青年子宫全切患者术后心理痛苦对性功能的影响

Impact of Postoperative Psychological Pain on Sexual Function in Young Patients Undergoing Total Hysterectomy

目的分析青年子宫全切患者术后心理痛苦对性功能的影响。方法前瞻性纳入2019年1月至2022年1月在许昌市中心医院行全子宫切除术的98例患者。于患者术后出院时采用心理痛苦温度计(DT)量表评估心理痛苦状况,DT评分≥4分为显著心理痛苦。术后随访3个月,采用女性性功能指数(FSFI)量表评估患者性功能;采用点二列相关性检验家庭月收入、术后接受性指导与心理痛苦的关系;Spearman相关性检验患者心理痛苦状况与性功能的关系。结果发放问卷98份,有效回收问卷87份,另剔除2例患者,最终85例患者完成研究。其中21例DT评分≥4分为显著心理痛苦,占比24.71%。不同心理痛苦患者家庭月收入、术后接受性指导比较,差异有统计学意义(P<0.05)。点二列相关性检验显示,家庭低水平收入、术后未接受性指导与DT评分呈正相关(r>0,P<0.05)。Spearman相关性检验显示,DT评分与FSFI评分呈负相关(r<0,P<0.05)。结论青年子宫全切患者术后显著心理痛苦会增加性功能障碍风险,家庭低水平收入、术后未接受性指导的患者会间接增加性功能障碍风险。

Objective To analyze the impact of postoperative psychological pain on sexual function in young patients undergoing total hysterectomy.Methods A prospective study was conducted on 98 patients who underwent total hysterectomy in Xuchang Central Hospital from January 2019 to January 2022.At the time of postoperative discharge,the patient was assessed for psychological distress using the distress thermometer(DT)scale,with a DT score of≥4 indicating significant psychological distress.After 3 months of follow-up,the female sexual function index(FSFI)scale was used to evaluate the sexual function of the patients.The relationship between family monthly income,postoperative guidance and psychological distress were tested by point two column correlation.Spearman correlation was used to test the relationship between psychological pain and sexual function.Results A total of 98 questionnaires were distributed,87 questionnaires were effectively collected,and 2 patients were excluded.Finally,85 patients completed the study.Among them,21 cases with a DT score of≥4 were classified as significant psychological pain,accounting for 24.71%.There were differences in monthly family income and postoperative sexual guidance among patients with different psychological distress(P<0.05).The point two column correlation test showed that low family income and no postoperative guidance were positively correlated with DT score(r>0,P<0.05).Spearman correlation test showed a negative correlation between DT score and FSFI score(r<0,P<0.05).Conclusion Significant psychological pain after hysterectomy in young patients can increase the risk of sexual dysfunction,while patients with low family income and no postoperative sexual guidance indirectly increase the risk of sexual dysfunction.