胃肠肿瘤术后性生活质量及影响因素

Sexual quality of postoperative patients with gastrointestinal tumors and its influencing factors

目的探讨胃肠肿瘤术后患者性生活质量现状及影响因素。方法选择2018年1月至2019年1月中国人民解放军陆军特色医学中心收治的224例胃肠肿瘤患者作为研究对象。于患者术前以及术后6个月采用亚利桑那州性体验表对所有患者的性生活质量进行评估,于患者术后6个月采用中国人民解放军陆军特色医学中心自行设计的临床资料调查表、社会影响量表、生活质量量表对所有患者进行调查,对患者的资料进行单因素分析和多元线性回归分析,评价胃肠肿瘤术后患者的性生活质量现状及影响因素。结果术前胃肠肿瘤患者性生活质量总分为(15.46±2.87)分,术后6个月胃肠肿瘤患者性生活质量总分为(21.03±2.93)分,胃肠肿瘤患者术前性生活质量总分显著低于术后6个月,差异具有统计学意义(P<0.05);多元线性回归分析结果表明,文化程度、家庭关系、性生活指导、病耻感是胃肠肿瘤术后患者性生活质量的影响因素(P<0.05)。结论胃肠肿瘤术后患者性生活质量低,患者文化程度、家庭关系、性生活指导、病耻感是患者术后性生活质量的影响因素,需加强对患者的心理干预,帮助患者获取更多的社会支持,指导患者如何进行和谐的性生活。

Objective To investigate the status and influencing factors of sexual quality in postoperative patients with gastrointestinal tumors.Methods 224 patients with gastrointestinal tumors,admitted to Daping Hospital,Army Medical University from January 2018 to January 2019,were selected as subjects.The Arizona sexual experience table was used to evaluate the sexual quality of all patients before and 6 months after operation.Six months after surgery,all patients were investigated with clinical data questionnaires,social impact scales,and sexual quality scales designed by the Hospital,and analyzed by univariate analysis and multiple linear regression analysis,to evaluate the status and influencing factors of sexual quality in patients with gastrointestinal tumors.Results The total score of sexual quality of patients with gastrointestinal tumor before surgery was(15.46±2.87)points,and the total score of sexual quality 6 months after surgery was(21.03±2.93)points.The total score of sexual quality of gastrointestinal tumor patients before surgery was significantly lower than that of 6 months after surgery,with statistically significant difference(P<0.05).Multiple linear regression analysis showed that education,family relationship,sexual guidance and stigma were the influencing factors for the quality of sexual life after gastrointestinal tumor surgery(P<0.05).Conclusions The postoperative sexual quality of patients with gastrointestinal tumor is low,and the patient′s education level,family relationship,sexual life guidance and stigma are their influencing factors.Therefore,psychological intervention should be strengthened to help the patient get more social support and guide the patient on how to have a harmonious sexual life.