不同干预模式对宫颈上皮内瘤变患者术后性生活质量影响的效果评价

Efficacy of nursing intervention for improving the quality of sexual life for patients with cervical intraepithelial neoplasia

目的探讨改善宫颈上皮内瘤变患者术后性生活质量的有效方法。方法将接受宫颈冷刀锥切手术的宫颈上皮内瘤变患者120例随机分成蓝丝带俱乐部组（蓝丝带组）、伙伴式支持组（伙伴式组）和常规组，3组实施相应的不同模式的健康教育，采用女性性功能量表（FSn）在术后6个月进行评定。结果120例患者中回收有效答卷100份。蓝丝带组患者与常规组患者术后6个月FSFI得分比较，除性交痛方面未发现统计学差异外，其余各条目得分和总分方面，蓝丝带组显著高于常规组；伙伴式组患者术后6个月FSFI总分和各分条目得分共7个方面均显著高于常规组；蓝丝带组与伙伴式组患者术后6个月FSFI量表总分和6个分条目得分共7个项目比较差异无统计学意义。结论蓝丝带俱乐部活动及伙伴式支持健康教育2种模式能有效改善宫颈上皮内瘤变患者冷刀锥切术后的性生活质量。

Objective To discuss effective measures to improve postoperative sexual life quality of patients with cervical intraepithelial neoplasia （CIN）. Methods One hundred and twenty patients with CIN were randomly assigned to the blue-ribbon club group, the friendship-support group and the control group. The blue-ribbon club patients were regarded as club members and received special education every two months. The friendship-support group patients received education one by one in the hospital setting and the control group patients received the same education as before participated into the trial. Female sexual function index （FSFI）was used to evaluate sexual function before and 6 months after intervention. Results Except sexual pain, the total score of FSFI and the score of sub-domain in the blueribbon club were significantly higher than that in the control group. The total score of FSFI and score of sub-domain were significantly higher than that in the control group. There were no significant differences between both intervention groups. Conclusions Both education intervention modes of the blue-ribbon club group and the friendship-support group could effectively improve sexual function for post-operation patients with CIN.