基于人类学视角的脊髓损伤患者性健康需求现状及影响因素的混合性研究  

A mixed study on current status of sexual health needs of spinal cord injury patients based on an anthropological perspective and influencing factors

作　　者：谢粟梅 陈晖 陈中英 文琪 刘婷[3] 李琨[4] 王彤 Xie Sumei;Chen Hui;Chen Zhongying;Wen Qi;Liu Ting;Li Kun;Wang Tong(Rehabilitation Ward of Spinal Injury,Guangdong Work Injury Rehabilitation Hospital,Guangzhou 510440,China;Rehabilitation Ward of Neurology and Urology,Guangdong Work Injury Rehabilitation Hospital,Guangzhou 510440,China;Department of Cardiovascular Medicine,The Eighth Affiliated Hospital,Sun Yat-sen University,Guangzhou 518033,China;School of Nursing,Sun Yat-Sen University,Guangzhou 510080,China)

机构地区：[1]广东省工伤康复医院脊髓损伤康复病区,广州510440 [2]广东省工伤康复医院神经泌尿康复病区,广州510440 [3]中山大学附属第八医院心血管内科,深圳518033 [4]中山大学护理学院,广州510080

出　　处：《国际医药卫生导报》2022年第5期651-655,共5页International Medicine and Health Guidance News

基　　金：广东省医学科研基金(B2019078)。

摘　　要：目的探究脊髓损伤患者在其社会、文化、经历等的背景下,对性健康教育的客观需求并分析影响因素。方法采用方便抽样,选取2020年2月至2021年3月在广州市某医院住院的150例脊髓损伤患者作为研究对象。采用自行翻译的中文版《男性性健康问卷(MSHQ)》、中文版《女性性功能量表(FSFI)》、自行设计的《性需求调查表》(男性和女性)对患者进行性功能、性健康情况调查,采用单因素分析、多重线性回归分析变量间的关系。结果男性脊髓损伤患者性健康得分为(15.52±13.08)分,女性脊髓损伤患者性健康得分为15.0(9.5,58.0)分。多重线性回归分析显示:勃起功能障碍、神经损伤平面、损伤程度均是男性脊髓损伤性健康的影响因素(均P<0.05)。结论本组研究患者年龄均在21~62岁,处于中青年,对性需求大,但对性生活认知欠佳,医护人员应关注和加强脊髓损伤患者的性健康教育,重视和了解其社会文化认知情况和羞耻感,探究性健康教育的模式,最终提高脊髓损伤患者的生活质量及其满意度。Objectives To investigate the objective needs of spinal cord injury patients for sexual health education in the context of their society,culture,and experience,and to analyze the influencing factors.Methods One hundred and fifty patients with spinal cord injury who were hospitalized in a hospital in Guangzhou from February 2020 to March 2021 were selected as the study objects.The self-translated Chinese version of Male Sexual Health Questionnaire(MSHQ),Chinese version of Female Sexual Function Index(FSFI),and self-designed Sexual Needs Questionnaire(male and female)were used to surveyed the patients'sexual function and health.The relationship between the variables was analyzed by the univariate analysis and multiple linear regression.Results The sexual health score was(15.52±13.08)in the male patients,and was 15.0(9.5,58.0)in the female patients.Multiple linear regression analysis showed that the erectile dysfunction,injury severity,and level of nerve lesion were influential factors for the sexual health in the male patients(all P<0.05).Conclusions The patients in this study were middle-aged and young adults,21-62 years old,so they had high demand for sex;however they had poor cognition about sexual life.Healthcare professionals should pay attention to and strengthen sexual health education for patients with spinal cord injury,pay attention to and understand their socio-cultural cognition and sense of shame,and explore modes of sexual health education,so as to ultimately improve their quality of life and satisfaction.

关 键 词：脊髓损伤 健康教育 性功能障碍 影响因素 混合性研究 

分 类 号：R651.2[医药卫生—外科学]