康复期精神分裂症患者性生活状况及相关因素研究

Sexual life quality and related factors for women schizophrenia patients in rehabilitation phase

目的:探讨康复期精神分裂症患者性生活状况及相关因素,旨在提高精神分裂症患者生活质量。方法:选择2011年1月至2013年6月来我院门诊治疗的精神分裂症患者136例作为研究对象,同时选取136例正常人作为对照组。分别调查对比两组的性生活质量,并应用多因素回归分析探讨影响性生活质量的危险因素。结果:精神分裂症患者在性满意度、性交流、性反应、性体态、性体象和总分等因子间得分均低于对照组(P<0.05)。多因素分析显示,婚姻满意度、子女和是否使用非典型类精神药物等3因素是影响性生活质量的危险因素,具有统计学意义(P<0.05)。即婚姻满意度高、具有子女和使用典型精神药物者,生活质量更高。结论:婚姻满意度、子女和是否使用非典型类精神药物等3因素是影响性生活质量的危险因素。在临床实践中应针对其危险因素进行干预,以期提高患者性生活质量。

Objectives：To explore the ways of improving the quality of sexual life of female schizophreniapatients in rehabilitation phase by investigating their sexual quality of lives and related factors.Method：136 female patients with schizophrenia treated between January 2011 and June 2013 in our hospital were enrolled as the treatment group,and 136 healthy people were selected as the control group.The quality of sexual life of two groups were investigated,and the multivariate regression analysis was used to explore the related factors.Results：The scores of sexual satisfaction,sexual communication,sexual response,sexual posture,body image,and total score of patients with schizophrenia were significantly lower than those of the control group（P〈0.05）.Multivariate regression analysis showed that marital satisfaction,children,and the use of atypical psychotropic drugs were related factors with statistical significance（P〈0.05）.The patients with higher marital satisfaction,with children and taking typical psychotropic drugs had a higher quality of life.Conclusion：Marital satisfaction,children,and the use of atypical psychotropic drugs were related factors of sexual quality in female rehabilitation patients with schizophrenia.In clinical practice,more measures should be taken to deal with the related factors in order to improve the quality of sexual life.