青年乳腺癌患者术后性生活质量变化及其影响因素调查

Sexual quality in young women after mastectomy and the possible affecting factors

目的探讨青年乳腺癌患者术后性生活质量变化并寻找其可能影响因素。方法应用CSFQ量表测量69例年龄小于45岁乳腺癌患者病前及乳房切除术后性生活质量,并对几种最可能的影响因素进行调查。结果54份有效问卷显示乳房切除术后患者性生活质量较病前明显降低,表现在性欲望降低、性唤起障碍、性愉悦感减弱和性高潮障碍;而引起性生活质量下降的主要原因不是因为身体不适或者药物影响,而主要是由于患者躯体形象改变所致的自卑心理(占48.8%)和丈夫性态度变化(占20.9%)。结论青年乳癌患者术后性生活质量显著下降,其主要原因是夫妻双方的心理因素,有必要对此类患者及其配偶进行合理的心理治疗。

Objective To investigate the change of sexual quality in young women after mastectomy and to explore the possible affecting factors. Methods Sexual quality before illness and after mastectomy in 69 young （〈45years old） women with breast cancer, was evaluated using sexual functioning questionnaire（CSFQ）. Several possible reasons that affect the sexual quality were also surveyed. Results From the 54 valid questionnaire, sexual quality in young women after mastectomy was decreased significantly compared with that before illness. Patients were suffering from decreased sexual desire, sexual arousing difficulty, decreased sexual pleasure and orgasm impediment. The main reasons affecting the sexual quality were not because of physical problem or medication, but of inferiority of body image （48.8%） and the change of sex partner＇s attitude （20. 9%）. Conclusions Sexual quality in young women after mastectomy is decreased significantly. The main reasons are psychological problem of the patients and their sexual partners. Rational psychological interference is needed to these patients and their sexual partners.