产后辅导对产妇性健康状况的影响  

Influence ofpostpartum counseling on maternal sexual health

作　　者：刘晓敏[1] 李俭莉[2] 黄宇[3] 

机构地区：[1]内江市中心血站信息服务科,四川内江641000 [2]内江师范学院体育学院,四川内江641109 [3]四川省人民医院妇产科

出　　处：《中国性科学》2014年第11期95-98,共4页Chinese Journal of Human Sexuality

摘　　要：目的：了解产妇产后性健康状况，评价产后辅导对产妇产后性健康状况的影响。方法：本研究以376名顺产初产妇为调查对象，依照分娩的先后顺序，单数为观察组，双数为对照组，对照组进行一般产后辅导，观察组除一般产后辅导外还增加性健康教育。结果：观察组在产后60d内首次恢复性生活的百分比显著高于对照组（X2=29．54，P〈0．01）；与孕前半年相比，观察组产后3—6月性欲降低的百分比显著低于对照组（X2=34．31，P〈0．01），每月性生活平均频率减少的百分比显著低于对照组（X2=14．16，P〈0．01）；观察组发生性交疼痛、阴道干涩、性欲低下、性高潮缺乏、阴道松弛的发生率显著低于对照组（P〈0．01）。结论：产后性健康教育是提高女性产后性生活质量及改善产后性问题的有效方法。Objectives： To investigate the postpartum sexual health status, influence of postpartum eounse-ling on the maternal sexual health. Methods： In this study, 376 primiparas adopting natural delivery were investiga- ted and divided into the observation group and control group according the order of delivery. The control group was given general postpartum counseling, while the observation group was given additional sexual health education. Results： The percentage of people starting to have sexual life within 60 days after the delivery in the observation group was higher than that of control group（X2 = 29.54, P 〈 0.01 ） ; compared with half a year before pregnancy, percentage of people with decreased libido postpartum 3 ～ 6 months in the observation group was significantly lower than that of control group（X2 = 34.31, P 〈 0.01 ） ; the decreased frequency percentage of the monthly sexual living was significantly lower than the control group（x2 = 14.16, P 〈 0.01 ） ; the incidence of sexual intercourse pain, va- ginal dryness, low sexual desire, lack of orgasm and vaginal relaxation in the observation group was significantly lower than the control group（ P 〈0.01 ）. Conclusion： Postpartum sexual health education is an effective method to improve the quality of female postpartum sexual life and solve the sexual problems.

关 键 词：产后辅导 性问题 性健康教育 凯吉尔练习 

分 类 号：R167[医药卫生—公共卫生与预防医学]