子宫切除术后患者性功能状态及其影响因素

Sexual function state of patients after hysterectomy and the influencing factors

目的了解子宫切除术后患者性功能状态,并分析其影响因素。方法选取2015年1月-2016年3月收治的135例子宫切除术患者为观察组,并以同时间段的135例健康同龄妇女为对照组,比较两组女性性功能自我评定问卷评估结果,同时比较观察组中不同年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态的女性性功能自我评定问卷评估结果,并采用Logistic分析上述研究因素与此类患者术后性功能状态的关系。结果观察组的女性性功能自我评定问卷评估结果显著地差于对照组,且观察组中不同年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态的女性性功能自我评定问卷评估结果也存在统计学差异,同时Logistic分析显示,上述研究因素均与子宫切除术后患者性功能状态有密切的关系(P值均<0.05)。结论子宫切除术后患者性功能状态相对较差,且年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态均是对其影响较大的因素,故应给予充分的干预。

Objective To understand the sexual function state of patients after hysterectomy, analyze the influencing factors. Methods A total of 135 patients after hysterectomy were selected from January 2015 to March 2016 as observation group, and 135 healthy women of the same age were selected as control group. A self-assessment questionnaire of female sexual function was used to evaluate the women in the two groups, then the results were compared. In observation group, questionnaire results of women in different age groups, treated by different operation methods, with different diseases, educational levels, social support degrees, operation types, disease and treatment cognition degrees, and psychological states were compared. Logistic analysis was used to analyze the relationships between the above-mentioned factors and sexual function state of these patients after hysterectomy. Results The self-assessment questionnaire result in observation group was significantly worse than that in control group, there were statistically significant differences in questionnaire results of women in different age groups, treated by different operation methods, with different diseases, educational levels, social support degrees, operation types, disease and treatment cognition degrees, and psychological states. Logistic analysis showed that the above-mentioned factors were closely correlated with sexual function state of these patients after hysterectomy （ P〈0. 05 ） . Conclusion The sexual function state of patients after hysterectomy is bad; age, operation methods, disease types, educational level, social support degree, operation types, disease and treatment cognition degrees, and psychological state are important influencing factors, so enough intervention should be paid to.