延续护理对腹腔镜次全子宫切除术后患者性生活的影响  

The Effects of Continuing Nursing Care on Sexual Quality of Patients after Laparoscopic Subtotal Hysterectomy

作　　者：沈居丽 郜玫 贾惠芳 黄梅 孙祖燕 胡红文 SHEN Ju-li GAO Mei JIA Hui-fang HUANG Mei SUN Zu-yan HU Hong-wen(Dept. of Gynecology, The Third People ＇s Hospital of Yunnan Province, Kunming Yunnan 650011, China)

机构地区：[1]云南省第三人民医院妇科,云南昆明650011

出　　处：《昆明医科大学学报》2016年第9期147-150,共4页Journal of Kunming Medical University

基　　金：云南省应用基础研究基金资助项目(2011FZ317)

摘　　要：目的探讨延续护理对腹腔镜次全子宫切除术后患者性生活的影响.方法选取2014年3月至2015年4月收治的78例择期入院行次全子宫切除术患者资料,运用随机数字表法随机分为对照组和干预组.2组均在全身麻醉下行腹腔镜下次全子宫切除术,其中对照组给予出院常规护理,干预组在对照组的基础上实施延续护理干预.应用国际通用的女性性功能量表(FSFI)对患者手术后性生活质量进行评价,比较不同护理方法的两组术后患者在出院3个月、6个月性生活质量.结果 2组患者的FSFI评分,术后3月、术后6月干预组[(25.45±3.08)、(27.56±4.74)]显著高于对照组[(22.78±4.32)、(23.03±5.03)],2组间差异有统计学意义(P<0.05).结论对腹腔镜次全子宫切除术出院患者实施延续护理,可有效改善术后短期内患者的性生活质量,延续护理值得在妇科术后患者临床推广应用.Objective To explore the influence of continuing nursing care on sexual quality of patients after laparoscopic subtotal hysterectomy. Methods Seventy-eight patients with selective laparoscopic subtotal hysterectomy enrolled from March 2014 to April 2015 were numbered according to their enrollment date, and divided into control group and intervention group randomly. Both groups were conducted laparoscopic subtotal hysterectomy under general anesthesia. After the surgery, the control group was treated with standard nursing care and the intervention group received continuing nursing care beyond the standard nursing care. Participants＇ sexual quality of 3 months and 6 months after surgery were evaluated using the female sexual function index（FSFI）.Results The scores of FSFI of intervention group were significantly higher than those of the control group.Conclusion The continuing nursing care of patients after laparoscopic subtotal hysterectomy can effectively improve patient＇s short-term sexual quality, which is worth of being applied in gynecology nursing care in the future.

关 键 词：次全子宫切除术 腹腔镜 延续护理 性生活 

分 类 号：R473.71[医药卫生—护理学]