乳腺癌术后患者性生活状况及性生活健康教育需求的调查研究  

Investigation on the postoperative sexual lifestatus and health education requirements of breast cancer patients

作　　者：杜华[1] 潘发明[2] 丁萍[3] 袁芳臻[1] 苏斯莉 DU Hua;PAN Faming;DING Ping;YUAN Fangzhen;SU Sili(Department of Radiotherapy,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China;School of Public Health,Anhui Medical University,Hefei 230032,Anhui,China;Department of Nursing,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院肿瘤放疗科,合肥230022 [2]安徽医科大学公共卫生学院,合肥230032 [3]安徽医科大学第一附属医院护理部,合肥230022

出　　处：《中国性科学》2019年第3期156-160,共5页Chinese Journal of Human Sexuality

基　　金：安徽高校自然科学研究重点项目资助项目(KJ2016A363)

摘　　要：目的了解乳腺癌术后患者的性生活状况及性生活健康教育需求情况,为制订干预措施提供参考依据。方法采用方便抽样的方法,使用自行设计的调查表和女性性功能指数量表(female sexual function index,FSFI)进行问卷调查,应用SPSS22.0建立数据库进行统计分析。结果 FSFI总分为(17.670±9.354)分,与常模比较,FSFI总分、各维度评分均低于常模水平,差异具有统计学意义(P<0.001),≥50岁组的患者性状况更差,差异均具有统计学意义(P均<0.001);术后1个月内、3个月内、6个月内及6个月后恢复第一次性生活比例分别为5.02%、23.43%、30.13%、12.13%,29.9%的患者停止了性生活;术后性生活的满意率为7.53%,低于术前的53.97%,不满意率为37.66%,高于术前的4.18%,差异具有统计学意义(P<0.001);乳腺癌术后患者性生活健康教育需求高(51.46%),医护人员专业指导不足(24.27%);患者希望通过发放性生活指导手册(66.53%)、集体讲座(60.25%)、一对一咨询(59.41%)、微信/QQ(38.08%)以及与配偶同时接受指导(17.99%)的形式,得到医护人员提供形式多样的性知识教育。结论乳腺癌术后患者性生活状况较差,医护人员应打破传统观念,主动提供专业指导,使患者早日得到性康复。Objective To provide theoretical evidence for clinical nursing intervention by exploring the sexual life status and health education requirements of postoperative breast cancer survivors. Methods A questionnaire survey was conducted on postoperative breast cancer survivors by using self-designed questionnaire and Female Sexual Function Index ( FSFI). All data was analyzed by SPSS 22. 0. Results The total score of FSFI was (17. 670 ±9. 354). Compared with the norm, the scores of FSFI and each dimension were lower than those of the norm, with statistically significant differences (P < 0. 001 ) and more significant for those over 50 years old, with statistically significant differences (P < 0.001). The proportion of recovery of sexual life within a month, 3 months, 6 months and 6 months later was 5. 02%, 23. 43%, 30. 13% and 12. 13% respectively, and 29. 9% of patients stopped having sexual life. The satisfaction rate of sexual life after operation was 7. 53%, lower than 53. 97% before operation, and the dissatisfaction rate was 37. 66%, higher than 4. 18% before operation, all with statistically significant differences (P < 0. 001). The sexual life health education requirements of the patients with breast cancer were high (51. 46%) and the professional guidance was insufficient (24. 27%). The patients hoped to getprofessional guidance through various forms of education, such as guiding manual(66. 53%), group lecture (60. 25%), private consultation(59. 41%), WeChat /QQ (38. 08%), and consultation with spouses at the same time (17.99%). Conclusions Postoperative sexual life of breast cancer patients is worrying, and medical staff should provide professional guidance to help the early recovery of sexual life of these patients.

关 键 词：乳腺癌 性生活 健康教育 

分 类 号：R-05[医药卫生]