors, patients and their partners on sex-related issues. Methods A total of 198 post-PCI patients were followed up through telephone. Sex-related issues such as the state of sexu- al activity for preoperative and postoperative patients, communication with doctors and partners, and willingness to partici- pate in clinical researches were asked. Results The proportion of post-PCI patients without communication with their part- ners and doctors on sex-related issues were 76. 8 % and 97.5 %, respectively. 72. 1% of the patients thought that it is ap- propriate for doctors to ask about their sex life. 74% of the patients chose hospitalization and follow-up as the best timing for the provision of advisory. There was no inconvenience for 51.3% of the patients to discuss sex-related issues with doctors, and telephone （43 % ） or private conversations （40. 3 % ） were generally accepted. 60. 1% of the patients were unwilling to participate in clinical researches related to sex. Conclusion In order to improve communication on sex-related issues a- mong physicians, post-PCI patients and their partners, doctors can provide sexual counseling for patients during hospitaliza- tion or durin follow-up. Both telephone and private conversations are well accepted by patients.

关 键 词：经皮冠状动脉介入术 性咨询 

分 类 号：R541[医药卫生—心血管疾病]