珠三角地区工伤患者性生活状况调查研究

Investigation and study on sexual life status of patients with industrial injury in pearl river delta region

目的分析珠三角地区工伤患者受伤后的性生活状况,了解其对性功能检查和性康复治疗的需求。方法采用无记名、自愿填写的方式调查了2016年1月1日~12月31日在珠三角地区9家工伤康复协议机构住院的工伤患者和来广东省及广州市劳动能力鉴定机构参加鉴定的工伤患者。研究包括性别、年龄、文化程度、户籍类型、工种、单位性质等社会人口学指标及病程、受伤类型、性生活状况、性功能检查史和治疗史等疾病相关指标。结果本次调查有效例数为547例,平均年龄(39.4±8.2)岁,男性占73.7%,农村户籍例数占59.8%,初中及以下文化例数占52.1%,四肢骨折、手部损伤、脊髓损伤的人员较多,所占比例分别为36.7%、27.5%、10.3%。受伤后,42.7%的工伤患者出现性生活减退,9.7%的患者性生活消失。不同受伤类型的工伤患者都存在不同程度的性生活变化(P <0.001),脊髓损伤患者出现性生活消失的比例高达42.6%,远高于其他病种。受伤后,96.5%的患者没有接受过性功能检查和指导,98.2%的患者没有接受过性功能康复治疗。13.9%的患者表示有性功能检查评估、治疗及康复的需求,男性(16.1%)需求高于女性(7.7%),P=0.011。不同受伤类型患者的需求,随病情严重程度而升高(P=0.007),其中脑外伤和脊髓损伤患者的需求率分别为29.4%和36.4%。结论工伤患者普遍存在性功能下降问题,政府部门和医疗机构应加强对伤残者性功能障碍及相问题的关注和研究。

Objective To analyze the sexual life status of patients with industrial injury in the Pearl River Delta region to understand their needs for sexual function examination and sexual rehabilitation treatment. Methods An anonymous and voluntary method was used to investigate patients with industrial injury who were hospitalized in the nine industrial injury rehabilitation agencies in Pearl River Delta region from January 1, 2016 to December 31, 2016 and industrial injury patients who come to Guangdong and Guangzhou labor ability appraisal agency to participate in the identification of labor capacity. The study included sociodemographic indexes such as gender, age, education level, household registration type,job type, unit nature, and other disease-related indexes such as duration of disease, type of injury, sexual life, history of sexual function examination, and history of treatment. Results The number of valid cases in this survey was 547, with an average age of 39.4±8.2 years old, males accounting for 73.7%, rural residents accounting for 59.8%, and those with secondary school education or below accounting for 52.1%. There were more people with limb fractures, hand injuries and spinal cord injuries, accounting for 36.7%, 27.5%, and 10.3%, respectively. After injury, 42.7% patients with industrial injury experienced a decline in sexual life, and 9.7% of them had no sexual life any more. Patients with different types of industrial injuries had different degrees of sexual life changes(P < 0.001). The rate of sexual life disappearing in patients with spinal cord injury was up to 42.6%, much higher than other diseases. After the injury, 96.5 % of them had not received sexual function examination and instruction, and 98.2% had not received treatment for sexual function rehabilitation.13.9% respondents indicated that there was a need for sexual function test assessment, treatment and rehabilitation, and males’(16.1%) demand was higher than that of females(7.7%)(P=0.011). The demand for patients with different types of injuries increased with the severity of the disease(P=0.007). The demand rates for patients with brain trauma and spinal cord injury were 29.4% and 36.4%, respectively. Conclusion Patients with industrial injury generally suffer from the decline of sexual quality of life. Government departments and medical institutions should pay more attention to and study the sexual dysfunction and related problems of the disabled ones.