134例圆房失败患者中女性性交恐惧影响因素分析  

Analysis of influencing factors in 134 vaginal penetration phobia women with unconsummated marriage

作　　者：秦雪 郑淑娟 张颖[1] 车晓艳 张恩思 吴海雅 万婠 陈璐[1] Qin Xue;Zheng Shujuan;Zhang Ying;Che Xiaoyan;Zhang Ensi;Wu Haiya;Wan Wan;Chen Lu(Nanjing Drum Tower Hospital Clinical College of Jiangsu University,Nanjing 210008,Jiangsu,China;Department of Andrology,Nanjing Drum Tower Hospital,Nanjing 210008,Jiangsu,China;School of Social Sciences,Caritas College,Hong Kong 999159,China)

机构地区：[1]江苏大学鼓楼临床医学院,江苏南京210008 [2]南京鼓楼医院男科,江苏南京210008 [3]明爱専上学院社会科学学院,中国香港999159

出　　处：《中国男科学杂志》2024年第4期83-89,95,共8页Chinese Journal of Andrology

基　　金：南京大学中国医院改革发展研究院课题项目;南京鼓楼医院医学发展医疗救助基金会资助项目(NDYG2022069);南京鼓楼医院临床研究专项资金(2022-LCYJ-PY-22);南京鼓楼医院护理部一般性课题(2023-R172)。

摘　　要：目的通过134例圆房失败患者中女性性交恐惧影响因素调查分析,为女性性交恐惧的性治疗提供实证依据。方法采用便利抽样法,选取2019年11月—2023年2月在南京某三甲医院就诊的134例圆房失败的女性为调查对象,采用一般资料调查表、自制性交恐惧因素调查表、采用第五版《精神疾病诊断和统计手册》(DSM-5)中生殖-盆腔疼痛/插入障碍的诊断标准及恐惧症诊断标准进行横断面调查。结果单因素分析结果显示,听别人描述初次性交疼痛、家庭教育严格、初次性交不良感受、阴道痉挛、性交疼痛、性经验、性知识状况方面差异具有统计学意义(P<0.05)。二元Logistic回归结果显示,听别人描述初次性交疼痛、初次性交不良感受、阴道痉挛是性交恐惧的重要影响因素(P<0.05)。结论生殖盆腔疼痛/插入障碍(GPPPD)患者恐惧因素在性经验、性知识状况、阴道痉挛、性交疼痛、家庭教育严格、初次性交不良感受、听别人描述初次性交疼痛,均有临床意义,促成了患者GPPPD。因此性治疗师应重点关注有恐惧危险因素的患者,根据不同的影响因素给予患者Plissit干预模型、放松训练、认知行为疗法、系统脱敏疗法、性感集中训练等方面的治疗,从而减轻性交疼痛,克服性交恐惧,增进夫妻亲密关系,最终达到性及家庭的和谐。Objective To investigate the influencing factors of female vaginal penetration phobia in 134 cases with unconsummated marriage,and provide empirical evidence for the sexual treatment of female vaginal penetration phobia.Methods A total of 134 women who failed to complete their marriage at a GradeⅢhospital in Nanjing from November 2019 to February 2023 were selected by convenience sampling method.A cross-sectional investigation was conducted using the general data questionnaire,the self-made fear factor questionnaire,the diagnostic criteria of Genito-pelvic pain/penetration disorder and the diagnostic criteria of phobias in the 5th edition of DSM-5.Results Single factor analysis showed that there were statistically significant differences in hearing others describe the pain of sexual intercourse for the first time,strict family education,bad feelings of sexual intercourse for the first time,vaginismus,painful sexual intercourse,sexual experience and sexual knowledge(P<0.05).Analysis of binary Logistic regression demonstrated that listening to others describe the pain of first intercourse,the bad feeling of first intercourse and vaginismus were the important influencing factors for sexual intercourse fear(P<0.05).Conclusion The fear factors of GPPPD patients cover sexual experience,sexual knowledge,vaginismus,painful intercourse,strict family education,bad feeling of first intercourse,and hearing others describe the pain of first intercourse,which contributes to GPPPD occurrence.Therefore,sex therapists should focus on different fear risk factors,and give patients Plissit intervention model,relaxation training,cognitive behavioral therapy,systematic desensitization therapy,sexy focused training and other treatments,so as to reduce the pain of sexual intercourse,overcome the fear of sexual intercourse,enhance the intimate relationship between husband and wife,and finally achieve sexual and family harmony.

关 键 词：性交 恐惧 交媾困难 治疗 

分 类 号：R711.5[医药卫生—妇产科学]