宫颈癌患者治疗后性功能状况及其影响因素的研究

Investigation on sexual function and its influencing factors among cervical cancer survivors

目的：调查宫颈癌患者治疗后3-36个月的性功能状况，并分析其影响因素。方法：应用一般资料问卷（人口学特征和疾病相关情况）、女性性功能量表（FSFI）中文版、Lock-Wollance婚姻调适量表对202例治疗结束后3-36个月的宫颈癌患者进行调查。结果：宫颈癌患者治疗后性功能得分为（12．87±11．03）分，80．2％的患者存在性功能障碍。Logistic回归分析显示，年龄（OR=2．614）、婚姻满意度（OR-O．305）、是否放疗（OR=3．986）、阴道萎缩（OR=7．119）是性功能的影响因素，其中婚姻满意度是保护因素，年龄、放疗、阴道萎缩是危险因素。结论：宫颈癌患者治疗后性功能水平较低，且性功能状况受多种因素影响。

Objective： To investigate sexual function and its influencing factors among cervical cancer survivors who completed their treatments 3 to 36 months ago. Methods： A cross-sectional study design was used in this study. Two hundred and two cervical cancer survivors were investigated with a demographic and disease information questionnaire, Female Sexual Function Index （FSFI） and Lock-Wollance Marital Adjustment Scale. Results： The total mean score of sexual function of these cervical cancer survivors was 12.87±11.03, and 80.2% of them were suffering from sexual dysfunction. Logistic stepwise regression analysis results showed that age （OR=2.614）, marital satisfaction （OR=0.305）, radiotherapy （OR=3.986） and vaginal atrophy （OR= 7.119） were included in the regression equation, in which the total score of FSFI was dependent variable. Among them, marital satisfaction was protective factor, and age, radiotherapy, vaginal atrophy were risk factors. Conclusion： The sexual function of cervical cancer survivors becomes worse after treatment. Many influencine factors could affect their sexual function.