D型人格与乳腺癌根治术后性功能障碍发生风险的关联性  

Relationship between type-D personality and risk of sexual dysfunction after radical mastectomy

作　　者：黄志强 HUANG Zhiqiang(Department of Breast and Thyroid Surgery,Guangxi Guidong People's Hospital,Wuzhou 543000,Guangxi,China)

机构地区：[1]广西桂东人民医院乳腺甲状腺外科,广西梧州543000

出　　处：《中国性科学》2020年第12期140-143,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨D型人格与乳腺癌根治术后患者性功能障碍的关联性,为乳腺癌根治术后性功能障碍的防治提供研究支持。方法选取2016年1月至2018年6月广西桂东人民医院诊治的168例行乳腺癌根治术治疗且术前进行D型人格量表(DS14)评分的女性乳腺癌患者作为研究对象。根据DS14评分分为D型人格组(DS14>10分,n=98)、非D型人格组(DS14评分≤10分,n=70),对比分析两组术后6个月的性功能指数量表(FSFI)总分及各分项评分,并分析乳腺癌根治术后性功能障碍的影响因素。结果D型人格组患者术后FSFI量表评分总分及各项评分均低于非D型人格组,差异具有统计学意义(P<0.05)。D型人格组患者在术后的性欲低下、性唤起异常、阴道润滑异常、性高潮障碍、性交疼痛及性满意度低下发生率均高于非D型人格组,差异具有统计学意义(P<0.05)。Pearson相关性分析显示,DS14评分与性欲、性唤起、阴道润滑、性高潮、性交疼痛及性满意度评分呈负相关(P<0.05)。单因素分析表明,职业类型、TNM分期等因素是患者术后性生活质量下降的危险因素(P<0.05)。多元线性逐步回归分析表明,D型人格、TNM分期与乳腺癌根治术后患者性生活质量下降的独立危险因素(P<0.05)。结论D型人格会增加乳腺癌根治术后患者性功能障碍的发生风险,针对D型人格特征患者制定相应的策略,对提高D型人格乳腺癌根治术后患者的性生活质量具有一定的指导意义。Objective To explore the correlation between type-D personality and sexual dysfunction in patients after radical mastectomy,and to provide data support for the prevention and treatment.Methods From January 2016 to June 2018,patients who underwent radical mastectomy in Guangxi Guidong People′s Hospital and had DS14 score before operation were selected as the observation objects.According to the DS14 score,all were divided into the type-D personality groups(DS14>10 points,n=98)and the non-type-D personality group(DS14 score 10 points or less,n=70).Six months after surgery,female sexual function index(FSFI)scale total score and each item score were compared between the two groups,and the influence factors of sexual dysfunction after the radical resection of breast cancer were analyzed.Results The total score and scores of FSFI scale in the type-D personality groups were lower than those in the non-type-D personality groups,and the difference was statistically significant(P<0.05).The incidence of postoperative low sexual desire,abnormal sexual arousal,abnormal vaginal lubrication,orgasmic disorder,pain during sexual intercourse,and disturbance of sexual satisfaction in type-D personality group was higher than that in non-type-D personality group,and the differences were statistically significant(P<0.05).Pearson correlation analysis showed that DS14 score was negatively correlated with the scores of sexual desire,sexual arousal,vaginal lubrication,orgasm,pain during intercourse and sexual satisfaction(P<0.05).Univariate analysis showed that occupational type,TNM stage and other factors were risk factors for postoperative sexual quality decline(P<0.05).Multiple linear stepwise regression analysis showed that type D personality,TNM stage are the independent risk factors for decreased sexual quality of patients after radical mastectomy(P<0.05).Conclusions Type D personality will increase the risk of sexual dysfunction in patients after radical mastectomy.Making corresponding strategies for the type-D personality has ce

关 键 词：D型人格 乳腺癌 性功能障碍 

分 类 号：G479[文化科学—教育学]