对妇科手术后病人的性咨询调查

Survey of the Sexual Counseling for Pa-tients Undergoing Gynecologic Surgery

５８例妇科手术后病人性知识水平测试结果表明：只有３６．２～３６．４％的病人对性生理知识有较好了解；对内生殖器官切除，６２．１～６７．２％的病人担心可能导致性功能障碍，５６．９％的病人担心第二性征变化，４８．３％的病人怀疑会导致体力下降。此外尚有部分妇女对自身形体变化、夫妻关系等存在困惑。分析显示：术后性困惑发生频率与年龄有关，而与病人的文化程度、所施手术类型无关。提示性知识缺乏及传统观念影响是引起性困惑的主要原因。因此，对妇科手术患者开展术前、术后性咨询乃是促进术后康复的必要工作之一。

he test of sexual knowledge level for 58 fe-male patients indicated that only 36. 2% of themhad good understanding of sexual knowledge. Afterundergoing the internal genital, 62. 1 - 67- 2% ofthem worried about the sexual dysfunction , 56. 9%worried about the changes of the seconary sex char-acters, 48.3% doubted their physical strengthwould decrease. In addition, a number of the sub-Jects were puzzled by thechanges of their bodyshape and the relationship with their husbands. Theanalytic result showed that thefrequency of thepost -operative sexual anxiety was related to age,not with patients' educational level and the types ofthe surgery. It suggests that lack of sexual knowl-edge and the influence of the traditional ideas aretbe main reasons causing the sexual anxiety. There-fore, the preoperative and postopprative sexualcounseling are necessary to develop the postopera-tive recovery.